From: Nomogram for predicting postoperative pulmonary complications in spinal tumor patients
Variables | Total patients (n = 491) | No PPCs (n = 430) | PPCs ( n = 61) | Univariate analysis P Value |
---|---|---|---|---|
Age ≥ 65 years, n (%) | 162 (33.0) | 143 (33.3) | 19 (31.1) | 0.743 |
Gender, n (%) | Â | Â | Â | Â |
Male | 279 (56.8) | 251 (58.4) | 28 (45.9) | 0.067 |
BMI ≥ 24 kg/m2, n (%) | 157 (32.0) | 144 (33.5) | 13 (21.3) | 0.059 |
Smoking status, n (%) | Â | Â | Â | Â |
Former | 38 (7.7) | 33 (7.7) | 5 (8.2) | 0.980 |
Current | 62 (12.6) | 58 (13.5) | 4 (6.6) | 0.137 |
Alcohol abuse, n (%) | 81 (16.5) | 74 (17.2) | 7 (11.5) | 0.263 |
ASA ≥ 3, n (%) | 97 (19.8) | 80 (18.6) | 17 (27.9) | 0.101 |
Anaemia, n (%) | 203 (41.3) | 176 (40.9) | 27 (44.3) | 0.622 |
Hypoproteinemia, n (%) | 109 (22.2) | 93 (21.6) | 16 (26.2) | 0.426 |
Origin of tumor, n (%) | Â | Â | Â | Â |
Primary tumor | 90 (18.3) | 80 (18.6) | 10 (16.4) | ref |
Secondry tumor from lung | 126 (25.7) | 117 (27.2) | 9 (14.7) | 0.314 |
Secondry tumor from others | 275 (56.0) | 233 (54.2) | 42 (68.9) | 0.329 |
Chemoradiotherapy, n (%) | 82 (16.7) | 72 (16.7) | 10 (16.4) | 0.945 |
Level of tumor, n (%) | Â | Â | Â | Â |
Cervical | 85 (17.3) | 80 (18.5) | 5 (8.2) | ref |
Thoracic | 178 (36.3) | 140 (32.6) | 38 (62.3) | 0.003 |
Lumbar | 141 (28.7) | 128 (29.8) | 13 (21.3) | 0.373 |
Sacral | 87 (17.7) | 82 (19.1) | 5 (8.2) | 0.970 |
Type of surgery, n (%) | Â | Â | Â | Â |
Decompression | 19 (3.9) | 18 (4.2) | 1 (1.6) | ref |
Tumor resection | 89 (18.1) | 77 (17.9) | 12 (19.7) | 0.337 |
Extensive resection | 383 (78.0) | 335 (77.9) | 48 (78.7) | 0.362 |
Type of anesthesia, n (%) | Â | Â | Â | Â |
Intravenous inhalation combined anesthesia | 384 (78.2) | 335 (77.9) | 49 (80.3) | 0.665 |
Segments, n (%) | Â | Â | Â | Â |
1–2 | 50 (10.2) | 49 (11.4) | 1 (1.6) | ref |
3–7 | 411 (83.7) | 356 (82.8) | 55 (90.2) | 0.047 |
≥7 | 30 (6.1) | 25 (5.8) | 5 (8.2) | 0.042 |
Approach, n (%) | Â | Â | Â | Â |
Anterior | 58 (11.8) | 54 (12.6) | 4 (6.6) | ref |
Posterior | 409 (83.3) | 357 (83.0) | 52 (85.2) | 0.210 |
Lateral | 8 (1.6) | 6 (1.4) | 2 (3.3) | 0.120 |
Combined | 16 (3.3) | 13 (3.0) | 3 (4.9) | 0.168 |
Blood loss (ml), median [IQR] | 800 [400, 1,200] | 800 [300, 1,200] | 1,000 [800, 1,800] | < 0.001 |
Blood transfusion, n (%) | 304 (61.9) | 252 (58.6) | 53 (86.9) | < 0.001 |
Intraoperative hypotension, n (%) | 67 (13.6) | 57 (13.3) | 10 (16.4) | 0.514 |
Crystalloid (ml), median [IQR] | 1,500 [1,000, 2,000] | 1,500 [1000, 2,000] | 2,000 [1,500, 2,500] | 0.001 |
Colloid (ml), median [IQR] | 1,000 [500, 1,000] | 1,000 [500, 1,000] | 1,000 [1,000, 1,500] | 0.002 |
Duration of surgery (ml), median [IQR] | 212 [162, 270] | 210 [160, 265] | 240 [200, 315] | 0.002 |