Analysed n=85 | ||
---|---|---|
Patient data | ||
Female | n (%) | 44 (51.8) |
Age | mean ± SD | 66.6 ± 11.6 |
Weight | mean ± SD | 73.5 ± 15.2 |
Education | ||
Education < high school | n (%) | 53 (62) |
Working situation | ||
Retired | n (%) | 53 (62.4) |
Marital status | ||
Single/Divorced/Widowed | n (%) | 32 (37.7) |
Married/Living with partner | n (%) | 53 (62.3) |
Pre-operative assessments | ||
Functional impairment | ||
Indepedency of health care: independent | n (%) | 74 (87.1) |
Karnofsky score | median (IQR) | 90 (90-90) |
Exercise capacity | ||
Metabolic equivalent of task (MET) | ||
>7 | n (%) | 16 (18.8) |
4-7 | n (%) | 51 (60) |
<4 | n (%) | 18 (21.2) |
Severity of comorbidity | ||
Charlson comorbidity index (adjusted for age) | median (IQR) | 2 (0-4) |
Charlson comorbidity index >2 | n (%) | 41 (48.2) |
ASA | median (IQR) | 2 (2-3) |
ASA 1 | n (%) | 5 (5.9) |
ASA 2 | n (%) | 52 (61.2) |
ASA 3 | n (%) | 26 (30.6) |
ASA 4 | n (%) | 2 (2.3) |
Physiological section of POSSUM | median (IQR) | 18 (15-23) |
Surgery | ||
Primary hip replacement | n (%) | 42 (49.4) |
Cardiac valve surgery | n (%) | 15 (17.6) |
Gastric, esophageal or pancreatic surgery | n (%) | 6 (7.1) |
Colorectal surgery | n (%) | 17 (20.0) |
Femoropopliteal, femorotibial bypass | n (%) | 5 (5.9) |
Severity of surgery | ||
Operative section of POSSUM | median (IQR) | 10 (9-13) |
Major | n (%) | 64 (75.3) |
Major + | n (%) | 21 (24.7) |
Anesthesia | ||
General anesthesia alone | n (%) | 62 (73.0) |
Epidural/spinal anesthesia alone | n (%) | 7 (8.2) |
Combined anesthesia | n (%) | 16 (18.8) |
Timing | ||
Time from admission to surgery (h) | median (IQR) | 24 (24-24) |
Surgery duration (h) | mean ± SD | 2.6 ± 1.3 |
Anesthesia duration (h) | mean ± SD | 4 ± 1.5 |
Intraoperative complications, number of patients | n (%) | 51 (60.0) |
Major bleeding needing transfusion | n (%) | 10 (11.8) |
Systolic arterial hypotension | n (%) | 48 (56.5) |
Hypothermia | n (%) | 15 (17.6) |
Hyperventilation | n (%) | 36 (42.4) |
Lactic acidosis | n (%) | 6 (7.1) |
Postoperative complications (Clavien ≥ 2) | ||
Day 2* | n (%) [n] | 33 (39.3) [84] |
Day 7* | n (%) [n] | 33 (46.5) [71] |
Postoperative comfort | ||
Pain at the surgical site - Numerical rating scale (NRS) | ||
Day 1* | median (IQR) [n] | 5 (3-7) [72] |
Day 6* | median (IQR) [n] | 3.5 (2-5) [68] |
Pain, other - Numerical rating scale (NRS) | ||
Day 1* | median (IQR) [n] | 0 (0-5) [72] |
Day 6* | median (IQR) [n] | 0 (0-4) [68] |
Comfort estimation - Numerical rating scale (NRS) | ||
Day 1* | median (IQR) [n] | 6 (5-8) [71] |
Day 6* | median (IQR) [n] | 7 (5-9) [67] |
Clinical itinerary | ||
Simple | n (%) | 74 (87.1) |
Complex | n (%) | 11 (12.9) |
Hospital stay - days | median (IQR) [n] | 13 (9-16) [50] |