Table 4 Comparison between patients with decreased mental component summary and patients with unchanged or increased mental component summary at day 30 after surgery (univariate analysis)
Mental component summary/increased | Decreased n=20 | Unchanged n=65 | p Value | |
|---|---|---|---|---|
HRQoL | ||||
Preoperative physical component summary (MCS) | mean ± SD | 51.2 ± 8.8 | 39.6 ± 12.8 | < 0.001** |
Postoperative physical component summary (MCS) | mean ± SD | 34.6 ± 9.7 | 45.8 ± 12 | < 0.001** |
Preoperative mental component summary (PCS) | mean ± SD | 39.2 ± 10 | 38.3 ± 10.9 | 0.731 |
Postoperative mental component summary (PCS) | mean ± SD | 36.8 ± 6.1 | 34.5 ± 8.3 | 0.184 |
Patient data | ||||
Female | n (%) | 11 (55) | 33 (51) | 0.802 |
Age | mean ± SD | 72.1 ± 10.7 | 64.9 ± 11.4 | 0.014 |
Weight | mean ± SD | 73 ± 10.8 | 73.6 ± 16.4 | 0.950 |
Preoperative assessments | ||||
Functional impairment | ||||
Independency of health care - independent | n (%) | 17 (85.0) | 57 (87.7) | 0.715 |
Karnofsky score | median (IQR) | 90 (90-90) | 90 (80-90) | 0.882 |
Exercise capacity | ||||
Metabolic equivalent of task (MET) >7 | n (%) | 2 (10.0) | 14 (21.5) | 0.338 |
Metabolic equivalent of task (MET) 4-7 | n (%) | 13 (65.0) | 38 (58.5) | |
Metabolic equivalent of task (MET) <4 | n (%) | 5 (25.0) | 13 (20.0) | |
Severity of comorbidity | ||||
Charlson comorbidity index (adjusted for age) | median (IQR) | 4.5 (1-5) | 1 (0-4) | 0.011 |
ASA | median (IQR) | 3 (2-3) | 2 (2-2) | <0 .001** |
Physiological part of POSSUM | median (IQR) | 23 (16-29) | 17 (14-21) | 0.005 |
Surgery | ||||
Primary hip replacement | n (%) | 8 (40.0) | 34 (52.3) | 0.039 |
Cardiac valve surgery | n (%) | 7(35) | 8 (12.3) | |
Gastric, esophageal or pancreatic surgery | n (%) | 0 | 6 (9.2) | |
Colorectal surgery | n (%) | 5 (25.0) | 12 (18.5) | |
Femoropopliteal, femorotibial bypass | n (%) | 0 | 5 (7.7) | |
Severity of surgery | ||||
Operative part of POSSUM | median (IQR) | 10 (9-13) | 10 (9-12) | 0.427 |
Major | n (%) | 13 (65) | 51 (78.5) | 0.245 |
Major + | n (%) | 7 (35) | 14 (21.5) | |
Anesthesia | ||||
General anesthesia | n (%) | 18 (90.0) | 60 (92.3) | 0.622 |
Epidural/Spinal anesthesia | n (%) | 7 (35.0) | 16 (24.6) | |
Combined anesthesia | n (%) | 5 (25.0) | 11 (16.9) | |
Timing | ||||
Time from admission to surgery (h) | mean ± SD | 73.8 (94.9) | 68.2 ± 212.5 | 0.287 |
Time from admission to surgery; >24h | n (%) | 7 (35) | 12 (18.5) | 0.251 |
Surgery duration (h) | mean ± SD | 2.3 ± 0.5 | 2.7 ± 1.5 | 0.709 |
Anesthesia duration (h) | mean ± SD | 3.9 ± 1.0 | 4.0 ± 1.7 | 0.452 |
Intraoperative complications | n (%) | 13 (65) | 38 (58.5) | 0.795 |
Postoperative complications (Clavien ≥ 2) | ||||
Day 2* | n (%) [n] | 10 (50) [20] | 23 (35.9) [64] | 0.301 |
Day 7* | n (%) [n] | 8 (44) [20] | 25 (47) [53] | 0.610 |
Postoperative comfort | ||||
Pain at the surgical site - Numerical rating scale (NRS) | ||||
Day 1* | median (IQR) [n] | 5 (5-7) [15] | 5 (3-7) [57] | 0.142 |
Day 6* | median (IQR) [n] | 2 (1-3) [16] | 4 (2-5) [52] | 0.032 |
Pain, other - Numerical rating scale (NRS) | ||||
Day 1* | median (IQR) [n] | 0 (0-5) [15] | 0 (0-5) [57] | 0.983 |
Day 6* | median (IQR) [n] | 0.5 (0-3) [16] | 0 (0-4) [52] | 0.403 |
Comfort Estimation - Numerical rating scale (NRS) | ||||
Day 1* | median (IQR) [n] | 5.5 (4.6-8) [14] | 7 (5-8) [57] | 0.318 |
Day 6* | median (IQR) [n] | 7 (5-8) [15] | 7.5 (6-8) [52] | 0.289 |
Clinical itinerary | ||||
Simple | n (%) | 16 (80) | 58 (89.2) | 0.278 |
Complex | n (%) | 4 (20) | 7 (10.8) | |
Hospital stay - days | median (IQR) | 13.5 (10-19) | 12 (9-15) | 0.727 |