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Table 2 Univariate and multivariate analysis of factors related to achieve to

From: Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study

  

Univariant analysis

  

Multivariant analysis

 
 

OR

IC95% inf

IC 95% sup

p value

OR

IC95% inf

IC 95% sup

p value

Gender

        

Male (ref)

Female

1.605

1.269

2.029

.001

Age

0.969

0.962

0.977

.001

Scores

POSSUM Physiological score

.909

.891

.928

.000

.866

.770

.974

.016

Total POSSUM

.912

.896

.929

.000

1.120

.999

1.256

.051

APACHE II SCORE

.855

.826

.884

.000

ASA score

 1 (ref.)

 2

 3

 4

 5

.495

.221

.055

.000

.347

.152

.025

.000

.706

.322

.121

.000

.000

.999

.999

171,579,770.904

99,261,356.640

53,879,330.972

26,142,808.327

.000

.000

.000

.000

.05

.999

.999

.999

1.000

Charlson Comorbidity Score > 6

No

Yes (ref.)

4.452

2.764

7.170

.000

Modified Frailty index

 0 (ref)

 1

 2

 3

 4

 5

 6

 7

 8

.488

.381

.320

.302

.188

.050

.087

.000

.364

.266

.203

.159

.074

.006

.010

.000

.656

.544

.503

.573

.481

.409

.788

.000

.000

.000

.000

.000

.000

.005

.030

1.000

Clinical data

Pulse (rpm)

0.974

.966

.982

.000

0.978

0.965

0.992

.002

Temperature °C

1.004

.987

1.020

.667

Hypertension requiring treatment

2.232

1.761

2.828

.000

2.157

1.415

3.286

.001

DM treated with insulin or oral medications

 No

 Yes (ref.)

1.885

1.408

2.524

.000

Any liver disease

 No

 Yes (ref.)

2.053

1.087

3.880

.027

Time since beginning symptoms and surgery (days)

1.002

.999

1.006

.256

Duration complaints > 72h

 No

 Yes (ref.)

1.706

1.347

2.161

.000

Palpable tender mass in the right upper abdominal quadrant

 No

 Yes (ref.)

1.538

1.210

1.954

.000

1.538

1.21

1.954

.001

Oliguria

 No

 Yes (ref.)

5.4

3.114

9.366

.000

8.319

2.253

30.714

.001

Serological tests

White blood cells > 18.000/mm3

 No

 Yes (ref.)

2.351

1.769

3.124

.000

Hemoglobin

1.004

.999

1.009

.132

Platelet count > 100,000/mm3

 No

 Yes ref

3.232

1.534

6.808

.002

INR > 1.5

 No

 Yes (ref.)

4.840

2.942

7.964

.000

Creatinine > 2mg/dL

 No

 Yes (ref.)

6.132

3.610

10.419

.000

4.331

1.272

14.748

.019

Increased total bilirubin > 2 mg/dL?

 No

 Yes (ref.)

3.004

2.210

4.083

.000

Data about AC

Previous percutaneous cholecystostomy

 No

 Yes (ref.)

5.944

2.529

13.969

.000

6.603

1.734

25.148

.006

Associated Common Bile Duct Stones (confirmed by EUS or MRI

 No

 Yes (ref.)

3.664

2.185

6.145

.000

3.954

1.681

9.300

.002

Gangrenous cholecystitis

 No

 Yes (ref.)

2.594

2.006

3.354

.000

1.733

1.086

2.765

.021

Pericholecystic abscess

 No

 Yes (ref.)

3.918

2.743

5.595

.000

3.001

1.501

5.998

.002

Hepatic abscess

 No

 Yes (ref.)

9.780

3.739

25.582

.000

Biliary peritonitis

 No

 Yes (ref.)

3.545

1.983

6.338

.000

ACC grade

 1

 2

 3 (ref.)

.443

.000

.340

.000

.578

.000

.999

*Operative time in min

.988

.985

.991

.000

.994

.990

.998

.007

Bail out procedure?

 No

 Yes (ref.)

6.674

4.194

10.621

.000

Chole-Risk score

 0 (ref.)

 1

 2

 3

 4

.715

.483

.151

.039

.505

.333

.089

.005

1.012

.701

.258

.315

.000

.058

.000

.000

.002

POSSUM Operative severity score

  < 15

  > 15 (ref)

12.137

5.434

27.110

.000

8.453

2.073

34.462

.003

  1. DM diabetes mellitus, BMI Body mass index, EUS endoscopic ultrasound, MRI magnetic resonance, ACC Acute cholecystitis