Key result
Preoperative anaemia (OR 2.13), intraoperative hypotension (OR 4.68), and use of colloids (OR 1.89) were identified as independent predictors of major complications after abdominal cancer surgery.
Observational (n=308)
No
Odds Ratio: 2.13 (95% CI 1.21–4.07)
p-value: p=0.014
In cancer patients undergoing elective abdominal surgery, modifiable risk factors such as preoperative anemia, intraoperative colloid use, significant bleeding, and hypotension requiring vasopressors independently predict major 30-day postoperative complications.
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May aid risk stratification in abdominal cancer surgery; hypothesis-generating for trials on modifiable factors.
Simões et al. (2018) conducted an observational in Solid neoplasms requiring elective abdominal surgery (n=308). Preoperative anaemia (haemoglobin < 12 g/dL) vs. Haemoglobin ≥ 12 g/dL was evaluated on Composite of 30-day all-cause mortality and major complications (infectious, cardiovascular, respiratory, neurologic, renal, surgical) (OR 2.13, 95% CI 1.21-4.07, p=0.014). Preoperative anaemia (OR 2.13), intraoperative hypotension (OR 4.68), and use of colloids (OR 1.89) were identified as independent predictors of major complications after abdominal cancer surgery.
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