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Table 1 Characteristics for both cohorts of patients who underwent oesophagectomy with reconstruction for cancer

From: Optimizing intensive care capacity using individual length-of-stay prediction models

 

Construction sample (n = 518)

Application sample (n = 65)

Reference

Patient characteristics

   

   Age (years)

63 (55–70)

60 (56–68)

[8-12]

   Male sex

407 (79)

48 (74)

[9-12]

   BMI (kg/m2)

25 (22–28)

26 (23–29)

[8]

   ASA 1, 2

89 (17)

28 (43)

[5]

   Hypertension

192 (37)

35 (54)

[6]

   Previous stomach operation

132 (25)

19 (29)

[6]

   Preoperative serum haemoglobin (mmol Fe/l)

8.4 (7.6–9.2)

8.7 (7.4–9.4)

[11,12]

   Preoperative serum creatinin (μmol/l)

78 (68–89)

78 (68–90)

[11,12]

   Preoperative FEV1 (l)

2.9 (2.4–3.5)

3.2 (2.4–3.7)

 

   Preoperative chemotherapy

170 (33)

17 (26)

[8,10]

   Preoperative radiotherapy

55 (11)

8 (12)

[8,10]

Aetiology

   

   Gastroesophageal reflux disease

63 (12)

9 (14)

[6]

   Barrett's esophagus

43 (8)

9 (14)

[6]

   Other

66 (13)

13 (20)

[6]

Comorbidities

   

   Cardiac

134 (26)

24 (37)

[6]

   Respiratory

91 (17)

7 (11)

[6]

   Vascular

65 (13)

6 (9)

[6]

   Neurological

33 (6)

7 (11)

[6]

   Diabetes mellitus

51 (10)

7 (11)

[6]

   Other carcinoma

53 (10)

4 (6)

[6]

   Other

40 (8)

2 (3)

[6]

Tumour characteristic

   

   Adenocarcinoma

340 (66)

51 (79)

 

   pTNM stage 0

27 (5)

7(11)

[7]

   I

64 (12)

5 (8)

[7]

   IIa

120 (23)

13 (20)

[7]

   IIb

46 (9)

5 (8)

[7]

   III

193 (37)

21 (32)

[7]

   IV

68 (13)

14 (22)

[7]

   Radicality (R0)

400 (77)

54 (83)

 

Session variables

   

   Expected duration of the procedure (min)

240 (180–270)

266 (262–314)

 

   Duration of the procedure (min)

301 (254–359)

333 (290–368)

[11]

   Total age of the two head surgeons (years)

83 (72–88)

84 (74 – 94)

 

   Transthoracic approach

114 (22)

14 (22)

[8, 10–12]

   Reconstruction using colon

24 (5)

3 (5)

[10–12]

   Oesophagus and cardia resection

506 (98)

65 (100)

[6]

   Splenectomy during surgical procedure

15 (3)

2 (3)

 

   Absolute crystalloid administration (l)

6.0 (4.5–7.0)

4.0 (2.3–5.5)

[8]

   Absolute colloid administration (l)

1.5 (1.5–2.0)

1.5 (1.5–2.0)

[8]

   Erythrocyte concentrate transfusion

276 (53)

22 (33)

[8,12]

   Fresh frozen plasma transfusion

36 (7)

6 (10)

[8,12]

   Absolute blood loss (l)

1.5 (1.0–2.2)

1.1 (0.7–1.5)

[8,12]

   Absolute urine production (l)

0.7 (0.4–1.3)

0.4 (0.3–0.7)

 

   Epidural analgesia during procedure

467 (90)

57 (88)

 

   Vasopressor administration

214 (41)

63 (97)

 

   Duration of vasopressor therapy (hours)

0 (0–1.5)

270 (206–337)

 

   Minute volume (l)

7.8 (7.2–8.8)

7.8 (7.0–8.4)

 

   Positive end-expiratory pressure (cmH2O)

5 (4–7)

6 (5–7)

 

   Serum oxygen saturation (%)

98 (96–100)

100 (98–100)

 

   End temperature (°C)

35.8 (35.2–36.4)

36.3 (36.0–36.9)

 

   Lactate (mmol/l)

1.7 (1.2–2.2)

1.4 (1.0–2.0)

 

Postoperative variables

   

   Duration of mechanical ventilation

0.63 (0.13–5.58)

0.54 (0.12–4.12)

 

Surgical complications

   

   Postoperative bleeding

19 (4)

1 (2)

[6]

   Chylothorax

20 (4)

3 (5)

[6]

   Leakage of anastomosis

38 (7)

9 (13)

[6]

   Necrosis of anastomosis

18 (4)

2 (3)

[6]

   Other

42 (8)

11 (17)

[6]

Nonsurgical complications

   

   Pulmonary: pneumonia, atelectasis, or ARDS

198 (38)

24 (37)

[6]

   Infection: urinary tract, sepsis

31 (6)

1 (2)

[6]

   Thrombosis, embolism

20 (4)

3 (5)

[6]

   Other

135 (26)

26 (40)

[6]

Length of stay in the ICU (days)

4.0 (2.0–7.9)

4.2 (2.9–7.9)

 
  1. Values are expressed as number (%) or, for continuous variables, as median (25th to 75th percentile). ARDS, acute respiratory distress syndrome; ASA, American Society of Anaesthesiology Physical Status Score; BMI, body mass index; FEV1, forced expiratory volume in 1 s; ICU, intensive care unit.