Clinical Study

Preoperative Mean Platelet Volume and Platelet Distribution Width Predict Postoperative Sepsis in Patients with Colorectal Cancer

Table 1

Baseline characteristics of CRC patients stratified by development of sepsis status after operation.

VariablesSepsis, Nonsepsis, value

Age (years)63.4 ± 9.763.4 ± 9.00.993
Gender (male, %)33 (60.0)99 (60.0)1.000
BMI (kg/m2)23.5 ± 3.123.5 ± 3.30.927
Smoker (%)9 (16.4)33 (20.0)0.552
Drinking (%)8 (14.5)35 (21.2)0.280
WBC (×109/L)8.58 ± 6.087.15 ± 2.630.093
Hemoglobin (g/L)113.4 ± 26.7130.6 ± 24.6<0.001
Platelet count (×109/L)272.5 ± 131.8272.5 ± 84.40.999
MPV (fL)9.6 ± 1.38.4 ± 1.7<0.001
PDW (%)14.6 ± 2.817.2 ± 1.1<0.001
Creatinine (umol/L)84.1 ± 37.488.0 ± 20.90.460
Albumin (g/L)35.0 ± 6.944.7 ± 6.8<0.001
LDH (U/L)166 (146–193)145 (125.5–179)0.003
ALP (U/L)83.0 (68.0–108.0)87.0 (75.0–109.0)0.196
Fibrinogen (g/L)3.44 ± 1.023.69 ± 1.030.126
CEA (ng/ml)5.16 (2.19–11.64)4.72 (2.26–15.78)0.779
Comorbidities, n (%)
 Coronary artery disease10 (18.2)33 (20.0)0.768
 COPD00
 Hypertension12 (21.8)27 (16.4)0.359
 Diabetes mellitus10 (18.2)31 (18.8)0.920
APACHE II score17 (12–22)13 (11–14)<0.001
SOFA score9 (6–10)6 (6–8)0.005
Length of ICU stay, median (IQR)4 (1–7)1 (1–1)<0.001
ICU mortality (%)15 (27.3)0 (0)<0.001
Tumor location0.392
 Colon31 (56.4)82 (49.7)
 Rectum24 (43.6)83 (50.3)
Tumor size (cm)0.576
 <5.032 (58.2)103 (62.4)
 ≥5.023 (41.8)62 (37.6)
Histology differentiation0.322
 Well/moderately47 (85.5)131 (79.4)
 Poorly8 (14.5)34 (20.6)

Data are expressed as mean (SD) or percentage. SD, standard deviation; BMI, body mass index; WBC, white blood cell; BUN, blood urea nitrogen; CEA, carcinoembryonic antigen; FPG, fasting plasma glucose; LDH, lactate dehydrogenase; ALP, alkaline phosphatase; ICU, intensive care unit; SOFA, Sequential Organ Failure Assessment; APACHE, Acute Physiology and Chronic Health Evaluation; IQR, 25% and 75% interquartile range; COPD, chronic obstructive pulmonary disease.