Research Article

Postoperative Ratio of C-Reactive Protein to Albumin as a Predictive Marker in Patients with Crohn’s Disease Undergoing Bowel Resection

Table 4

Comparison of postoperative complications for bowel resection in CD patients according to postoperative CAR.

CharacteristicsAll () () () value

Postoperative complications172 (32.2)48 (13.1)124 (73.8)<0.001
 Mild complications (grades I to II)135 (25.3)40 (10.9)96 (57.1)<0.001
  Wound infection57 (10.7)12 (3.3)46 (27.4)<0.001
  °C after surgery33 (6.2)8 (2.2)25 (14.9)<0.001
  Diarrhea7 (1.3)1 (0.3)6 (3.6)0.003
  Early postoperative bowel obstruction21 (3.9)13 (3.6)8 (4.8)0.504
  Postoperative blood transfusions13 (2.4)3 (0.8)10 (6.0)0.001
  Line sepsis3 (0.5)2 (0.5)1 (0.6)0.944
  Hyperglycemia1 (0.2)1 (0.3)0 (0)0.384
 Major complications (grade III to IV)97 (18.2)28 (7.7)69 (41.1)<0.001
  Gastrointestinal bleeding13 (2.4)10 (2.7)3 (1.8)0.498
  Anastomotic leakage30 (5.6)5 (1.4)25 (14.9)<0.001
  Abdominopelvic collection6 (1.1)2 (0.5)4 (2.4)0.075
  Pleural effusion4 (0.7)1 (0.3)3 (1.8)0.073
  Intra-abdominal abscess15 (2.8)4 (1.1)11 (6.5)0.001
  Stoma complications17 (3.2)3 (0.8)14 (8.3)<0.001
  Septic shock6 (1.1)2 (0.5)4 (2.4)0.075
  Sepsis5 (0.9)1 (0.3)4 (2.4)0.025
  Kidney failure1 (0.2)0 (0)1 (0.6)0.128
Grade V0 (0)0 (0)0 (0)-
Postoperative stay, days<0.001
SSIs103 (19.3)21 (5.7)81 (48.2)<0.001
 Incisional SSI58 (10.9)12 (3.3)46 (27.4)<0.001
 Organ/space SSI44 (8.2)9 (2.5)35 (20.8)<0.001

CD: Crohn’s disease; CAR: the CRP/ALB ratio; SSIs: surgical site infections.