Research Article

Preoperative Predictors for 90-Day Mortality after Pancreaticoduodenectomy in Patients with Adenocarcinoma of the Ampulla of Vater: A Single-Centre Retrospective Cohort Study

Table 3

Univariate and multivariable analysis for prediction of 90-day mortality after pancreaticoduodenectomy for ampullary adenocarcinoma.

MortalityUnivariateMultivariable
No (n = 91)Yes (n = 10) value valueORCI 95

Age (years), mean (SD)58.7 (11.3)68.8 (6)0.005φ0.0771.10.991.2
Male sex, count (%)41 (45.1)6 (6)0.508χ
Body mass index (kg/m2), mean (SD)24.9 (4.4)25.3 (3.1)0.737φ
MELD score, mean (SD)10.5 (3.9)12.7 (5.9)0.225φ
ALBI grade, count (%)0.010χ
ALBI 129 (31.9)1 (10)0.037
ALBI 243 (47.3)3 (30)0.3833.050.2537.5
ALBI 316 (17.6)6 (60)0.0121.72.1226.9
Undetermined3 (3.2)0
ASA score, count (%)0.024χ0.385
ASA I2 (2.2)0
ASA II70 (76.9)4 (40)
ASA III19 (20.9)6 (60)
eGFR <90 mL/min/1.73 m2, count (%)13 (14.3)5 (50)0.015χ0.01317.71.8172.6
Preoperative RBC transfusion, count (%)23 (25.3)6 (60)0.031χ0.322
Preoperative biliary drainage, count (%)27 (29.7)00.720χ
Haemoglobin in g/L, mean (SD)116.2 (14.2)119.6 (19.1)0.878φ
Platelet count in 109/L, mean (SD)336.4 (156)282 (89.3)0.403φ
International Normalized Ratio, mean (SD)1.09 (0.1)1.21 (0.3)0.202φ
Prothrombin time, mean (SD)13 (1.7)14.4 (2.8)0.114φ
Serum total bilirubin in µmol/L, mean (SD)61.8 (79.7)98 (107.7)0.437φ
Serum creatinine in µmol/L, mean (SD)57 (14.7)70.4 (20.9)0.028χ0.223
Serum glucose in µmol/L, mean (SD)5.5 (1.8)4.97 (0.4)0.322φ
Serum albumin in g/L, mean (SD)36.6 (5.8)30.6 (10.4)0.038φ0.291

φχMann–Whitney U-test; χchi-square or Fisher’s exact test; preoperative laboratory values. Variables with a (italics) in the univariate analysis were used for multivariable analysis. Significance was set at (marked in bold).