Research Article
Association of Serum Creatinine Level with Prognosis of Laparotomy for Acute Mesenteric Ischemia after Cardiovascular Surgery
Table 3
Multiple logistic regression analysis of in-hospital mortality.
| Variables | Univariate analysis | Multivariate analysis | Odds ratio | 95% CI | value | Odds ratio | 95% CI | value |
| Sex (male) | 2.000 | 0.388–10.309 | 0.407 | | | | Age | 1.027 | 0.950–1.111 | 0.496 | | | | Duration between CS and AMI | 0.998 | 0.995–1.002 | 0.392 | | | | Nonocclusive mesenteric ischemia | 1.429 | 0.323–6.324 | 0.638 | | | | Emergency cardiovascular surgery | 2.1109 | — | 0.999 | | | | P-POSSUM-predicted mortality rate | 1.015 | 0.993–1.038 | 0.184 | | | | Hypertension | 0.389 | 0.081–1.872 | 0.239 | | | | Diabetes mellitus | 0.545 | 0.083–3.590 | 0.528 | | | | Heart failure | 0.900 | 0.162–5.007 | 0.904 | | | | ASO | 0.361 | 0.033–3.962 | 0.405 | | | | Renal failure | 2.100 | 0.294–14.978 | 0.459 | | | | Hemodialysis | 11.200 | 1.751–71.637 | 0.011 | 6.353 | 0.745–54.195 | 0.091 | Ventilator | 1.375 | 0.295–6.402 | 0.685 | | | | White blood cell count | 1.000 | 1.000–1.000 | 0.669 | | | | Lactate level | 1.009 | 0.990–1.027 | 0.363 | | | | Creatinine level | 5.795 | 1.307–25.700 | 0.021 | 5.047 | 1.027–24.798 | 0.046 | AST level | 1.000 | 0.997–1.002 | 0.885 | | | | CRP level | 1.014 | 0.932–1.103 | 0.752 | | | | Cardiac surgery | 0.000 | - | 1.000 | | | | Aortic surgery | 1.833 | 0.279–12.066 | 0.528 | | | | Peripheral artery | 0.778 | 0.111–5.600 | 0.812 | | | | Ascites | 1.244 | 0.280–5.529 | 0.774 | | | | Free air | 1.273 | 0.154–10.530 | 0.823 | | | | Intestinal emphysema | 0.400 | 0.063–2.520 | 0.329 | | | | Hepatic portal vein gas | 1.250 | 0.071–22.132 | 0.879 | | | | Resection of small intestine | 2.893 | 0.622–13.455 | 0.176 | | | | Resection of the colorectum | 0.286 | 0.059–1.375 | 0.118 | | | |
|
|
AMI, acute mesenteric ischemia; ASO, arteriosclerosis obliterans; AST, aspartate aminotransferase; CRP, C-reactive protein; CS, cardiovascular surgery; CT, computed tomography; P-POSSUM, Portsmouth physiological and operative severity score for the enumeration of mortality and morbidity.
|