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Table 3 Relationships between surgical complexity and postoperative complications

From: Application of the comprehensive complication index and Clavien–Dindo complication classification in cardiac surgery: a retrospective study

Complication outcome

Total sternotomy

Cardiopulmonary bypass use

Aorta cross clamp

Operative duration (min)

Yes(n = 590)

No(n = 148)

Yes(n = 714)

No(n = 24)

Yes(n = 687)

No(n = 51)

Complication

Yes(n = 568)

470(79.7%)

98(66.2%)

556(77.9%)

12(50.0%)

536(78.0%)

32(62.7%)

267.4 ± 92.6

No(n = 170)

120(20.3%)

50(33.8%)

158(22.1%)

12(50.0%)

151(22.0%)

19(37.3%)

227.2 ± 70.9

Statistic value

χ2= 12.064, p<0.001

χ2= 10.174, p= 0.001

χ2= 6.248, p= 0.012

F= 8.330, t= -6.007, p< 0.001

Most severe complication (CDCC ≥ IIIb)

Yes(n = 76)

69(11.7%)

7(4.7%)

74(10.4%)

2(8.3%)

70(10.2%)

6(11.8%)

342.0 ± 141.6

No(n = 662)

521(88.3%)

141(95.3%)

640(89.6%)

22(91.7%)

617(89.8%)

45(88.2%)

248.5 ± 76.5

Statistic value

χ2= 0.621, p= 0.013

χ2 = 0.000, p = 1.000a

χ2  = 0.128, p = 0.721

F= 26.924, t= -5.667, p< 0.001

MACCEs

Yes(n = 80)

68(11.5%)

12(8.1%)

78(10.9%)

2(8.3%)

75(10.9%)

5(9.8%)

328.1 ± 144.8

No(n = 658)

522(88.5%)

136(91.9%)

636(89.1%)

22(91.7%)

612(89.1%)

46(90.2%)

249.6 ± 76.7

Statistic value

χ2 = 1.430, p = 0.232

χ2 = 0.005, p = 0.946a

χ2 = 0.128, p = 0.721

F= 46.120, t= -4.768, p< 0.001

CCI

Mean ± SD

24.0 ± 19.7

16.5 ± 16.6

22.9 ± 19.3

11.6 ± 17.4

23.0 ± 19.2

15.9 ± 19.7

 

Statistic value

F= 0.888, t= 4.285, p<0.001

F= 0.283, t= -2.837, p= 0.005

F= 0.214, t= 2.525, p= 0.012

r= 0.376, p< 0.001b

CDCC

0(n = 170)

120(20.3%)

50(33.8%)

158(22.1%)

12(50.0%)

151(22.0%)

19(37.3%)

227.2 ± 70.9

I(n = 101)

77(13.1%)

24(16.2%)

95(16.1%)

6(25.0%)

89(13.0%)

12(23.5%)

245.0 ± 58.2

II(n = 262)

211(35.8%)

51(34.5%)

259(43.9%)

3(12.5%)

250(36.4%)

12(23.5%)

250.9 ± 76.3

IIIa(n = 129)

113(19.2%)

16(10.8%)

128(21.7%)

1(4.2%)

127(18.5%)

2(3.9%)

274.5 ± 87.8

IIIb(n = 12)

12(2.0%)

0(0.0%)

12(2.0%)

0(0.0%)

12(1.7%)

0(0.0%)

272.1 ± 76.9

Iva(n = 39)

34(5.8%)

5(3.4%)

38(6.4%)

1(4.2%)

35(5.1%)

4(7.8%)

319.5 ± 104.1

IVb(n = 22)

20(3.4%)

2(1.4%)

21(3.6%)

1(4.2%)

20(2.9%)

2(3.9%)

411.1 ± 194.7

V(n = 3)

3(0.5%)

0(0.0%)

3(0.5%)

0(0.0%)

3(0.4%)

0(0.0%)

408 ± 129.8

Statistic value

Z= -4.501, p<0.001

Z= -3.314, p= 0.001

Z= -3.039, p= 0.002

r= 0.301, p< 0.001c

  1. The bold p values indicate p < 0.05, which is a statistically significant difference. a Continuity correction was used; b Pearson correlation; c Spearman correlation