Analysis of preoperative risk factors of postoperative complications in patients undergoing endovascular repair surgery / 复旦学报（医学版）

ABSTRACT

Objective To summarize the perioperative outcomes of patients undergoing endovascular repair,and to screen out related preoperative risk factors in order to provide reference for the promotion of postoperative rehabilitation of patients.Methods The clinical data of 2 896 patients undergoing elective endovascular repair in the Department of Vascular Surgery,Zhongshan Hospital,Fudan University from Jan.2013 to Dec.2014 were analyzed to screen out related preoperative risk factors of postoperative complications retrospectively.Results A total of 148 patients had postoperative complications,including 2 cases of death during hospitalization.The incidence of complications in the patients older than 75 years old,with hypertension,diabetic mellitus,renal dysfunction,chronic obstructive pulmonary disease (COPD) or ASA physical status more than grade Ⅱ is 9.7％,8.1 ％,14.3 ％,8.0 ％,29.7 ％,6.3 ％,respectively.The multivariate Logistic regression analysis identified that patients older than 75 years old (P =0.000,OR =43.29,95％CI22.51-83.28),with hypertension (P=0.000,OR=3.822,95 ％CI2.37-6.16),diabetic mellitus (P=0.025,OR=1.714,95％CI1.07 -2.75),renal dysfunction (P =0.017,OR =2.692,95 ％ CI1.19-6.07) or COPD (P =0.000,OR =7.158,95％CI3.83-13.37) and ASA physical status more than grade Ⅱ (P =0.000,OR =27.77,95％CI13.79-55.93) were the independent risk factors with postoperative complications of endovascular repair surgery.Conclusions The patients older than 75 years old,with hypertension,diabetic mellitus,renal dysfunction or COPD and ASA physical status more than grade Ⅱ were the independent risk factors for endovascular repair surgery.