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Table 3 Postoperative morbidity and mortality, length of hospital stay, and total hospital costs

From: Clinical and economic impact of goal-directed fluid therapy during elective gastrointestinal surgery

 

GDFT

(n = 201)

Traditional

(n = 200)

p value

Cardiovascular complications

4 (2.0)

3 (1.5)

0.708

 Cardiac arrest (exclusive of death, n, %)

0 (0)

0 (0)

 Myocardial infarction (%)

0 (0)

1 (0.5)

0.315

 Acute cardiac failure (%)

1 (0.5)

2 (1.0)

0.559

 Stroke (%)

1 (0.5)

0 (0)

0.318

 Pulmonary embolism (%)

1 (0.5)

0 (0)

0.318

 Deep venous thrombosis (%)

1 (0.5)

0 (0)

0.318

Infectious complications

61 (30.3)

70 (35.0)

0.321

 Pneumonia (%)

34 (16.9)

48 (24.0)

0.079

 Wound infection (%)

23 (11.4)

17 (8.5)

0.325

 Urinary tract infection (%)

3 (1.5)

4 (2.0)

0.698

 Sepsis (%)

1 (0.5)

1 (0.5)

0.997

Gastrointestinal complications

12 (6.0)

15 (7.5)

0.541

 Ileus (%)

6 (3.0)

3 (1.5)

0.315

 Anastomotic fistula (%)

6 (3.0)

9 (4.5)

0.424

 Gastrointestinal bleeding (%)

0 (0)

3 (1.5)

0.081

Respiratory complications

2 (1.0)

1 (0.5)

0.565

 Acute respiratory failure (%)

1 (0.5)

1 (0.5)

0.997

 Unplanned reintubation (%)

1 (0.5)

0 (0)

0.318

Other complications

11

17

0.234

 Acute renal injury (%)

0 (0)

0 (0)

 Hepatic dysfunction (%)

7 (3.5)

12 (6.0)

0.235

 Wound dehiscence (%)

1 (0.5)

0 (0)

0.318

 Unplanned reoperation (%)

3 (1.5)

5 (2.5)

0.471

Patients with one or more complications (%)

62 (30.8)

88 (44.0)

0.006

Readmission within postoperative 30 days (%)

5 (2.5)

9 (4.5)

0.430

Mortality within postoperative 30 days (%)

2 (1.0)

1 (0.5)

0.565

Postoperative length of hospital (median (IQR), day)

10 (8–14)

10 (8–13)

0.104

Total hospital cost (mean ± SD, RMB)

76,793 ± 26,522

74,444 ± 32,705

0.430

Total hospital cost (mean ± SD, $US*)

11,820 ± 4082

11,458 ± 5034

 
  1. *Exchange rate from June 22, 2018