Characteristic | Unadjusted sample (n = 53609) | PSM adjusted (1:1) (n = 24400) | ||||
---|---|---|---|---|---|---|
AFR > 10.625 (n = 36812) | AFR ≤ 10.625 (n = 16797) | SMD | AFR > 10.625 (n = 12200) | AFR ≤ 10.625 (n = 12200) | SMD | |
Sex (male) (%)† | 19,273 (52.4) | 8466 (50.4) | 0.039 | 6116 (50.1) | 6153 (50.4) | 0.006 |
Age, years† | 69.00 [67.00, 73.00] | 71.00 [67.00, 76.00] | 0.35 | 71.00 [67.00, 75.00] | 70.00 [67.00, 75.00] | 0.024 |
BMI, kg/m2† | 24.00 [22.00, 27.00] | 23.00 [21.00, 26.00] | 0.108 | 24.00 [22.00, 26.00] | 24.00 [21.00, 26.00] | 0.014 |
Smoke (%)† | 0.045 | 0.006 | ||||
Smoking | 4678 (12.7) | 2013 (12.0) | 1502 (12.3) | 1483 (12.2) | ||
Cessation | 4118 (11.2) | 2109 (12.6) | 1498 (12.3) | 1486 (12.2) | ||
Alcohol (%) | 0.028 | 0.03 | ||||
Drinking | 2500 (6.8) | 1238 (7.4) | 822 (6.7) | 915 (7.5) | ||
Dry out | 6013 (16.3) | 2627 (15.6) | 1923 (15.8) | 1907 (15.6) | ||
Hypertension (%) | 17,425 (47.3) | 8010 (47.7) | 0.007 | 6149 (50.4) | 5705 (46.8) | 0.073 |
Diabetes (%) | 8013 (21.8) | 4296 (25.6) | 0.09 | 3059 (25.1) | 2990 (24.5) | 0.013 |
Cardiovascular disease (%) | 4858 (13.2) | 2483 (14.8) | 0.046 | 1795 (14.7) | 1728 (14.2) | 0.016 |
Cerebrovascular disease (%) | 2982 (8.1) | 1681 (10.0) | 0.066 | 1073 (8.8) | 1142 (9.4) | 0.02 |
Depression (%) | 146 (0.4) | 86 (0.5) | 0.017 | 56 (0.5) | 48 (0.4) | 0.01 |
Anxiety (%) | 32 (0.1) | 18 (0.1) | 0.006 | 32 (0.1) | 18 (0.1) | 0.006 |
CKD (%)† | 514 (1.4) | 480 (2.9) | 0.101 | 281 (2.3) | 282 (2.3) | 0.001 |
COPD (%) | 773 (2.1) | 498 (3.0) | 0.055 | 278 (2.3) | 326 (2.7) | 0.025 |
Preoperative medication (%) | ||||||
Anticholinergic drug | 16,171 (43.9) | 6749 (40.2) | 0.076 | 5314 (43.6) | 5232 (42.9) | 0.014 |
Benzodiazepines | 9112 (24.8) | 3549 (21.1) | 0.086 | 2729 (22.4) | 2599 (21.3) | 0.026 |
NSAIDs | 3020 (8.2) | 1388 (8.3) | 0.002 | 1143 (9.4) | 1047 (8.6) | 0.028 |
Opium† | 610 (1.7) | 958 (5.7) | 0.216 | 428 (3.5) | 427 (3.5) | < 0.001 |
Antipsychotic drugs† | 63 (0.2) | 165 (1.0) | 0.107 | 45 (0.4) | 40 (0.3) | 0.007 |
Hemoglobin, g/L† | 133.00 [123.00, 143.00] | 122.00 [109.00, 133.00] | 0.701 | 127.00 [116.00, 137.00] | 126.00 [115.00, 137.00] | 0.002 |
WBC count, *109/L† | 5.65 [4.75, 6.69] | 6.45 [5.31, 7.87] | 0.424 | 6.11 [5.09, 7.35] | 6.19 [5.15, 7.46] | 0.02 |
Platelet, *109/L† | 201.00 [167.00, 239.00] | 233.00 [189.00, 284.00] | 0.535 | 221.00 [182.00, 266.00] | 221.00 [182.00, 265.00] | 0.007 |
Glu, mmol/L† | 5.15 [4.70, 5.86] | 5.31 [4.76, 6.28] | 0.187 | 5.22 [4.73, 6.09] | 5.23 [4.72, 6.10] | 0.003 |
TT, s† | 16.50 [15.80, 17.20] | 16.00 [15.30, 16.80] | 0.203 | 16.20 [15.60, 16.90] | 16.10 [15.40, 16.80] | 0.037 |
PT, s† | 13.10 [12.50, 13.60] | 13.30 [12.70, 13.90] | 0.244 | 13.20 [12.70, 13.80] | 13.20 [12.70, 13.80] | 0.028 |
Cre, µmol/L | 71.70 [61.60, 83.10] | 70.10 [58.90, 83.60] | 0.036 | 71.00 [60.70, 83.30] | 70.40 [59.50, 83.50] | 0.049 |
AST, U/L† | 19.32 (24.36) | 28.39 (47.75) | 0.239 | 14.40 [10.70, 20.90] | 14.00 [10.00, 22.00] | 0.048 |
ALT, U/L | 16.70 [14.20, 20.50] | 16.70 [13.40, 23.70] | 0.239 | 16.70 [13.90, 20.80] | 16.40 [13.30, 21.83] | 0.035 |
Type of surgery (%)† | 0.413 | 0.046 | ||||
E.N.T | 3823 (10.4) | 1261 (7.5) | 1041 (8.5) | 1095 (9.0) | ||
Thoracic surgery | 4113 (11.2) | 943 (5.6) | 818 (6.7) | 865 (7.1) | ||
Gynecological surgery | 1323 (3.6) | 397 (2.4) | 329 (2.7) | 331 (2.7) | ||
Orthopedic surgery | 9556 (26.0) | 5087 (30.3) | 3700 (30.3) | 3672 (30.1) | ||
Urinary surgery | 4266 (11.6) | 1155 (6.9) | 935 (7.7) | 996 (8.2) | ||
Gastrointestinal surgery | 5052 (13.7) | 3266 (19.4) | 2310 (18.9) | 2128 (17.4) | ||
Hepatobiliary and pancreatic surgery | 5202 (14.1) | 3792 (22.6) | 2320 (19.0) | 2339 (19.2) | ||
Others | 3477 (9.4) | 896 (5.3) | 747 (6.1) | 774 (6.3) | ||
Duration of surgery, min† | 125.00 [80.00, 185.00] | 145.00 [95.00, 214.00] | 0.248 | 140.00 [90.00, 205.00] | 136.00 [90.00, 200.00] | 0.024 |
Duration of anesthesia, min† | 175.00 [125.00, 237.00] | 195.00 [145.00, 270.00] | 0.268 | 190.00 [140.00, 260.00] | 190.00 [140.00, 255.00] | 0.025 |
ASA (%)† | 0.292 | 0.018 | ||||
I | 438 (1.2) | 129 (0.8) | 103 (0.8) | 109 (0.9) | ||
II | 30,615 (83.2) | 12,109 (72.1) | 9256 (75.9) | 9326 (76.4) | ||
III | 5668 (15.4) | 4362 (26.0) | 2769 (22.7) | 2686 (22.0) | ||
IV | 91 (0.2) | 197 (1.2) | 72 (0.6) | 79 (0.6) | ||
Type of Anesthesia (%)† | 0.194 | 0.012 | ||||
Local anesthesia | 74 (0.2) | 63 (0.4) | 44 (0.4) | 44 (0.4) | ||
Basal and local anesthesia | 421 (1.1) | 257 (1.5) | 180 (1.5) | 174 (1.4) | ||
Intravenous anesthesia | 358 (1.0) | 121 (0.7) | 86 (0.7) | 94 (0.8) | ||
Nerve blocks | 1394 (3.8) | 1269 (7.6) | 751 (6.2) | 755 (6.2) | ||
Intraspinal anesthesia | 1112 (3.0) | 662 (3.9) | 417 (3.4) | 423 (3.5) | ||
General anesthesia | 32,403 (88.0) | 13,789 (82.1) | 10,255 (84.1) | 10,263 (84.1) | ||
General anesthesia combined with other anesthesia | 1050 (2.9) | 636 (3.8) | 467 (3.8) | 447 (3.7) | ||
Urine, ml† | 200.00 [100.00, 500.00] | 300.00 [100.00, 500.00] | 0.061 | 250.00 [100.00, 500.00] | 200.00 [100.00, 500.00] | < 0.001 |
Blood loss, ml† | 50.00 [20.00, 200.00] | 100.00 [50.00, 200.00] | 0.18 | 100.00 [50.00, 200.00] | 100.00 [50.00, 200.00] | 0.001 |
Crystalloid, ml† | 1200.00 [1100.00, 1800.00] | 1600.00 [1100.00, 2100.00] | 0.233 | 1600.00 [1100.00, 2100.00] | 1600.00 [1100.00, 2100.00] | 0.03 |
Colloid, ml† | 500.00 [0.00, 500.00] | 500.00 [0.00, 500.00] | 0.269 | 500.00 [0.00, 500.00] | 500.00 [0.00, 500.00] | 0.021 |
Blood transfusion (%)† | 3477 (9.4) | 3159 (18.8) | 0.271 | 1816 (14.9) | 1806 (14.8) | 0.002 |
Intraoperative medication (%) | ||||||
Droperidol | 3316 (9.0) | 1682 (10.0) | 0.034 | 1176 (9.6) | 1196 (9.8) | 0.006 |
Glucocorticoid | 22,988 (62.4) | 10,218 (60.8) | 0.033 | 7543 (61.8) | 7454 (61.1) | 0.015 |
NSAIDs† | 18,807 (51.1) | 7707 (45.9) | 0.104 | 5801 (47.5) | 5838 (47.9) | 0.006 |
Benzodiazepine† | 7828 (21.3) | 2590 (15.4) | 0.151 | 1960 (16.1) | 1963 (16.1) | 0.001 |
Dexmedetomidine | 4209 (11.4) | 2131 (12.7) | 0.038 | 1506 (12.3) | 1453 (11.9) | 0.013 |
Duration of SBP > 140 mmHg, min† | 5.00 [0.00, 20.00] | 10.00 [0.00, 30.00] | 0.215 | 10.00 [0.00, 30.00] | 10.00 [0.00, 25.00] | 0.029 |
Duration of DBP > 90 mmHg, min | 0.00 [0.00, 5.00] | 0.00 [0.00, 5.00] | 0.002 | 0.00 [0.00, 0.00] | 0.00 [0.00, 5.00] | 0.016 |
Duration of MAP < 60 mmHg, min† | 0.00 [0.00, 0.00] | 0.00 [0.00, 0.00] | 0.174 | 0.00 [0.00, 0.00] | 0.00 [0.00, 0.00] | 0.007 |
POD (%) | 721 (2.0) | 845 (5.0) | 0.168 | 366 (3.0) | 445 (3.6) | 0.036 |