Table 4

Multivariate regression results assessing association of individual process metrics and LOS

CovariatesMinimally invasive surgeryOpen surgery
Rate ratio95% CIRate ratio95% CI
Age group (ref ≤45)
 46–65 years1.031.00 to 1.071.151.01 to 1.31
 >65 years1.091.05 to 1.131.291.11 to 1.50
BMI (ref=normal)
 Overweight1.051.01 to 1.081.070.95 to 1.21
 Obese0.970.94 to 1.011.181.04 to 1.33
ASA (ref=mild)
 Healthy0.970.92 to 1.020.900.67 to 1.12
 Severe1.071.02 to 1.111.120.97 to 1.29
 Missing0.970.93 to 1.021.130.99 to 1.27
Has diabetic1.030.98 to 1.080.990.82 to 1.20
Weekend (ref=weekdays)1.121.03 to 1.231.080.90 to 1.29
Surgery year* (ref=2017)
 20180.960.92 to 1.000.900.78 to 1.03
 20190.900.87 to 0.940.910.79 to 1.05
Process metrics
 Preemptive analgesia1.000.97 to 1.031.090.98 to 1.21
 Intraop <4cc/kg/hour1.041.01 to 1.070.910.80 to 1.04
 Antiemetics1.030.97 to 1.080.700.60 to 0.82
 Postop analgesia1.010.98 to 1.041.010.91 to 1.11
 Postop <1cc/kg/hour1.371.32 to 1.420.880.79 to 0.99
 Ambulation <8 hours0.470.45 to 0.480.920.79 to 1.07
 Bowel preparationNA1.131.00 to 1.27
 Preoperative carbohydrate drink1.000.96 to 1.041.080.97 to 1.21
 Preoperative chlorhexidine wash1.000.97 to 1.030.920.81 to 1.03
Likelihood ratio test†χ2(20)=2419, p<0.001χ2(21)=84, p<0.001
  • *For surgery year, data from October to December 2016 data are treated as 2017 data and January 2020 data are treated as 2019 data.

  • †The likelihood ratio test compares an empty model with the model specified in the table.

  • ASA, American Society of Anesthesia; BMI, body mass index; LOS, length of stay; NA, not availble.