Perioperative medicine & outcomes

Sex dependence of postoperative pulmonary complications – A post hoc unmatched and matched analysis of LAS VEGAS

J Clin AnesthPublished Secondary analysis of the LAS VEGAS observational study

Primary result · PPCs, unmatched cohortResult — go to the resultOdds ratio 0.93 CI 0.81–1.06

Authors' conclusion

In this conveniently-sized worldwide cohort of patients receiving intraoperative ventilation under general anaesthesia for surgery, the PPC incidence was not significantly different between sexes.

Study context

Population
Patients undergoing intraoperative ventilation under GA for surgerymatched cohort 6154
Participants
9,697 patients
Comparison
Females vs males
  • Femalesn = 5,342
  • Malesn = 4,355reference
Primary endpoint
Composite of postoperative pulmonary complications (PPCs)
Follow-up
First 5 postoperative days
Methodological detailspost hoc, unmatched and propensity-score matched analysis, international, 146 hospitals across 29 countries
  • Post hoc
  • Unmatched and propensity-score matched analysis
  • International
  • 146 hospitals across 29 countries

Primary result

PPCs, unmatched cohort

Odds ratio

0.93

CI 0.81–1.06

P = 0.255

By group

Females

10.0

%

Males

10.7%

Females vs Males
OR 0.93 (CI 0.81–1.06); P = 0.255

As reported in the abstract

Secondary outcomes

OutcomeFemalesMalesOR (CI)P value
PPCs, matched cohortPropensity-score matched cohort (3077 vs 3077) · matched cohort10.5 %10.0%1.05 (0.89–1.25)P = 0.556

New invasive ventilation, unmatched cohort

Occurred less often in females in the unmatched cohort

Hospital LOS and mortality

Similar between females and males in both cohorts

Original publication

Sex dependence of postoperative pulmonary complications – A post hoc unmatched and matched analysis of LAS VEGAS. J Clin Anesth. Published 23 September 2024. doi:10.1016/j.jclinane.2024.111565

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