Risk factors and prediction model for acute respiratory distress syndrome in patients with digestive tumor after surgery

doi:10.4240/wjgs.v18.i1.112103

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastrointest Surg. Jan 27, 2026; 18(1): 112103
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.112103

Table 2 Univariate logistic regression analysis

Variables	β	SE	Z	P value	OR (95%CI)
Age	0.11	0.04	2.85	0.004	1.12 (1.04-1.21)
BMI	-0.02	0.05	-0.43	0.667	0.98 (0.88-1.09)
Preoperative RBC	0.38	0.27	1.38	0.167	1.46 (0.85-2.48)
Preoperative WBC	0.41	0.20	2.08	0.038	1.51 (1.02-2.23)
Preoperative ALB	-0.19	0.07	-2.53	0.011	0.83 (0.72-0.96)
Preoperative Hb	-0.02	0.02	-1.25	0.211	0.98 (0.94-1.01)
Preoperative PLT	0.01	0.01	1.79	0.073	1.01 (1.00-1.03)
FEV1%	-0.04	0.01	-3.08	0.002	0.96 (0.94-0.99)
FVC%	-0.05	0.02	-2.73	0.006	0.95 (0.91-0.99)
Operation time	0.01	0.01	1.51	0.132	1.01 (1.00-1.03)
Preoperative bleeding	0.01	0.01	0.94	0.349	1.01 (0.99-1.04)
Sex
Female	-	-	-	-	1.00 (reference)
Male	0.10	0.37	0.27	0.784	1.11 (0.54-2.27)
Smoking
No	-	-	-	-	1.00 (reference)
Yes	0.79	0.36	2.17	0.030	2.20 (1.08-4.47)
Hypertension
No	-	-	-	-	1.00 (reference)
Yes	0.30	0.36	0.81	0.415	1.34 (0.66-2.74)
Diabetes
No	-	-	-	-	1.00 (reference)
Yes	0.76	0.60	1.26	0.208	2.13 (0.66-6.90)
Tumor location
Intestine	-	-	-	-	1.00 (reference)
Stomach	0.53	0.48	1.11	0.268	1.70 (0.66-4.38)
Liver and gallbladder	0.86	0.48	1.79	0.073	2.37 (0.92-6.07)
Pancreas	0.74	0.51	1.45	0.146	2.10 (0.77-5.73)
TNM staging
I/II	-	-	-	-	1.00 (reference)
III/IV	0.84	0.36	2.33	0.020	2.32 (1.14-4.70)
Preoperative pulmonary infection
No	-	-	-	-	1.00 (reference)
Yes	0.83	0.37	2.24	0.025	2.30 (1.11-4.75)
Surgical method
Laparoscopic surgery	-	-	-	-	1.00 (reference)
Open surgery	0.49	0.38	1.30	0.194	1.63 (0.78-3.43)
Intraoperative fluid replacement
< 2000 mL	-	-	-	-	1.00 (reference)
≥ 2000 mL	0.21	0.36	0.57	0.566	1.23 (0.61-2.48)
Postoperative infection
No	-	-	-	-	1.00 (reference)
Yes	0.34	0.41	0.83	0.408	1.41 (0.63-3.15)
Postoperative fever
No	-	-	-	-	1.00 (reference)
Yes	0.44	0.37	1.19	0.234	1.55 (0.75-3.22)
Anastomotic fistula
No	-	-	-	-	1.00 (reference)
Yes	1.76	0.56	3.13	0.002	5.82 (1.93-17.51)

CI: Confidence interval; OR: Odds ratio; BMI: Body mass index; RBC: Red blood cell; WBC: White blood cell; ALB: Albumin; Hb: Hemoglobin; PLT: Platelets; FEV1%: Preoperative percentage of forced expiratory volume in 1 second; FVC%: Preoperative percentage of forced vital capacity; TNM: Tumor-node-metastasis.

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Citation: Zhen J, Chen W, Xu YF, Ma YM. Risk factors and prediction model for acute respiratory distress syndrome in patients with digestive tumor after surgery. World J Gastrointest Surg 2026; 18(1): 112103
URL: https://www.wjgnet.com/1948-9366/full/v18/i1/112103.htm
DOI: https://dx.doi.org/10.4240/wjgs.v18.i1.112103

Zhen J, Chen W, Xu YF, Ma YM. Risk factors and prediction model for acute respiratory distress syndrome in patients with digestive tumor after surgery. World J Gastrointest Surg 2026; 18(1): 112103 [PMID: 41695854 DOI: 10.4240/wjgs.v18.i1.112103]

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