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Table 2 Comparing baseline characteristics of the derivation group and the validation group

From: Development and validation of the modified index of fragility in head and neck cancer surgery

Variables (%)

Derivation cohort (n = 16 407)

Validation cohort (n = 7031)

Sociodemographic characteristics

  

Gender (male)

10,350 (63.1)

4507 (64.1)

Age (years)

  

< 50

3451 (21.0)

1524 (21.7)

50–59

3815 (23.3)

1658 (23.6)

60–69

4466 (27.2)

1933 (27.5)

70–79

3049 (18.6)

1272 (18.1)

80–89

1446 (8.8)

564 (8.0)

90+

140 (0.9)

63 (0.9)

Life habits

  

Current smoker

4036 (24.6)

1825 (26.0)

Current alcohol user

271 (1.7)

109 (1.6)

Cardiorespiratory comorbidity

  

Exacerbation of CHFa

93 (0.6)

38 (0.5)

Myocardial infarct

15 (0.1)

3 (0.04)

Medicated hypertension

7557 (46.1)

3190 (45.4)

Dyspnea

1235 (7.5)

535 (7.6)

Severe COPDb

1023 (6.2)

416 (5.9)

Renal and hematological comorbidity

  

Mean creatinine (mg/dL)

0.95

0.95

Mean sodium (mmol/L)

139.0

139.0

Mean hematocrit (%)

40.0

40.0

Metabolic comorbidity

  

Long term steroid use

628 (3.8)

252 (3.6)

Diabetes mellitus

2223 (13.5)

996 (14.2)

Other comorbidities

  

Disseminated cancer

1098 (6.7)

468 (6.7)

Wound infection

577 (3.5)

248 (3.5)

Sepsis ≤ 48 h before surgery

156 (0.1)

55 (0.8)

Physical measurements

  

Weight lossc

721 (4.4)

304 (4.3)

Mean albumin (g/dL)

4.0

4.0

Mean BMId

27.9

27.8

Underweight (BMI < 18.0)

416 (2.5)

158 (2.2)

Normal (BMI 18.0–25.9)

6711 (40.9)

2847 (40.5)

Overweight (BMI 26.0–29.9)

10,602 (64.6)

4507 (64.1)

Obese Class 1 (BMI 30.0–34.9)

13,371 (81.5)

5667 (80.6)

Obese Class 2 (BMI 35.0–39.9)

13,652 (83.2)

5829 (82.9)

Obese Class 3 (BMI ≥ 40)

903 (5.5)

376 (5.3)

Surgical characteristics

  

Oral cavity

2107 (12.8)

884 (12.6)

Salivary

2555 (15.6)

1147 (16.3)

Neck dissection

3161 (19.3)

1375 (19.6)

Larynx

1076 (6.6)

473 (6.7)

Pharynx

476 (2.9)

201 (2.9)

Craniofacial

557 (3.4)

228 (3.2)

Integumentary

108 (0.7)

44 (0.6)

Reconstruction

1444 (8.8)

615 (8.7)

Other types of surgery

63 (0.4)

30 (0.4)

Cases of free tissue transfers

3043 (18.5)

1313 (18.7)

Cases of tracheostomy

1659 (10.1)

720 (10.2)

Mean operative time (hour)

5.0

5.0

  1. aChronic heart failure
  2. bChronic obstructive pulmonary disease
  3. c> 10% loss of body weight in 6 months prior to surgery
  4. dBody mass indices, calculated as weight in kilograms divided by height in meters square