Research Article

[Retracted] Establishment of Difficult Caudal Epidural Blockade Prediction Model

Table 1

Basic characteristics of the development and validation cohort.

CharacteristicsDevelopment cohort N = 202Validation cohort N = 87
N = 289DCEB (N = 30)No DCEB (N = 172) ValueDCEB (N = 13)No DCEB (N = 7) Value

Male22 (73.33%)127 (73.84%)0.95411 (84.62%)49 (66.22%)0.186
Age45.10 ± 14.0841.82 ± 14.730.24941.69 ± 11.934.22 ± 13.850.898
BMI23.67 ± 3.7223.43 ± 3.410.74724.85 ± 3.7622.43 ± 3.150.045
A history of difficult CEB3 (10.00%)1 (0.58%)0.0112 (15.38%)0 (0.00%)0.001
Distance between puncture site and coccygeal apex (cm)6.5 (6.0–7.125)6.5 (6.0–7.0)0.8557.5 (7–8)7 (6.875–7.5)0.253
Number of “sacral hiatus” by palpation0.0060.001
117 (56.67%)141 (81.98%)6 (46.15%)57 (77.03%)
210 (33.33%)26 (15.12%)3 (23.08%)15 (20.27%)
≥33 (10.00%)5 (2.90%)4 (30.77%)2 (2.70%)
Unclear palpation of sacral hiatus20 (66.67%)20 (11.63%)<0.0016 (46.12%)5 (6.76%)<0.001
Unclear palpation of sacral cornua22 (73.33%)41 (23.84%)<0.0019 (69.23%)16 (21.62%)<0.001
Patient and surgeon satisfaction<0.001<0.001
Very satisfied15 (50.00%)153 (88.95%)5 (38.46%)71 (95.95%)
Satisfied6 (20.00%)17 (9.88%)5 (38.46%)2 (2.70%)
Dissatisfied9 (30.00%)2 (1.16%)3 (23.08%)1 (1.35%)
Success on 1st needle pass0 (0.00%)91 (45.05%)0 (0.00%)40 (47.06%)

BMI: Body Mass Index; CEB: Caudal Epidural Blockade/Block. The values are presented as mean ± standard deviation (SD), median (interquartile range, IQR), or n (%). Normally distributed continuous variables are presented as “Mean ± SD” while abnormally distributed ones are presented as “Median, IQR”. Categorical variables are presented as “n (%),” Each value < 0.05 was considered to be significant. The value was obtained by Student’s t-test or Mann-Whitney test for continuous variables and chi-square test for categorical variables.