marginal significanceP < 0.1
For variables with marginal significance (0.05 < P < 0.1) in multivariate analysis (i.e., comorbidity count ≥2 types, operative time >180 min), we retained them in the final model based on two criteria: (1) clinical plausibility—previous studies have confirmed that multimorbidity (≥2 comorbidities) increases physiological stress in elderl