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. 2023 Jun 13;37(9):6885–6894. doi: 10.1007/s00464-023-10144-4

Table 3.

Association of disease- and procedure-related factors and surgical site infections in patients undergoing abdominal surgery with intra-abdominal mesh implantation

Overall cohort
Univariable analysis Multivariable analysisa
OR 95% CI p-value OR 95% CI p-value
Emergency hospitalization 2.257 1.582- 3.220  < 0.001 1.787 1.180–2.708 0.006
Previous laparotomy 1.719 1.087–2.720 0.021 1.745 1.058–2.878 0.029
Duration of operation (hours) 1.187 1.089–1.295  < 0.001 1.193 1.085–1.311  < 0.001
Laparotomy 6.753 4.073–11.196  < 0.001 6.167 3.621–10.504  < 0.001
Type of surgery
 Upper-GI surgery 0.319 0.076–1.344 0.120 0.375 0.085–1.653 0.195
 Bariatric surgery 4.956 2.620–9.375  < 0.001 4.641 2.079–10.359  < 0.001
 Hernia surgery 0.153 0.100–0.234  < 0.001 0.165 0.104–0.263  < 0.001
 Hepato-biliary surgery 1.558 0.856–2.837 0.147 1.586 0.806–3.121 0.182
 Pancreatic surgery 1.555 0.566–4.273 0.392 1.704 0.568–5.112 0.342
 Colorectal surgery 2.116 1.463–3.060  < 0.001 1.941 1.292–2.916 0.001
 Emergency Surgery 3.223 2.127–4.883  < 0.001 2.510 1.554–4.055  < 0.001
 Open abdomen treatment 3.494 1.488–8.207 0.004 2.359 0.919–6.055 0.074
Wound class (1 = reference)
 2 4.105 2.546–6.617  < 0.001 4.336 2.614–7.192  < 0.001
 3 8.495 4.647–15.528  < 0.001 7.585 3.913–14.703  < 0.001
 4 10.153 6.194–16.642  < 0.001 9.408 5.232–16.918  < 0.001
Wound class ≥ 3 4.728 3.351–6.672  < 0.001 3.878 2.574–5.843  < 0.001
Non-polypropylene mesh 1.587 1.114–2.263 0.011 1.818 1.234–2.679 0.003

Uni- and multivariable logistic regression analyses in imputed dataset

OR odds ratio, CI confidence interval, SSI Surgical site infection

aAdjusted for sex, age, Body Mass Index, and American Society of Anesthesiologists (ASA) Physical Status Classification System score