Table 6.
Post-Operative Occurrences
| Post-Operative Occurrences w/Multivariate Analysis | UM NSQIP Trauma % | NTDB (2004) % | Unadjusted
|
Adjusted
|
||||
|---|---|---|---|---|---|---|---|---|
| Odds Ratio | 95% Conf. Interval | p-value | Odds Ratio | 95% Conf. Interval | p-value | |||
| Deaths within 30 Days | 8.4 | 5.7 | 0.7 | 0.5–0.9 | 0.01 | 2.3 | 1.6–3.4 | <0.001 |
| Wound Occurences | ||||||||
| Wound Infection | 3.4 | 0.5 | 0.2 | 0.09–0.3 | <0.001 | 0.3 | 0.2–0.4 | <0.001 |
| Wound Disruption | 0.6 | 0.05 | 0.09 | 0.03–0.5 | <0.001 | 0.1 | 0.04–0.4 | 0.001 |
| Respiratory Occurences | ||||||||
| Pneumonia | 14.1 | 2.7 | 0.2 | 0.1–0.2 | <0.001 | 0.4 | 0.3–0.5 | <0.001 |
| Pulmonary Embolism | 1.0 | 0.3 | 0.3 | 0.1–0.9 | 0.004 | 0.5 | 0.2–1.3 | 0.2 |
| Urinary Tract Occurences | ||||||||
| Acute Renal Failure | 1.0 | 0.4 | 0.5 | 0.2–1.4 | 0.08 | 1.1 | 0.4–2.6 | 0.9 |
| Urinary Tract Infection | 12.6 | 1.3 | 0.09 | 0.07–0.1 | <0.001 | 0.2 | 0.1–0.2 | <0.001 |
| Cardiac Occurences | ||||||||
| Cardiac Arrest Requiring CPR | 1.1 | 0.4 | 0.3 | 0.1–0.9 | 0.005 | 0.8 | 0.3–1.8 | 0.5 |
| Myocardial Infarction | 0.6 | 0.7 | 1.2 | 0.4–5.8 | 0.8 | 1.3 | 0.4–4.2 | 0.6 |
| Other Surgical Occurences | ||||||||
| DVT/Thrombophlebitis | 6.5 | 0.6 | 0.08 | 0.06–0.1 | <0.001 | 0.2 | 0.1–0.3 | <0.001 |
| Sepsis | 4.8 | 0.4 | 0.07 | 0.05–0.1 | <0.001 | 0.2 | 0.1–0.2 | <0.001 |
NTDB, National Trauma Data Bank; UM University of Michigan; NSQIP, National Surgical Quality Improvement Program; SSI, surgical site infection; CPR, cardiopulmonary resuscitation; DVT, deep vein thrombosis.
The odds ratios are comparing NTDB vs. UM NSQIP trauma patients with UM NSQIP trauma patients as the reference group.
Adjustment variables include age, gender, mechanism of injury, ISS and GCS scores.