Table 4.
Risk factors for in-hospital and postdischarge surgical site infection (SSI).
In-hospital period | Post-discharge period | |||||
Variable | Total § | No. SSI/total§ | Odds Ratio (95% CI^^) | Total§S | No. SSI/total §§ | Odds Ratio (95% CI^^) |
Gender | ||||||
Male | 4,665 | 67/1,625 | 1.57 (1.12–2.21)* | 4,258 | 30/1,454 | 0.92 (0.58–1.45)# |
Female | 81/3,040 | 63/2,804 | ||||
Age (years) | ||||||
18–36 | 15/1,163 | 1 | 20/1,086 | 1 | ||
37–54 | 4,420 | 26/1,057 | 1.93 (0.98–3.84)# | 4,027 | 19/978 | 1.06 (0.54–2.08)# |
55–70 | 44/1,162 | 3.01 (1.62–5.69)* | 23/1,063 | 1.18 (0.62–2.25)# | ||
>70 | 60/1,038 | 4.70 (2.58–8.68)* | 28/900 | 1.71 (0.93–3.18)# | ||
Emergency Intervention | ||||||
4,655 | 4,258 | |||||
Yes | 51/1,002 | 1.97 (1.37–2.82)* | 18/903 | 0.89 (0.51–1.53)# | ||
No | 97/3,653 | 75/3,355 | ||||
NNIS score § | ||||||
4/358 | 1 | 4/336 | 1 | |||
M | 38/2,621 | 1.30 (0.44–4.32)# | 52/2,459 | 1.79 (0.62–5.87)# | ||
4,579 | 4,166 | |||||
0 | 65/1,260 | 4.81 (1.67– | 25/1,108 | 1.92 (0.63–6.54)# | ||
1 | 30/340 | 15.63)* | 11/263 | 3.62 (1.05– | ||
2 + 3 | 11.42 (3.86–38)* | 13.65)* | ||||
Prosthesis | ||||||
Yes | 4,652 | 6/801 | 0.20 (0.08–0.46)* | 4,245 | 17/756 | 1.03 (0.58–1.80)# |
No | 142/3,851 | 76/3,489 | ||||
Pre-operative hospital stay (days) | 4,589 | 4,196 | ||||
72/3,300 | 58/3,064 | |||||
0–1 | 69/1,289 | 2.54 (1.79–3.60)* | 33/1,132 | 1.56 (0.99–2.45)* | ||
>1 | ||||||
Drains | ||||||
No | 41/3,045 | 1 | 56/2,853 | 1 | ||
1–3 days | 4,665 | 19/764 | 1.87 (1.04–3.33)* | 4,261 | 12/686 | 0.89 (0.45–1.72)# |
>3 days | 88/856 | 8.40 (5.66–12.48)* | 23/722 | 1.64 (0.97–2.75)* | ||
Perioperativ e antibiotic prophylaxis | 4,665 | 4,258 | ||||
Yes | 139/4,071 | 0.44 (0.21–0.89)* | 74/3,718 | 1.80 (1.04–3.07)* | ||
No | 9/594 | 19/540 |
§ total number of procedures surveilled during hospital stay not equal to the study cohort (n = 4,665) for missing data.
NNIS = National Nosocomial Infection Surveillance.
§§ total number of interventions surveilled during post-discharge, does not include missing data for SSI occurrence during postdischarge (n = 258), and patients with in-hospital SSI (n = 148) or with postoperative hospital stay ≥ 30 days (n = 25).
^^ 95% confidence intervals.
* p-value < 0.05.
# p value not significant.
M: no risk factor + endoscopical procedure.