Table 1.
Comparison of Characteristics of Methicillin-Resistant Staphylococcus aureus (MRSA) Cases with Uninfected Controls and Methicillin-Susceptible S. aureus (MSSA) Controls
Variable | MRSA (N = 86) | No Infection (N = 167) | OR (95% CI) | P-Value | MSSA (N = 64) | OR (95% CI) | P-Value |
---|---|---|---|---|---|---|---|
Demographic | |||||||
Age, mean ± SD (range) | 73.4 ± 5.7 (65–94) | 73.7 ± 6.0 (65–94) | – | .85 | 73.0 ± 5.3 (65–87) | – | .67 |
Aged ≥75, n (%) | 25 (29.1) | 63 (37.7) | 0.59 (0.33–1.07) | .17 | 20 (31.2) | 0.90 (0.45–1.82) | .08 |
Male, n (%) | 32 (37.2) | 78 (46.7) | 0.72(0.41–1.25) | .15 | 33 (51.6) | 0.56 (0.29–1.07) | .08 |
White, n (%) | 63 (73.2) | 139 (84.2) | 0.55 (0.28–1.08) | .06 | 53 (82.8) | 0.57 (0.25–1.27) | .17 |
Private insurance, n (%) | 3 (3.6) | 10 (6.0) | 1.27 (0.33–4.88) | .55 | 0 | – | – |
Admission not from home, n (%) | 25 (32.9) | 50 (30.9) | 0.92 (0.49–1.73) | .75 | 10 (17.0) | 2.40 (1.05–5.52) | .04 |
Comorbidities, n (%) | |||||||
Obesity (body mass index, kg/m2, >30.0) | 26 (32.9) | 36 (22.2) | 1.58 (0.85–2.92) | .07 | 24(10.0) | 0.72 (0.36–1.43) | .38 |
Diabetes mellitus | 28 (32.6) | 47 (28.1) | 1.20 (0.67–2.16) | .47 | 13 (20.3) | 1.89(0.88–4.04) | .09 |
Diabetes mellitus with end organ damage | 4 (4.7) | 6 (6.6) | 1.09 (0.49–2.45) | .68 | 3 (4.7) | 0.99 (0.46–2.14) | .99 |
Myocardial infarction | 19 (22.1) | 51 (30.5) | 0.60 (0.31–1.73) | .15 | 15 (23.4) | 0.93 (0.43–2.00) | .85 |
Congestive heart failure | 33 (38.4) | 34 (20.4) | 3.21 (1.61–6.40) | .002 | 12 (18.8) | 2.70 (1.26–5.79) | .01 |
Perivascular disease | 16 (18.1) | 30 (18.0) | 0.86 (0.41–1.84) | .90 | 9 (14.1) | 1.40 (0.57–3.40) | .46 |
Cerebrovascular accident | 12 (13.9) | 16 (9.6) | 1.26 (0.55–2.87) | .29 | 5 (7.8) | 1.91 (0.64–5.74) | .24 |
Chronic obstructive pulmonary disease | 18 (20.9) | 15 (9.0) | 2.77 (2.30–5.90) | .009 | 15 (23.4) | 0.87 (0.40–1.88) | .71 |
Renal disease | 11 (12.8) | 8 (4.8) | 2.92 (1.02–8.36) | .02 | 4 (6.3) | 2.20 (0.67–7.26) | .18 |
Charlson score | |||||||
0 | 8 (9.3) | 42 (25.1) | 1 | — | 18 (28.1) | 1 | — |
1 or 2 | 40 (46.5) | 59 (35.3) | 3.22 (1.30–7.98) | .01 | 30 (46.9) | 3.00 (1.15–7.82) | .02 |
≥3 | 38 (44.2) | 29 (17.4) | 4.71 (1.77–12.56) | .002 | 16 (25.0) | 5.34 (1.93–14.77) | .002 |
Taking immunosuppressants | 11 (13.4) | 12 (7.4) | 1.73 (0.72–4.13) | .13 | 4 (6.5) | 2.04 (0.75–5.60) | .18 |
Preoperative functional status, n (%) | |||||||
Need assistance in | |||||||
Ambulation | 37 (45.1) | 46 (28.4) | 2.08 (1.06–4.09) | .009 | 14 (23.3) | 2.70 (1.29–5.66) | .009 |
Bathing | 30 (36.6) | 25 (15.4) | 3.78 (1.72–8.34) | .001 | 8(13.3) | 3.75 (1.57–8.95) | .003 |
Dressing | 30 (36.6) | 25 (15.4) | 3.78 (1.72–8.34) | .001 | 8 (13.3) | 3.75 (1.57–8.95) | .003 |
Feeding | 12 (14.6) | 9 (5.6) | 2.71 (1.03–7.17) | .02 | 1 (1.7) | 9.94 (1.26–78.74) | .03 |
Bowel incontinence | 2 (2.4) | 4 (2.5) | 0.87 (0.14–5.32) | >.99 | 0 (0) | — | — |
Urine incontinence | 3 (3.7) | 6 (3.7) | 0.83 (0.18–3.79) | >.99 | 2 (3.4) | 1.08 (0.18–6.69) | >.99 |
Lack of independence in >3 activities of daily living | 30 (34.9) | 25 (15.0) | 3.26 (1.52–7.03) | .029 | 7 (10.9) | 4.36 (1.77–10.75) | .01 |
Hospital and surgical variables | |||||||
Postoperative glucose > 200 mg/dL, n (%) | 32 (39.5) | 59 (37.6) | 1.14 (0.52–2.07) | .77 | 17 (29.3) | 1.58 (0.77–3.24) | .21 |
Preoperative length of stay, mean ± SD | 2.4 ± 3.6 | 1.6 ± 2.6 | 1.10 (1.00–1.21) | .08 | 1.2 ± 2.4 | 1.15 (1.01–1.31) | .02 |
Orthopedic surgery, n (%) | 34 (39.5) | 61 (36.5) | — * | .64 | 28 (43.8) | 0.84 (0.44–1.62) | .60 |
Cardiothoracic surgery, n (%) | 34 (39.5) | 75 (44.9) | — * | .41 | 19 (29.7) | 1.55 (0.78–3.08) | .21 |
American Society of Anesthesiologists physical classification score >4, n (%) | 33 (38.8) | 67 (40.4) | 1.12 (0.48–2.60) | .81 | 21 (33.3) | 1.27 (0.64–2.51) | .49 |
Appropriate perioperative antibiotics, n (%) | 59 (72.0) | 122 (75.3) | 1.02 (0.52–2.02) | .57 | 45 (76.3) | 0.80 (0.37–1.72) | .57 |
Wound class >1 (not clean), n (%) | 19 (22.1) | 16 (19.7 | 7.58 (1.61–35.67) | .007 | 7 (10.9) | 2.31 (0.91–5.89) | .07 |
Repeat surgery, n (%) | 9 (10.5) | 16 (9.6) | 0.99 (0.42–2.38) | .82 | 8 (12.5) | 0.81 (0.30–2.24) | .69 |
Surgical time >75% of cut point, n (%) | 36 (41.9) | 49 (29.3) | 1.94 (1.04–3.61) | .05 | 16 (25.0) | 2.20 (1.08–4.49) | .03 |
Matched criteria, including procedure type, year, and hospital.
SD = standard deviation; OR = order ratio.