Table 1.
Characteristics of the Cohort
Entire Cohort (N=441) | SSI (N=66) | No SSI (N=375) | p-value | |
---|---|---|---|---|
Age, in years | 53 (±13.1) | 52.2 (±11.1) | 53.2 (±13.5) | 0.55 |
Sex, men | 257 (58%) | 39 (59%) | 218 (58%) | 0.88 |
Race, African American | 225 (52%) | 37 (57%) | 188 (51%) | 0.36 |
Body Mass Index (BMI), mean (SD) | 29.7 (±6.0) | 31.7 (±5.7) | 29.4 (±5.9) | 0.004 |
BMI < 25 | 117 (27%) | 13 (20%) | 104 (28%) | -- |
BMI ≥ 25 and < 30 | 130 (30%) | 14 (21%) | 116 (30%) | 0.93 |
BMI ≥ 30 | 184 (42%) | 37 (56%) | 147 (39%) | 0.01 |
Chronic disease score, mean (SD) | 10.8 (±3.5) | 11.4 (±3.6) | 10.7 (±3.5) | 0.19 |
Charlson score, mean (SD) | 3.3 (±1.6) | 3.4 (±1.8) | 3.3 (±1.5) | 0.64 |
Donor type, cadaveric | 315 (71%) | 46 (69%) | 269 (72%) | 0.74 |
Repeat transplant | 56 (13%) | 6 (9%) | 50 (13%) | 0.34 |
Ischemia time, in minutes | 1127.5 (869) | 1184.3 (927.3) | 1116.3 (858.1) | 0.57 |
NHSN risk index | ||||
= 1 | 35 (7.9%) | 5 (8%) | 30 (8%) | |
= 2 | 316 (73%) | 43 (73%) | 268 (72%) | |
= 3 | 90 (20%) | 13 (20%) | 77 (21%) | |
Surgical Prophylaxis* | 433 (98%) | 64 (97%) | 369 (98%) | 0.42 |
Induction Immunesuppression | ||||
Thymoglobulin | 70 (16%) | 12 (18%) | 58 (15%) | 0.58 |
Alemtuzemab^ | 224 (51%) | 37 (56%) | 187 (50%) | 0.35 |
Basiliximab^ | 144 (33%) | 17 (26%) | 127 (34%) | 0.20 |
Procedure duration, in minutes | 197.4 (±71.3) | 192.9 (±62.7) | 198.2 (±72.8) | 0.58 |
Estimated blood loss, in ml | 408 (±395) | 413 (±377) | 408 (±398) | 0.93 |
Hospital length of stay, Median (interquartile range) | 6.2 (5.1 to 8.5) | 6.7 (5.3 to 9.9) | 6.0 (5.0 to 8.4) | |
Second operation during index hospitalization | 61 (14%) | 15 (23%) | 46 (12%0 | 0.02 |
Readmission at 30 days | 50% (220) | 94% (62) | 42% (158) | <0.01 |
Death at 30 days | 1 (0.2%) | 0 | 1 (0.3%) | -- |
SSI – Surgical Site Infection
Surgical prophylaxis – documentation of receipt of appropriate antibiotics (as defined by University of Maryland Medical Center protocol) within 1 hour of surgical incision
2 patients received both alemtuzemab and basiliximab as induction immunesuppression