Table 2. Prevalence of Wound Symptoms and Other Serial Features in 5 Days Prior, 1 Day Prior, and Day of SSI.
Days -5 to -1 (cumulative/maximum)† | Day -1 (only) | Day 0 (only) | |||||||
---|---|---|---|---|---|---|---|---|---|
No SSI | SSI | p Value | No SSI | SSI | p Value | No SSI | SSI | p Value | |
Wound symptoms, % abnormal* | |||||||||
Granulation amount | 12.5 | 41.8 | <0.001 | 7.1 | 35.0 | <0.001 | 6.2 | 62.7 | <0.001 |
Exudate amount | 52.2 | 77.6 | <0.001 | 19.5 | 56.5 | <0.001 | 15.1 | 77.7 | <0.001 |
Slough amount | 9.3 | 30.3 | <0.001 | 5.0 | 24.5 | <0.001 | 5.2 | 44.3 | <0.001 |
Edge distance | 20.3 | 47.1 | <0.001 | 12.2 | 38.7 | <0.001 | 9.8 | 69.7 | <0.001 |
Odor | 1.5 | 4.2 | 0.022 | 0.2 | 2.5 | <0.001 | 0.5 | 7.1 | <0.001 |
Exudate type | 38.9 | 66.7 | <0.001 | 13.7 | 46.0 | <0.001 | 12.2 | 70.8 | <0.001 |
Slough type | 9.4 | 30.9 | <0.001 | 5.3 | 25.2 | <0.001 | 5.2 | 44.3 | <0.001 |
Wound edge color | 95.4 | 93.9 | 0.410 | 84.6 | 88.9 | 0.170 | 83.2 | 89.5 | 0.048 |
Induration amount | 94.6 | 93.9 | 0.750 | 86.3 | 79.1 | 0.022 | 86.5 | 73.5 | <0.001 |
Other serial features | |||||||||
NG tube, % | 24.6 | 56.6 | <0.001 | 9.2 | 26.8 | <0.001 | 6.4 | 21.2 | <0.001 |
Wound culture, % | 0.60 | 7.8 | <0.001 | 0.10 | 4.4 | <0.001 | 0.80 | 23.8 | <0.001 |
Heart rate, bpm, mean | 92.6 | 102.5 | <0.001 | 82.2 | 90.1 | <0.001 | 81.9 | 89.7 | <0.001 |
Temp. of body minus wound, °C, mean | 6.8 | 7.3 | 0.014 | 5.8 | 6.3 | 0.004 | 5.9 | 6.4 | 0.005 |
Wound length, cm, mean | 23.0 | 24.8 | 0.001 | 22.0 | 24.0 | <0.001 | 22.2 | 24.1 | <0.001 |
Tympanic temp., °C, mean | 37.6 | 37.9 | <0.001 | 37.2 | 37.3 | 0.003 | 37.1 | 37.4 | <0.001 |
Diastolic BP, mmHg, mean | 84.9 | 81.8 | 0.005 | 76.6 | 73.6 | 0.008 | 76 | 72.7 | 0.008 |
Pain rating (0-100), mean | 32.6 | 33.8 | 0.590 | 18.5 | 19.4 | 0.640 | 15.3 | 24.7 | <0.001 |
Symptoms were considered abnormal if they had a score >0 (see Supplemental Table 1)
For wound symptoms and other serial features with binary values, symptom was considered present if it was noted on any of the 5 days leading up to infection; for other serial features with continuous values, the maximum value over the 5 days was averaged for each group (No SSI, SSI).
BP, blood pressure; NG, nasogastric; SSI, surgical site infection