TABLE 1.
NSQIP-P | COA | |||||||
---|---|---|---|---|---|---|---|---|
Procedure Category | No. of Procedures (% of total) | No. of SSIs (%) | OR (95% CI) | p Value | No. of Procedures (% of total) | No. of SSIs (%) | OR (95% CI) | p Value |
Spine | 2879 (31) | 101 (3.5) | 1.519 (1.176–1.963) | 0.002 | 283 (26) | 14 (4.9) | 1.888 (0.952–3.742) | 0.079 |
Craniotomy for neoplasm | 2434 (26) | 60 (2.5) | 0.883 (0.658–1.184) | 0.424 | 165 (15) | 5 (3.0) | 0.914 (0.350–2.386) | 0.855 |
Chiari decompression | 1748 (19) | 33 (1.9) | 0.647 (0.447–0.937) | 0.021 | 84 (8) | 0 (0) | NA | |
Craniosynostosis/craniofacial | 980 (11) | 15 (1.5) | 0.532 (0.314–0.901) | 0.016 | 46 (4) | 1 (2.2) | 0.649 (0.087–4.843) | 0.671 |
MMC closure | 368 (4) | 16 (4.3) | 1.681 (1.002–2.821) | 0.068 | 48 (4) | 3 (6.3) | 2.065 (0.610–6.987) | 0.203 |
Epilepsy* | 208 (2) | 7 (3.4) | 1.262 (0.588–2.711) | 0.513 | 256 (23) | 8 (3.1) | 0.944 (0.425–2.097) | 0.887 |
Skin lesion | 136 (2) | 1 (0.7) | 0.264 (0.037–1.895) | 0.276 | 70 (6) | 1 (1.4) | 0.413 (0.056–3.062) | 0.723 |
Other† | 543 (6) | 18 (3.3) | 1.254 (0.770–2.041) | 0.340 | 171 (14) | 4 (2.6) | 0.782 (0.273–2.244) | 0.808 |
Total | 9296 | 251 (2.7) | 1103 | 36 (3.3) |
Odds ratios are with respect to development of any SSI compared to all other procedures not in respective category. Statistical tests were performed using the chi-square test and Fisher exact test where appropriate. Boldface type indicates statistical significance (p < 0.05).
Epilepsy operations data not available for 2012–2013; NSQIP only has epilepsy procedure data for 2014. See Fig. 1 for more detailed procedural categorization by CPT code.
Majority of procedures in “Other” category are baclofen pump placement/removal procedures (> 80% of total).