TABLE 3.
Univariate Associations Between Patient Characteristics and Failure to Achieve Primary Fascial Closure
| Factors | OR | 95% CI | p |
|---|---|---|---|
| Age >65 y | 0.64 | 0.32–1.29 | 0.210 |
| Body mass index* >40 kg/m2 | 2.70 | 1.26–5.79 | 0.011 |
| Charlson Comorbidity Index >4 | 1.69 | 0.60–4.75 | 0.316 |
| ASA physical status classification >3 | 0.97 | 0.51–1.87 | 0.936 |
| Abdominal sepsis* | 3.06 | 1.51–6.19 | 0.002 |
| Trauma** | 0.30 | 0.14–0.64 | 0.002 |
| Nontrauma hemorrhage/ACS | 0.57 | 0.12–2.67 | 0.478 |
| On admission | |||
| Heart rate >110 beats/min | 0.59 | 0.28–1.23 | 0.159 |
| Systolic blood pressure <90 mm Hg | 2.06 | 0.71–5.94 | 0.183 |
| Mean arterial pressure <60 mm Hg | 1.65 | 0.40–6.84 | 0.487 |
| Vasopressor infusion | 0.98 | 0.45–2.14 | 0.952 |
| Lactate >3.5 mmol/L | 0.57 | 0.25–1.30 | 0.181 |
| Creatinine >2.0 mg/dL | 2.20 | 0.93–5.63 | 0.071 |
| International normalized ratio >1.5 | 0.91 | 0.42–1.98 | 0.808 |
| White blood cells >18 × 109/L | 0.77 | 0.36–1.66 | 0.499 |
| Initial laparotomy | |||
| Solid organ resection or repair** | 0.37 | 0.15–0.93 | 0.034 |
| Hollow viscous resection or repair | 1.40 | 0.75–2.61 | 0.294 |
| Washout/lysis of adhesions only | 1.15 | 0.46–2.89 | 0.763 |
| Transfusions during admission | |||
| >5 Red blood cell transfusion | 1.27 | 0.69–2.33 | 0.439 |
| >3 Plasma transfusions | 1.38 | 0.75–2.54 | 0.301 |
| Nadir serum albumin* <2.6 g/dL | 3.15 | 1.27–7.82 | 0.013 |
| Peak CRP* >250 mg/L | 2.15 | 1.16–3.97 | 0.015 |
All 233 patients in the study population were included in this analysis. Optimal cutoff values for continuous variables were assessed by Youden index.16
Included in multivariable model.
Excluded from multivariable model because of colinearity to other variables in the regression equation.
ACS indicates abdominal compartment syndrome; ASA, American Society of Anesthesiologists.