Table 2.
Outcomes for patients undergoing appendectomy, urgent hernia repair, and laparotomy with temporary abdominal closure (TAC) for abdominal sepsis.
| Outcomes | Appendectomya n = 618 | Hernia repairb n = 80 | TAC for sepsisc n = 102 | *Bonferroni corrected p | ||
|---|---|---|---|---|---|---|
|
| ||||||
| pa,b | pa,c | pb,c | ||||
| Unplanned reoperation# | 6 (1%) | 7 (9%) | 9 (9%) | <0.002 | <0.002 | >0.999 |
| Surgical site infection# | 22 (4%) | 22 (28%) | 14 (14%) | <0.002 | <0.002 | 0.075 |
| Superficial | 3 (0.5%) | 4 (5%) | 1 (1%) | 0.012 | >0.999 | 0.513 |
| Deep | 5 (0.8%) | 0 | 5 (5%) | >0.999 | 0.021 | 0.204 |
| Organ/space | 14 (2%) | 18 (23%) | 8 (8%) | <0.002 | 0.021 | 0.018 |
| Other nosocomial infection† | 4 (0.6%) | 4 (5%) | 20 (20%) | 0.024 | <0.002 | 0.012 |
| Urinary tract infection | 2 (0.3%) | 4 (5%) | 11 (11%) | 0.006 | <0.002 | 0.555 |
| Pneumonia | 0 | 0 | 8 (8%) | - | <0.002 | 0.030 |
| Bloodstream infection | 0 | 1 (1%) | 4 (4%) | 0.345 | <0.002 | >0.999 |
| C. difficile stool infection | 2 (0.3%) | 0 | 1 (1%) | >0.999 | >0.999 | >0.999 |
| Multiple infections | 0 | 1 (1%) | 4 (4%) | 0.345 | <0.002 | >0.999 |
| Hospital length of stay (d) | 1.2 [0.9-1.8] | 4.2 [2.5-7.4] | 15.2 [8.9-27.5] | <0.002 | <0.002 | <0.002 |
| ICU length of stay (d) | 0.0 [0.0-0.0] | 0.0 [0.0-1.8] | 10.0 [5.0-19.0] | <0.002 | <0.002 | <0.002 |
| Antibiotic days | 0.5 [0.2-1.6] | 1.9 [0.1-6.9] | 15.0 [8.0-24.5] | 0.015 | <0.002 | <0.002 |
| Discharge disposition | ||||||
| Home | 608 (98%) | 65 (81%) | 29 (28%) | <0.002 | <0.002 | <0.002 |
| Subacute rehabilitation | 8 (1%) | 9 (11%) | 26 (25%) | <0.002 | <0.002 | 0.066 |
| Long-term acute care | 1 (0.2%) | 3 (4%) | 19 (19%) | 0.015 | <0.002 | 0.006 |
| Inpatient rehabilitation | 0 | 1 (1%) | 4 (4%) | 0.345 | <0.002 | >0.999 |
| Another hospital | 1 (0.2%) | 1 (1%) | 7 (7%) | 0.648 | <0.002 | 0.240 |
| Inpatient mortality | 0 | 0 | 11 (11%) | - | <0.002 | 0.009 |
| Hospice | 0 | 1 (1%) | 6 (6%) | 0.345 | <0.002 | 0.411 |
| Readmission# | 8 (1%) | 28 (35%) | 28 (28%) | <0.002 | <0.002 | 0.996 |
| Mortality† | 0 | 5 (6%) | 27 (27%) | <0.002 | <0.002 | <0.002 |
| Charges-first admission | 6,369 [5,355-7,962] | 46,481 [32,727-97,278] | 236,242 [129,153-378,070] | <0.002 | <0.002 | <0.002 |
| Charges-all admissions | 6,383 [5,368-8,173] | 53,039 [30,686-112,842] | 253,312 [143,840-401,201] | <0.002 | <0.002 | <0.002 |
TAC: temporary abdominal closure.
#
within 180 days,
†
within 30 days,
*
Bonferroni corrected p <0.05 was considered significant. Data are presented as n (%) or median [interquartile range].