Table 2.
Univariate regression analysis of outcome parameters with and without drainage
Outcome parameter | Total | +Drain | −Drain | Logistic regression | ||
---|---|---|---|---|---|---|
n (%) or mean ± SD |
OR | 95% CI | p value | |||
Periorbital edema (early; moderate or severe) |
9 (10.0%) | 6 (16.2%) | 3 (5.7%) | 0.310 | 0.072–1.330 | ns |
Subgaleal swelling (early) |
55 (36.7%) | 25 (39.7%) | 30 (34.5%) | 0.800 | 0.409–1.565 | ns |
Subgaleal swelling (late) |
3 (2.3%) | 2 (3.6%) | 1 (1.3%) | 0.349 | 0.031–3.945 | ns |
Impaired wound healing | 5 (3.3%) | 2 (3.2%) | 3 (3.4%) | 1.089 | 0.177–6.718 | ns |
Pain, VAS 5–10 (early) | 8 (9.6%) | 4 (11.8%) | 4 (8.2%) | 0.667 | 0.155–2.873 | ns |
Pain, VAS 5–10 (late) | 3 (2.5%) | 2 (4.0%) | 1 (1.4%) | 0.343 | 0.030–3.888 | ns |
Need for operative revision | 10 (6.7%) | 4 (6.3%) | 6 (6.9%) | 1.093 | 0.295–4.045 | ns |
Infection | 11 (7.3%) | 4 (6.3%) | 7 (8.0%) | 1.291 | 0.361–4.613 | ns |
The effect of drainage on recorded outcome parameters was analyzed using the binary logistic regression model. Outcome parameter at the time of discharge was decelerated as early follow-up; after 6 weeks, as late follow-up. The incidence of periorbital edema (moderate or severe), subgaleal swelling (moderate and severe, early and late), impaired wound healing (until late follow-up), non-adequate pain control (early and late f/u), need for operative revision, and infection was not affected by the presence of subgaleal drains. Infection was defined as any of the following: evidence of a purulent wound, meningitis (verified by lumbar puncture), intracerebral abscess, or wound healing disorder in conjunction with increased inflammatory parameters (early or late follow-up).
CI, confidence interval; +drain, patient with subgaleal drainage; −drain, patient without subgaleal drainage; ns, not significant; OR, odds ratio; SD, standard deviation; VAS, visual analog scale