Table 1:
Comparison of Baseline Characteristics Between Patients Who Received Postoperative Antibiotic Prophylaxis and Those Who Did Not
Postoperative Antibiotics (n = 401), n (%) | No Postoperative Antibiotics (n = 168), n (%) | p-value | |
---|---|---|---|
Patient characteristics | |||
Male gender | 256 (63.8) | 104 (58.1) | 0.188 |
Renal impairment* | 165 (41.3) | 62 (35) | 0.158 |
Dialysis | 8 (2) | 6 (3.4) | 0.381 |
Heart failure | 190 (52.6) | 92 (51.4) | 0.786 |
Chronic liver disease | 18 (4.5) | 5 (2.8) | 0.331 |
Diabetes | 122 (30.4) | 56 (31.3) | 0.835 |
History of malignancy | 62 (15.5) | 23 (12.8) | 0.411 |
Anticoagulation | 147 (36.7) | 64 (35.8) | 0.834 |
Chronic steroids | 15 (3.8) | 7 (3.9) | 0.926 |
Periprocedural factors | |||
Fever** | 1 (0.4) | 5 (5) | 0.008*** |
Prior CIED infection | 8 (2) | 6 (3.4) | 0.381 |
Indwelling line | 15 (6.7) | 11 (11.7) | 0.140 |
Periprocedural pacing | 11 (4.3) | 13 (14.4) | 0.001*** |
Two or more new leads implanted | 258 (64.3) | 93 (52) | 0.005*** |
Device | 0.518 | ||
ICD | 149 (37.2) | 59 (33) | |
PPM | 156 (38.9) | 72 (40.2) | |
Combination | 2 (0.5) | 0 (0) | |
CRT-D | 83 (20.7) | 45 (25.1) | |
CRT-P | 11 (2.7) | 3 (1.7) | |
Performing service | < 0.001*** | ||
Cardiology | 380 (94.8) | 74 (41.3) | |
Cardiothoracic surgery | 17 (4.2) | 88 (49.2) | |
Pediatric cardiology | 2 (0.5) | 14 (7.8) | |
Combined | 2 (0.5) | 3 (1.7) | |
Procedure | < 0.001*** | ||
Initial | 299 (74.6) | 82 (45.8) | |
Revision | 87 (21.7) | 94 (52.5) | |
Reimplantation | 14 (3.5) | 3 (1.7) | |
Postoperative hematoma | 25 (9.9) | 19 (17.3) | 0.047*** |
Reintervention within 90 days | 16 (4) | 15 (8.4) | 0.031*** |
CIED: cardiovascular implantable electronic device; CRT-D: cardiac resynchronization therapy defibrillator; CRT-P: cardiac resynchronization therapy pacemaker; ICD: implantable cardioverter-defibrillator; PPM: permanent pacemaker.
*Serum creatinine ≥ 1.5 mg/dL or estimated creatinine clearance < 60 mL/min upon admission.
**Fever within 24 hours prior to the procedure (defined as greater than 38°C) or hypothermia (defined as less than 35°C).
***Statistically significant.