Table 4.
Univariate and multivariate logistic regression analysis of risk factors of SSI following colorectal surgery
| Variables | univariate | multivariate | ||
|---|---|---|---|---|
| p value | OR (95% CI) | p value | OR (95% CI) | |
| Hypertension | ||||
| Yes | 0.007 | 1.975(1.207–3.232) | 0.024 | 1.903(1.088–3.327) |
| Noa | ||||
| Tuberculosis | ||||
| Yes | 0.017 | 8.972(1.475–54.559) | 0.083 | 7.880(0.762–81.492) |
| Noa | ||||
| Albumin | ||||
| ≥ 3.5 g/dla | ||||
| < 3.5 g/dl | < 0.001 | 2.960(1.821–4.810) | 0.069 | 1.715(0.958–3.068) |
| Blood glucose | ||||
| 80–150 mg/dla | ||||
| > 150 mg/dl | 0.008 | 2.417(1.256–4.651) | 0.879 | 1.065(0.475–2.388) |
| < 80 mg/dl | 0.637 | 1.166(0.617–2.200) | ||
| Type of surgery | ||||
| Rectal surgerya | ||||
| Colon surgery | 0.002 | 2.419(1.370–4.269) | 0.154 | 0.631(0.335–1.188) |
| Urgency of surgery | ||||
| Electivea | ||||
| Emergency | < 0.001 | 5.927(3.245–10.827) | 0.913 | 1.056(0.397–2.815) |
| Timing of hair removal | ||||
| Nonea | ||||
| Night before surgery | 0.009 | 0.477(0.272–0.834) | 0.342 | 0.711(0.352–1.442) |
| Day of surgery | 0.311 | 0.698(0.348–1.399) | ||
| Bowel preparation | ||||
| Nonea | ||||
| MBP only | < 0.001 | 0.376(0.223–0.634) | 0.185 | 0.650(0.344–1.229) |
| OABP only | 0.554 | 1.324(0.523–3.355) | ||
| MBP + OABP | 0.083 | 0.427(0.163–1.119) | ||
| Approach | ||||
| Opena | ||||
| Laparoscopic or robotic | < 0.001 | 0.259(0.157–0.429) | < 0.001 | 0.363(0.200–0.659) |
| Incisional protection | ||||
| Nonea | ||||
| Wound edge protector | 0.545 | 0.833(0.460–1.507) | ||
| Gauze | 0.368 | 0.676(0.288–1.585) | ||
| Adhesive incise drapes | 0.031 | 0.472(0.239–0.932) | 0.018 | 0.400(0.187–0.855) |
| Skin closure materials | ||||
| Silk suturesa | ||||
| Absorbable sutures | 0.060 | 0.524(0.268–1.027) | ||
| Skin staples | 0.953 | 0.978(0.466–2.051) | ||
| other | 0.053 | 2.496(0.988–6.307) | ||
| Incisional wound irrigation | ||||
| Nonea | ||||
| Incisional wound irrigation | 0.111 | 0.465(0.181–1.193) | ||
| Hydrogen peroxide solution | 0.317 | 0.500(0.129–1.942) | ||
| Saline | 0.134 | 0.562(0.264–1.195) | ||
| Other | 0.257 | 1.920(0.621–5.936) | ||
| Colostomy/ileostomy | ||||
| Noa | ||||
| Yes | < 0.001 | 3.805(2.233–6.483) | 0.081 | 1.820(0.929–3.564) |
| NNIS risk index | ||||
| 0 or 1a | ||||
| 2 or 3 | < 0.001 | 6.481(3.655–11.493) | < 0.001 | 3.840(1.926–7.658) |
areference