Table 2.
Univariate and multivariable association with superficial surgical site infection, deep surgical site infection, intra-abdominal abscess, anastomotic leak, and secondary drainage procedure for all patients
Univariate analysis | Multivariable analysis | |||
---|---|---|---|---|
OR (95% CI) | p value | OR (95% CI) | p value | |
Superficial surgical site infection | ||||
Age | 1.012 (0.987–1.037) | 0.362 | ||
Gender | ||||
Female | Reference | 0.781 | ||
Male | 1.093 (0.585–2.044) | |||
BMI | 1.096 (1.055–1.138) | < 0.001 | 1.088 (1.046–1.133) | < 0.001 |
Diabetes | 1.446 (0.680–3.076) | 0.338 | ||
Smoking history | 0.628 (0.288–1.369) | 0.242 | ||
Neoadjuvant chemoradiation | 0.931 (0.480–1.804) | 0.831 | ||
Total neoadjuvant therapy | 0.935 (0.474–1.846) | 0.847 | ||
Operative approach | ||||
Open | Reference | 0.304 | ||
Minimally invasive | 0.706 (0.364–1.370) | 0.206 | ||
Hand assisted Operative time |
0.579 (0.249–1.350) | 0.206 0.002 |
||
Operative time | 1.004 (1.001–1.006) | 0.002 | 1.003 (1.000–1.006) | 0.024 |
Intraoperative drain | 1.875 (0.847–4.153) | 0.121 | ||
Deep surgical site infection | ||||
Age | 1.008 (0.978–1.039) | 0.611 | ||
Gender | ||||
Female | Reference | 0.780 | ||
Male BMI |
0.899 (0.428–1.891) 1.059 (1.016–1.104) |
0.007 | 1.088 (1.032–1.147) | 0.002 |
Diabetes | 1.441 (0.578–3.596) | 0.433 | ||
Smoking history | 1.753 (0.821–3.742) | 0.147 | ||
Neoadjuvant chemoradiation | 5.100 (1.201–21.650) | 0.027 | 5.695 (0.734–44.197) | 0.096 |
Total neoadjuvant therapy | 1.792 (0.843–3.809) | 0.129 | ||
Operative approach | ||||
Open | Reference | < 0.001 | Reference | 0.045 |
Minimally invasive | 0.153 (0.58–0.408) | 0.004 | 0.289 (0.086–0.974) | 0.145 |
Hand assisted | 0.114 (0.027–0.490) | 0.313 (0.065–1.495) | ||
Operative time | 1.000 (0.996–1.003) | 0.821 | ||
Intraoperative drain | 4.233 (0.970–18.467) | 0.055 | 10.292 (0.975–108.680) | 0.053 |
Intra-abdominal abscess | ||||
Age | 0.992 (0.973–1.012) | 0.425 | ||
Gender | ||||
Female | Reference | 0.192 | ||
Male | 1.404 (0.843–2.339) | |||
BMI | 0.978 (0.940–1.017) | 0.263 | ||
Diabetes | 1.278 (0.693–2.358) | 0.432 | ||
Smoking history | 1.527 (0.921–2.532) | 0.101 | ||
Neoadjuvant chemoradiation | 1.356 (0.763–2.411) | 0.299 | ||
Total neoadjuvant therapy | 1.306 (0.788–2.163) | 0.301 | ||
Operative approach | ||||
Open | Reference | 0.965 | ||
Minimally invasive | 0.988 (0.583–1.675) | 0.365 | ||
Hand assisted | 0.733 (0.374–1.435) | |||
Operative time | 1.001 (0.999–1.004) | 0.179 | ||
Intraoperative drain | 1.017 (0.577–1.792) | 0.953 | ||
Diverting loop ileostomy | 0.782 (0.452–1.351) | 0.378 | ||
Anastomotic leak | 19.092 (9.719–37.505) | < 0.001 | ||
Age | 1.002 (0.980–1.024) | 0.876 | ||
Gender | ||||
Female | Reference | 0.001 | Reference | 0.004 |
Male | 3.157 (1.593–6.254) | 2.582 (1.402–5.803) | ||
BMI | 1.000 (0.961–1.041) | 0.994 | ||
Diabetes | 2.842 (1.531–5.277) | 0.001 | 3.076 (1.559–6.067) | 0.001 |
Smoking history | 2.917 (1.643–5.180) | < 0.001 | 3.100 (1.666–5.768) | < 0.001 |
Neoadjuvant chemoradiation | 1.410 (0.767–2.593) | 0.269 | ||
Total neoadjuvant therapy | 1.998 (1.095–3.643) | 0.024 | 2.087 (1.095–3.978) | 0.025 |
Operative approach | Reference | 0.667 | ||
Open | 0.874 (0.474–1.612) | 0.120 | ||
Minimally invasive | 0.539 (0.247–1.176) | |||
Hand assisted | ||||
Anastomosis distance from anal verge | Reference | 0.842 | ||
0–6 cm | 1.095 (0.449–2.671) | 0.711 | ||
7–11 cm | 1.201 (0.456–3.158) | |||
12–15 cm | ||||
Anastomosis type | Reference | 0.241 | ||
Stapled | 0.486 (0.146–1.621) | |||
Hand sewn | ||||
Intraoperative drain | 1.937 (1.062–3.531) | 0.031 | 1.722(0.910–3.256) | 0.095 |
Diverting loop ileostomy | 0.679 (0.382–1.209) | 0.188 | ||
Secondary drainage procedure | ||||
Age | 0.994 (0.974–1.014) | 0.530 | ||
Gender | ||||
Female | Reference | 0.071 | ||
Male | 1.637 (0.959–2.792) | |||
BMI | 1.010 (0.975–1.047) | 0.583 | ||
Diabetes | 1.586 (0.881–2.856) | 0.124 | ||
Smoking history | 1.321 (0.781–2.235) | 0.299 | ||
Operative approach | ||||
Open | Reference | 0.769 | ||
Minimally invasive | 0.920 (0.528–1.602) | 0.769 | ||
Hand assisted | 1.035 (0.528–1.602) | |||
Operative time | 1.003 (1.001–1.005) | 0.001 | 1.001 (0.999–1.004) | 0.236 |
Intraoperative drain | 0.665 (0.402–1.101) | 0.112 | ||
Diverting loop ileostomy | 1.013 (0.559–1.835) | 0.996 | ||
Anastomotic leak | 14.227 (7.513–26.942) | < 0.001 | 14.875 (7.712–28.691) | < 0.001 |
Italics denote statistical significance