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. 2021 May 5;373:n893. doi: 10.1136/bmj.n893

Table 2.

Clinical outcomes for intention to treat population with missing data on primary outcome (28 women) assumed to be no surgical site infection (SSI), conservatively favouring standard care*. Values are numbers (percentages) unless stated otherwise

Clinical outcomes All (n=2035) Closed incision NPWT (n=1017) Standard dressing (n=1018) Relative risk (95% CI) P value
All SSI types 174 (8.6) 75 (7.4) 99 (9.7) 0.76 (0.57 to 1.01) 0.06
 Superficial 163/174 (94) 70/75 (93) 93/99 (94) 0.75 (0.56 to 1.02) 0.72
 Deep incision 10/174 (5.7) 4/75 (5) 6/99 (6) 0.67 (0.19 to 2.36) 0.72
 Organ/space 1/174 (0.6) 1/75 (1) 0/99 (0) - 0.50
Complications 247 (12.1) 123 (12.1) 124 (12.2) 0.99 (0.79 to 1.25) 0.95
 Bleeding 30 (1.5) 14 (1.4) 16 (1.6) 0.88 (0.43 to 1.79) 0.72
 Dehiscence 211 (10.4) 108 (10.6) 103 (10.1) 1.05 (0.81 to 1.36) 0.71
 Haematoma 17 (0.8) 11 (1.1) 6 (0.6) 1.84 (0.68 to 4.94) 0.22
 Seroma 53 (2.6) 27 (2.7) 26 (2.6) 1.04 (0.61 to 1.77) 0.89
Median (IQR) HLOS, days (n=2019) 3.0 (2.0-4.0) 3 (2.0-4.0) 3 (2.0-4.0) - 0.32
Readmissions 36 (1.8) 23 (2.3) 13 (1.3) 1.76 (0.90 to 3.46) 0.09
Pain § 32 (1.6) 21 (2.1) 11 (1.1) 1.90 (0.92 to 3.93) 0.07
Reoperations 9 (0.4) 4 (0.4) 5 (0.5) 0.80 (0.22 to 2.96) 0.75

HLOS=hospital length of stay; IQR=interquartile range; NPWT=negative pressure wound therapy.

*

Worst case analysis based on effect estimate; 28 women missing primary outcome data (12 lost to follow-up; 16 withdrawn) assumed not to have SSI (favouring standard dressing as this arm has higher levels of missing data).

Using χ2 test, Fisher’s exact test, or Mann-Whitney U test.

Data not available for randomised patients withdrawn from study.

§

Pain associated with surgical wound requiring readmission measured as binary variable (yes/no).

5 participants had reoperations for wound complications before hospital discharge.