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Worst case analysis based on effect estimate; 28 women missing primary outcome data (12 lost to follow-up; 16 withdrawn) assumed not to have SSI (favouring standard dressing as this arm has higher levels of missing data).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Data not available for randomised patients withdrawn from study.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