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Risk factors and care of early surgical site infection after primary posterior lumbar interbody fusion Cover

Risk factors and care of early surgical site infection after primary posterior lumbar interbody fusion

By:
Xiao-Lin Zuo and  Yan Wen  
Open Access
|Jun 2023

Figures & Tables

Baseline data and univariate comparison between both groups

VariablesSSI group (n = 18)Non-SSI group (n = 450)Statistical valueP valueOR95% CI
Lower limitUpper limit
Gender (male/female)5/13242/208χ2 = 3.9220.047**1.7691.1593.154
Age (years,x̄ ± s)59.72 ± 7.1956.34 ± 8.53t = 2.4720.012***2.1061.2674.171
ASA score (e.g., I/II/III)9/7/2192/238/20Z = -0.7740.452**0.9720.9841.013
BMI (kg/m2)23.92 ± 3.1124.28 ± 3.21t = 0.0540.955*1.0010.9981.005
Preoperative comorbidities
cardiovascular or cerebrovascular disease (e.g., yes/no)2/1633/417χ2 = 0.2160.635*0.8050.4751.592
Diabetes (e.g., yes/no)9/945/405χ2 = 24.705<0.001***1.0351.1271.225
Hypertension (e.g., yes/no)4/1476/374χ2 = 0.0600.805*1.1681.1171.692
UTI (e.g., yes/no)7/1129/421χ2 = 23.131<0.001***1.0061.0021.021
Preoperative albumin (g/L)36.12 ± 3.2040.27 ± 3.08t = –2.7390.018***1.7021.0492.283
Preoperative hemoglobin (g/L)134.27 ± 7.38138.52 ± 8.59t = –3.6580.008***1.5331.0632.161
Operated level (e.g., single level/multiple levels)5/13289/161χ2 = 13.621<0.001***1.7011.1292.147
Operative time (min)206.37 ± 15.58181.15 ± 13.12t = 8.515<0.001***1.6041.3022.315
Intraoperative blood loss (mL)262.24 ± 51.30258.35 ± 49.060.3200.731*1.1571.0781.703
Intraoperative allogeneic blood transfusion (e.g., yes/no)2/1645/4050.0470.825*1.0211.0191.475
Post-operative drainage (mL)329.27 ± 53.69291.52 ± 48.713.2460.001***1.0051.0351.081
Post-operative draining time (d)2.41 ± 0.452.02 ± 0.414.145<0.001***1.0281.2052.039

Multivariate logistic regression analysis results for early SSI after PLIF_

VariablesRegression coefficientStandard errorP valueOR95% CI
Lower limitUpper limit
Gender–0.2350.1630.0270.7360.4371.285
Preoperative diabetes0.7780.3150.0122.1091.1753.866
Preoperative UTI0.5100.1620.0351.5261.0082.869
Preoperative albumin–0.6020.2760.0040.5260.3170.925
Time of draining0.5390.1750.0291.6391.1963.053
DOI: https://doi.org/10.2478/fon-2023-0021 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 203 - 211
Submitted on: Oct 30, 2022
Accepted on: Dec 11, 2022
Published on: Jun 22, 2023
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year

© 2023 Xiao-Lin Zuo, Yan Wen, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.