A Retrospective Study from 2 Tertiary Hospitals in China to Evaluate the Risk Factors for Surgical Site Infections After Abdominal Hysterectomy in 188 Patients

Dong Wang; Yanhua Chen; Jianjun Deng; Guoguang Xiao; Yaru Li; Lin Lin; Yun You

doi:10.12659/MSM.936198

31 May 2022 : Clinical Research

A Retrospective Study from 2 Tertiary Hospitals in China to Evaluate the Risk Factors for Surgical Site Infections After Abdominal Hysterectomy in 188 Patients

Dong Wang^1ABCDEF, Yanhua Chen^2ABCDEF*, Jianjun Deng^13ABCDG, Guoguang Xiao^1BCD, Yaru Li^1BCD, Lin Lin^4BCD, Yun You^5BCD

DOI: 10.12659/MSM.936198

Med Sci Monit 2022; 28:e936198

Authors information Article notes Copyright and License information

Background Material and Methods Results Discussion Conclusions References

Related articles Order reprints Share article Share by email

View HTML version

Table 3 Single-factor analysis of possible high-risk factors for surgical site infections in patients after abdominal hysterectomy.

		Not infected (n=94)	Infected (n=94)	χ2/Z	P
Age	>50	35 (58.33%)	25 (41.67%)	2.448	0.118
Age	≤50	59 (46.09%)	69 (53.91%)	2.448	0.118
Body mass index^*		23.44 (21.92~25.02)	24.63 (21.93~26.59)	−2.183	0.029^**
Heart disease	Yes	2 (66.67%)	1 (33.33%)	0.339	0.561
Heart disease	No	92 (49.73%)	93 (50.27%)	0.339	0.561
Hypertension	Yes	12 (52.17%)	11 (47.83%)	0.050	0.824
Hypertension	No	82 (49.70%)	83 (50.30%)	0.050	0.824
Diabetes mellitus	Yes	2 (18.18%)	9 (81.82%)	4.731	0.030^**
Diabetes mellitus	No	92 (51.98%)	85 (48.02%)	4.731	0.030^**
Cancer	Yes	61 (43.57%)	79 (56.43%)	9.064	0.003^**
Cancer	No	33 (68.75%)	15 (31.25%)	9.064	0.003^**
Malnutrition	Yes	0 (0.00%)	2 (100.00%)	2.022	0.155
Malnutrition	No	94 (49.46%)	92 (50.54%)	2.022	0.155
Anemia	Yes	15 (42.86%)	20 (57.14%)	0.878	0.349
Anemia	No	79 (51.63%)	74 (48.37%)	0.878	0.349
Hypoproteinemia	Yes	0 (0.00%)	4 (100.00%)	4.087	0.043^**
Hypoproteinemia	No	94 (51.09%)	90 (48.91%)	4.087	0.043^**
Preoperative white blood cell count^*		6.4 (5.20~7.73)	6.9 (5.70~8.25)	−1.563	0.118
Preoperative haemoglobin level^*		129 (117.75~138.00)	127.50 (113.75~136.00)	−0.720	0.472
Surgical wound classification	Class III	0 (0.00%)	3 (100.00%)	3.049	0.081^**
Surgical wound classification	Class II	94 (50.81%)	91 (49.19%)	3.049	0.081^**
Preoperative skin preparation	Yes	94 (50.81%)	91 (49.19%)	3.049	0.081^**
Preoperative skin preparation	No	0 (0.00%)	3 (100.00%)	3.049	0.081^**
Preoperative chemotherapy	Yes	9 (27.27%)	24 (72.73%)	8.270	0.004^**
Preoperative chemotherapy	No	85 (54.84%)	70 (45.16%)	8.270	0.004^**
Prior abdominal surgery	Yes	17 (44.74%)	21 (55.26%)	0.528	0.468
Prior abdominal surgery	No	77 (51.33%)	73 (48.67%)	0.528	0.468
High-dose antibiotic therapy before surgery	Yes	0 (0.00%)	1 (100.00%)	1.005	0.316
High-dose antibiotic therapy before surgery	No	94 (50.27%)	93 (49.73%)	1.005	0.316
Length of incision^*		15.00 (10.00~20.00)	20.00 (15.00~20.00)	−3.950	<0.001^**
Blood loss	>500 ml	21 (34.43%)	40 (65.57%)	8.761	0.003^**
Blood loss	≤500ml	73 (57.48%)	54 (42.52%)	8.761	0.003^**
Duration of surgery	>3 hours	45 (36.29%)	79 (63.71%)	27.385	<0.001^**
Duration of surgery	≤3 hours	49 (76.56%)	15 (23.44%)	27.385	<0.001^**
Necessity of a second surgery	Yes	0 (0.00%)	4 (100.00%)	4.087	0.043^**
Necessity of a second surgery	No	94 (51.09%)	90 (48.91%)	4.087	0.043^**
Wound drainage tube insertion	Yes	48 (37.21%)	81 (62.79%)	26.899	<0.001^**
Wound drainage tube insertion	No	46 (77.97%)	13 (22.03%)	26.899	<0.001^**
Delayed suture to close the wound	Yes	0 (0.00%)	4 (100.00%)	4.087	0.043^**
Delayed suture to close the wound	No	94 (51.09%)	90 (48.91%)	4.087	0.043^**
^* Non-normal distribution after normality test; ^**

Back to the Article

A Retrospective Study from 2 Tertiary Hospitals in China to Evaluate the Risk Factors for Surgical Site Infections After Abdominal Hysterectomy in 188 Patients

Your Privacy