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Table 3 Independent predictors of DSWI in patients undergoing Myocardial Revascularisation

From: Improved early risk stratification of deep sternal wound infection risk after coronary artery bypass grafting

Variable

BASELINE MODEL (M1)

IMPROVED BASELINE MODEL (M2)

EXTENDED MODEL (M3)

OR [95% CI]

P-value

OR [95% CI]

P-value

OR [95% CI]

P-value

BMI (kg/m2) > 30

2.93 [2.12; 4.04]

< 0.001

1.78 [1.04; 3.05]

0.037

  

Diabetes - On insulin

2.31 [1.56; 3.42]

< 0.001

1.98 [1.34; 2.92]

0.001

1.88[1.24; 2.57]

0.003

BMI (kg/m2)

  

1.11 [1.05; 1.17]

< 0.001

1.16 [1.11; 1.20]

< 0.001

PAD

  

1.92 [1.30; 2.83]

0.001

2.19 [1.47; 3.26]

< 0.001

Preoperative hospital stay > 24 h

  

1.47 [1.04; 2.09]

0.031

1.77 [1.21; 2.57]

0.003

eGFR1 (ml/min)

  

0.99 [0.98; 1.00]

0.033

  

eGFR1 (ml/min) < 50

  

0.53 [0.30; 0.93]

0.028

  

Age (years)

  

1.02 [0.99; 1.04]

0.144

1.03 [1.00;1.05]

0.020

Acute kidney injury

  

1.89 [1.25; 2.85]

0.002

1.89 [1.24; 2.89]

0.003

Multiple blood transfusion (> 2 RBCs)

2.60 [1.76; 3.84]

< 0.001

    

Mediastinal re-exploration

3.27 [1.93; 5.55]

< 0.001

3.25 [1.93; 5.48]

< 0.001

3.14 [1.82; 5.41]

< 0.001

Bilateral ITA

  

5.22 [2.93; 9.31]

< 0.001

4.81 [2.65; 8.73]

< 0.001

Blood transfusion

  

2.31 [1.60; 3.33]

< 0.001

2.02 [1.38; 2.96]

< 0.001

Fibrin sealant

    

2.19 [1.10; 4.35]

0.026

Postoperative delirium

    

2.04 [1.32; 3.16]

0.001

Pleural effusion - intervention

    

2.26 [1.53; 3.34]

< 0.001

  1. Legend: BMI = Body Mass Index; CI = confidence interval; eGFR1 = estimated glomerular filtration rate – calculated by Cockcroft-Gault formula; ITA = internal thoracic artery; OR = odds ratio; PAD = peripheral arterial disease; RBCs = packed red blood cells