Variables | SSI | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
Total | North | South | ||||||||
n = 100 | North Total n= 54 | 2014 – 2017 n= 24 | 2017 – 2020 n= 30 | P value | South Total n= 46 | 2014 – 2017 n= 18 | 2017 – 2020 n= 28 | P value | ||
Age (in years), median (Q1-Q3) | 66 (56.5 – 74) | 65 (49.5 – 72.5) | 59.5 (45.5 – 70.5) | 66 (51 – 75) | 0.240 | 68.5 (60.25 – 74) | 72 (64 – 78) | 66 (59 (71.5) | 0.057 | |
Male gender, n(%) | 61 (60.0) | 33 (60.0) | 12 (50.0) | 21 (70.0) | 0.134 | 28 (60.9) | 11 (61.1) | 17 (60.7) | 0.979 | |
BMI (in kg/m2), median (Q1-Q3) | 28.9 (25.3 – 33.6) | 28.8 (24.9 – 32.9) | 30.2 (25.4 – 35.4) | 28.1 (24.8 – 32.1) | 0.134 | 29.6 (26.4 – 34.8) | 28.4 (26.4 – 31.1) | 31.3 (26.7 – 35.7) | 0.405 | |
CCI, median (Q1-Q3) | 1 (0 – 2) | 0 (0 – 2) | 0.5 (0 – 2.5) | 0 (0 – 2) | 0.300 | 1 (0 – 2) | 1 (0 – 2) | 1 (0 – 2.5) | 0.615 | |
ASA score, n (%) | 1 | 18 (18.0) | 11 (20.4) | 6 (25.0) | 5 (16.7) | 0.668 | 7 (15.2) | 1 (5.6) | 6 (21.4) | 0.078 |
2 | 41 (41.0) | 21 (38.9) | 8 (33.3) | 13 (43.3) | 20 (43.5) | 6 (33.3) | 14 (50.0) | |||
3 | 40 (40.0) | 22 (40.7) | 10 (41.7) | 12 (40.0) | 18 (39.1) | 11 (61.1) | 7 (25.0) | |||
4 | 1 (1.0) | 0 | 0 | 0 | 1 (2.2) | 0 | 1 (3.6) | |||
Altemeier classification, n (%) | 1 | 99 (99.0) | 53 (98.2) | 23 (95.83) | 30 (100) | 0.444 | 46 (100) | 18 (100) | 28 (100) | - |
2 | 1 (1.0) | 1 (1.8) | 1 (4.2) | 0 | 0 | 0 | 0 | |||
Time between admission and the surgery (in hours), median (Q1-Q3) | 18 (17 – 20) | 19 (17 – 21) | 19 (17 – 21.5) | 19 (17 – 22) | 0.680 | 17 (17 – 19) | 17 (17 – 19) | 17 (17 – 18.5) | 0.881 | |
Duration of the surgery (in minutes), median (Q1-Q3) | 85 (65 – 125) | 113 (75 – 152.75) | 127 (88 – 153.5) | 87 (68 – 144) | 0.183 | 72 (59.3 – 100.3) | 75 (65 – 106) | 71 (58 – 81) | 0.350 | |
Type of surgery n (%) | OS of the UEF | 0 | 0 | 0 | 0 | 0.038 | 0 | 0 | 0 | 0.074 |
Other OS | 17 (17.0) | 14 (25.9) | 9 (37.5) | 5 (16.7) | 3 (6.5) | 2 (11.1) | 1 (3.6) | |||
Knee prostheses | 37 (37.0) | 12 (22.2) | 8 (33.3) | 4 (13.3) | 25 (54.3) | 11 (61.1) | 14 (50.0) | |||
Hip prostheses | 28 (28.0) | 15 (27.8) | 5 (20.8) | 10 (33.3) | 13 (28.3) | 2 (11.1) | 11 (39.3) | |||
Revision of knee prosthesis | 4 (4.0) | 2 (3.7) | 0 | 2 (6.7) | 2 (4.4) | 2 (11.1) | 0 | |||
Revision of hip prosthesis | 14 (14.0) | 11 (20.4) | 2 (8.3) | 9 (30.0) | 3 (6.5) | 1 (5.6) | 2 (7.1) | |||
Smoking, n (%) | n= 98 | 0.079 | n= 44 | n= 26 | 0.682 | |||||
19 (19.4) | 12 (22.2) | 8 (33.3) | 4 (13.3) | 7 (15.9) | 2 (11.1) | 5 (19.2) | ||||
Alcoholism, n (%) | n = 99 | 1.000 | n= 45 | n= 27 | 1.000 | |||||
4 (4.0) | 1 (1.9) | 0 | 1 (3.3) | 3 (6.7) | 1 (5.6) | 2 (7.4) | ||||
IV drug abuse, n (%) | 0 | |||||||||
Presence of HBP, n (%) | 58 (58.0) | 26 (48.2) | 10 (41.7) | 16 (53.3) | 0.394 | 32 (69.6) | 14 (77.8) | 18 (64.3) | 0.332 | |
Presence of diabetes, n (%) | 26 (26.0) | 12 (22.2) | 8 (33.3) | 4 (13.3) | 0.079 | 14 (30.4) | 8 (44.4) | 6 (21.4) | 0.098 | |
Presence of immunosuppression, n (%) | 4 (4.0) | 1 (1.8) | 0 | 1 (3.3) | 1.000 | 3 (6.5) | 2 (11.1) | 1 (3.6) | 0.552 | |
Presence of negligence, n (%) | 3 (3.0) | 1 (1.8) | 0 | 1 (3.3) | 1.000 | 2 (4.3) | 0 | 2 (7.1) | 0.513 | |
Preoperative shower taken on D0, n (%) | n= 97 62 (63.9) | n= 53 39 (73.6) | 16 (66.7) | n= 29 23 (79.3) | 0.299 | n= 44 23 (52.3) | 2 (11.1) | n= 26 21 (80.8) | <0.001 | |
Preoperative antibiotic prophylaxis: suitable molecule, n (%) | n= 96 | n= 53 | n= 23 | 0.434 | n= 43 | n= 16 | n= 27 | |||
95 (99.0) | 52 (98.1) | 22 (95.7) | 30 (100) | 43 (100) | 16 (100) | 27 (100) | ||||
Operating theatre, n (%) | 0.947 | n= 44 | n= 17 | 0.697 | ||||||
1 North | 38 (70.4) | 17 (70.8) | 21 (70.0) | 0 | 0 | 0 | ||||
2 North | 16 (29.6) | 7 (29.2) | 9 (30.0) | 0 | 0 | 0 | ||||
1 South | 0 | 0 | 0 | 11 (25.0) | 5 (31.3) | 6 (21.4) | ||||
2 South | 0 | 0 | 0 | 17 (38.6) | 5 (31.3) | 12 (42.9) | ||||
3 South | 0 | 0 | 0 | 10 (22.7) | 3 (18.8) | 7 (25.0) | ||||
4 South | 0 | 0 | 0 | 6 (13.6) | 3 (18.8) | 3 (10.7) | ||||
Position in the daily surgical schedule, n (%) | n= 98 | 0.234 | n= 44 | n= 16 | 0.780 | |||||
1 | 36 (36.7) | 26 (48.1) | 9 (37.5) | 17 (56.7) | 10 (22.7) | 4 (25.0) | 6 (21.4) | |||
2 | 39 (39.8) | 18 (33.3) | 9 (37.5) | 9 (30.0) | 21 (47.7) | 9 (56.3) | 12 (42.9) | |||
3 | 13 (13.3) | 4 (7.4) | 3 (12.5) | 1 (3.3) | 9 (20.5) | 3 (18.8) | 6 (21.4) | |||
4 | 6 (6.1) | 4 (7.4) | 3 (12.5) | 1 (3.3) | 2 (4.5) | 0 | 2 (7.1) | |||
5 | 4 (4.1) | 2 (3.7) | 0 | 2 (6.7) | 2 (4.5) | 0 | 2 (7.1) | |||
Number of people present in the operating theatre, n (%) | n = 99 | 0.532 | n= 45 | n= 17 | 0.477 | |||||
4 | 1 (1.0) | 0 | 0 | 0 | 1 (2.2) | 0 | 1 (3.4) | |||
5 | 4 (4.0) | 3 (5.6) | 3 (12.5) | 0 | 1 (2.2) | 1 (5.9) | 0 | |||
6 | 10 (10.1) | 6 (11.1) | 2 (8.3) | 4 (13.3) | 4 (8.9) | 3 (17.7) | 1 (3.6) | |||
7 | 22 (22.2) | 14 (25.9) | 8 (33.3) | 6 (20.0) | 8 (17.8) | 4 (23.5) | 4 (14.3) | |||
8 | 29 (29.3) | 13 (24.1) | 6 (25.0) | 7 (23.3) | 16 (35.6) | 4 (23.5) | 12 (42.9) | |||
9 | 13 (13.1) | 6 (11.1) | 2 (8.3) | 4 (13.3) | 7 (15.6) | 3 (17.7) | 4 (14.3) | |||
10 | 11 (11.1) | 7 (13.0) | 2 (8.3) | 5 (16.7) | 4 (8.9) | 2 (11.8) | 2 (7.1) | |||
11 | 5 (5.1) | 3 (5.5) | 1 (4.2) | 2 (6.7) | 2 (4.4) | 0 | 2 (7.1) | |||
12 | 1 (1.0) | 1 (1.8) | 0 | 1 (3.3) | 0 | 0 | 0 | |||
13 | 1 (1.0) | 0 | 0 | 0 | 1 (2.2) | 0 | 1 (3.6) | |||
14 | 1 (1.0) | 0 | 0 | 0 | 1 (2.2) | 0 | 1 (3.6) | |||
15 | 1 (1.0) | 1 (1.8) | 0 | 1 (3.3) | 0 | 0 | 0 | |||
Presence of a postoperative haematoma, n (%) | n= 86 26 (30.2) | n= 47 13 (27.7) | n= 20 8 (40.0) | n= 27 5 (18.5) | 0.104 | n= 39 13 (33.3) | n= 15 4 (26.7) | n= 24 9 (37.5) | 0.485 | |
Postoperative anticoagulation, n (%) | n= 93 88 (94.6) | n= 50 47 (94.0) | n= 20 20 (100) | 27 (90.0) | 0.265 | n= 43 41 (95.4) | n= 15 15 (100) | 26 (92.9) | 0.535 | |
Non-compliance with postoperative recommendations, n (%) | n= 75 3 (4.0) | n= 42 1 (2.4) | n= 12 1 (8.3) | 0 | 0.286 | n= 33 2 (6.1) | n= 5 1 (20.0) | 1 (3.6) | 0.284 | |
Time between surgery and the SSI (days), median (Q1-Q3) | 29.5 (20 – 104) | 21.5 (14-48) | 19 (11-38) | 29 (14-68) | 0.136 | 32 (18-68) | 32.5 (17 – 77) | 32 (22-63.5) | 0.773 | |
Monomicrobial S. aureus SSI, n (%) | Superficial | 4 (4.0) | 1 (1.9) | 0 | 1 (3.3) | 0.286 | 3 (6.5) | 2 (11.1) | 1 (3.6) | 1.000 |
Deep | 26 (26.0) | 13 (24.1) | 10 (41.7) | 3 (10.0) | 13 (28.3) | 7 (38.9) | 6 (21.4) | |||
CCFM SSI, n (%) | Superficial | 4 (4.0) | 1 (1.9) | 0 | 1 (3.3) | 0.381 | 3 (6.5) | 2 (11.1) | 1 (3.6) | 1.000 |
Deep | 39 (39.0) | 20 (37.0) | 13 (54.2) | 7 (23.3) | 19 (41.3) | 10 (55.5) | 9 (32.1) | |||
All SSI, n (%) | Superficial | 10 (10.0) | 3 (5.6) | 1 (4.2) | 2 (6.7) | 0.585 | 7 (15.2) | 3 (16.7) | 4 (14.3) | 1.000 |
Deep | 90 (90.0) | 51 (94.4) | 23 (95.8) | 28 (93.3) | 39 (84.8) | 15 (83.3) | 24 (85.7) |