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Table 5 Risk factors for sepsis after duodenal trauma

From: Risk factors for the leakage of the repair of duodenal wounds: a secondary analysis of the Panamerican Trauma Society multicenter retrospective review

Variable

Univariable analysis

Multivariable analysis

OR (95% C.I.)

p-value

OR (95% C.I.)

p-value

Age, median (IQR)

0 .988 (0.967–1.001)

0.280

0.466

Penetrating injury mechanism

2.445 (1.101–5.438)

0.028

0.141

Hypotension at arrival

3.616 (1.866–7.007)

 < 0.001

2.218 (1.003–4.905)

0.049

Massive transfusion

2.949 (1.606–5.413)

 < 0.001

2.553 (1.246–5.231)

0.010

ISS (every 10 points)

1.802 (1.322–2.456)

 < 0.001

1.651 (1.144–2.384)

0.007

Abdominal AIS

1.505 (1.122–2.017)

0.002

0.799

Duodenal AAST grade

1.196 (0.806–1.776)

0.375

Duodenal AAST grade 3

1.767 (0.994–3.238)

0.065

0.988

Associated intraabdominal injuries

    

Stomach

1.664 (0.898–3.085)

0.106

0.582

Pancreas

3.568 (1.999–6.368)

 < 0.001

0.206

Kidney

2.324 (1.242–4.346)

0.008

0.277

Leak of the duodenal repair

7.083 (3.341–15.012)

 < 0.001

7.083 (3.341–15.012)

 < 0.001

Complex repair of the duodenum*

4.367 (2.357–8.055)

 < 0.001

2.937 (1.425–6.051)

0.003

  1. Area under ROC curve = 0.819 (0.7580.879)
  2. Goodness of fit p = 0.546
  3. IQR Interquartile range, ISS Injury Severity Score, AAST The American Association for the Surgery of Trauma
  4. *Duodenal suture + duodenostomy or pyloric exclusion or diverticulizaction or other complex repairs