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Table 3

Multivariate analysis of risk factors for implant failure.

Failure type Variable Odds ratio (OR) 95% Confidence interval p-value
Type 1 METS implant (vs. MUTARS) 0.09 0.00–0.45 0.020
Type 4 Prolonged hospitalization 1.09 1.04–1.14 <0.001
Type 4 Operative time 1.02 1.01–1.03 <0.001
Type 4 ASA score 2.39 1.32–4.32 0.003
Type 4 Diabetes mellitus 6.32 2.29–17.45 <0.001
Type 4 Increased BMI 1.25 1.11–1.41 <0.001
Type 4 Transfusion requirement 2.26 1.32–3.89 <0.001
Type 4 Silver-coated implant 0.18 0.03–1.15 0.29

Significant predictors of infection included prolonged hospitalization, elevated ASA score, diabetes mellitus, increased BMI, longer operative time, and transfusion requirement. Use of METS implants was protective against soft-tissue failure. Silver-coated implants demonstrated a non-significant trend toward infection risk reduction.

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