Incidence of surgical infection and risk factors in colorectal surgery - A prospective cohort study
Copyright: © 2021 Permanyer..
OBJECTIVE: The objective was to measure the incidence of surgical site infection (SSI) and identify risk factors, in patients undergoing elective surgery of the colon and rectum.
MATERIALS AND METHODS: A prospective cohort study was performed from January 2017 to December 2018.
RESULTS: A total of 130 patients were studied. The cumulative incidence of SSI was 12.3%. The 56.25% were superficial wound infections and the 31.25%, organ-space infection. The risk factors significantly associated with SSI were the non-administration of pre-operative oral nutrition, diabetes mellitus, heart disease, symptomatic state at the diagnosis of colorectal cancer (CRC), and ≥ 2 altered nutritional biochemical parameters at diagnosis. After multivariate , risk factors associated with SSI were: non-administration of preoperative enteral nutrition (odds ratio [OR] = 0.27; 95% confidence interval [CI]: 0.07-1.0), DM (OR = 3.0; 95% CI: 0.9-9.9), the heart disease (OR = 4.6; 95% CI: 1.1-18.6), and laparoscopic surgery (OR = 0.28; 95% CI: 0.08-0.97). The average stay was higher in patients with a diagnosis of SSI (11.9 vs. 9.2 days).
CONCLUSIONS: Independent risk factors for SSI in CRC were the non-administration of pre-operative enteral nutrition, the existence of heart disease, and open surgery.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:89 |
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| Enthalten in: |
Cirugia y cirujanos - 89(2021), 2 vom: 30., Seite 156-162 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Incidencia de infección quirúrgica y factores de riesgo en cirugía colorrectal. Estudio de cohorte prospectivo |
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| Beteiligte Personen: |
Páramo-Zunzunegui, Javier [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 29.09.2021 Date Revised 21.04.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.24875/CIRU.20000205 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM323400264 |
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| 100 | 1 | |a Páramo-Zunzunegui, Javier |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Incidence of surgical infection and risk factors in colorectal surgery - A prospective cohort study |
| 246 | 3 | 3 | |a Incidencia de infección quirúrgica y factores de riesgo en cirugía colorrectal. Estudio de cohorte prospectivo |
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| 500 | |a Date Revised 21.04.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright: © 2021 Permanyer. | ||
| 520 | |a OBJECTIVE: The objective was to measure the incidence of surgical site infection (SSI) and identify risk factors, in patients undergoing elective surgery of the colon and rectum | ||
| 520 | |a MATERIALS AND METHODS: A prospective cohort study was performed from January 2017 to December 2018 | ||
| 520 | |a RESULTS: A total of 130 patients were studied. The cumulative incidence of SSI was 12.3%. The 56.25% were superficial wound infections and the 31.25%, organ-space infection. The risk factors significantly associated with SSI were the non-administration of pre-operative oral nutrition, diabetes mellitus, heart disease, symptomatic state at the diagnosis of colorectal cancer (CRC), and ≥ 2 altered nutritional biochemical parameters at diagnosis. After multivariate , risk factors associated with SSI were: non-administration of preoperative enteral nutrition (odds ratio [OR] = 0.27; 95% confidence interval [CI]: 0.07-1.0), DM (OR = 3.0; 95% CI: 0.9-9.9), the heart disease (OR = 4.6; 95% CI: 1.1-18.6), and laparoscopic surgery (OR = 0.28; 95% CI: 0.08-0.97). The average stay was higher in patients with a diagnosis of SSI (11.9 vs. 9.2 days) | ||
| 520 | |a CONCLUSIONS: Independent risk factors for SSI in CRC were the non-administration of pre-operative enteral nutrition, the existence of heart disease, and open surgery | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cirugía colorrectal | |
| 650 | 4 | |a Cohort study | |
| 650 | 4 | |a Colorectal surgery | |
| 650 | 4 | |a Estudio de cohortes | |
| 650 | 4 | |a Factores de riesgo | |
| 650 | 4 | |a Incidence | |
| 650 | 4 | |a Incidencia | |
| 650 | 4 | |a Infección de herida quirúrgica | |
| 650 | 4 | |a Infección del sitio quirúrgico | |
| 650 | 4 | |a Risk factors | |
| 650 | 4 | |a Surgical site infection | |
| 650 | 4 | |a Surgical wound infection | |
| 700 | 1 | |a Alonso-García, Marcos |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez-Villar, Diego |e verfasserin |4 aut | |
| 700 | 1 | |a Drewniak-Jakubowska, Justina |e verfasserin |4 aut | |
| 700 | 1 | |a Calvo-Espino, Pablo |e verfasserin |4 aut | |
| 700 | 1 | |a Cuberes-Montserrat, Rosa |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez-Caravaca, Gil |e verfasserin |4 aut | |
| 700 | 1 | |a Durán-Poveda, Manuel |e verfasserin |4 aut | |
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