OBJECTIVE: The aim of this study was to identify the risk factors for surgical site infections (SSIs) after elective gastrectomy. METHODS: This study reviewed the medical records of 842 patients who underwent elective gastrectomy. Multivariate analyses were performed to determine the risk factors for SSIs. RESULTS: Superficial incisional, deep incisional, and organ/space SSIs were detected in 50 (5.9%) patients, 2 (0.2%) patients, and 90 (10.7%) patients, respectively. A multivariate analysis demonstrated that female gender (p = 0.0332) and allogenic blood transfusion (p = 0.0266) were independent predictors for superficial incisional SSIs, while a male gender (p = 0.0355), corticosteroid therapy (p = 0.037), total gastrectomy (p < 0.0001), and a duration of operation ≥300 min (p = 0.0062) were independent predictors for organ/space SSIs. The median length of postoperative hospital stay was significantly longer in patients with organ/space SSIs in comparison to those without SSIs (p < 0.0001) and with superficial incisional SSIs (p < 0.0001). The patients with organ/space SSIs had a significantly higher re-operation rate in comparison to those without SSIs (p < 0.0001). CONCLUSIONS: The risk factors both for incisional SSIs and for organ/space SSIs are strongly associated with surgical results. Meticulous surgical techniques are therefore required to prevent SSIs.
OBJECTIVE: The aim of this study was to identify the risk factors for surgical site infections (SSIs) after elective gastrectomy. METHODS: This study reviewed the medical records of 842 patients who underwent elective gastrectomy. Multivariate analyses were performed to determine the risk factors for SSIs. RESULTS: Superficial incisional, deep incisional, and organ/space SSIs were detected in 50 (5.9%) patients, 2 (0.2%) patients, and 90 (10.7%) patients, respectively. A multivariate analysis demonstrated that female gender (p = 0.0332) and allogenic blood transfusion (p = 0.0266) were independent predictors for superficial incisional SSIs, while a male gender (p = 0.0355), corticosteroid therapy (p = 0.037), total gastrectomy (p < 0.0001), and a duration of operation ≥300 min (p = 0.0062) were independent predictors for organ/space SSIs. The median length of postoperative hospital stay was significantly longer in patients with organ/space SSIs in comparison to those without SSIs (p < 0.0001) and with superficial incisional SSIs (p < 0.0001). The patients with organ/space SSIs had a significantly higher re-operation rate in comparison to those without SSIs (p < 0.0001). CONCLUSIONS: The risk factors both for incisional SSIs and for organ/space SSIs are strongly associated with surgical results. Meticulous surgical techniques are therefore required to prevent SSIs.
Authors: Walter P Weber; Marcel Zwahlen; Stefan Reck; Heidi Misteli; Rachel Rosenthal; Andreas S Buser; Mark Kaufmann; Daniel Oertli; Andreas F Widmer; Walter R Marti Journal: Transfusion Date: 2009-05-11 Impact factor: 3.157
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Authors: M M Heiss; W Mempel; K W Jauch; C Delanoff; G Mayer; M Mempel; H J Eissner; F W Schildberg Journal: Lancet Date: 1993-11-27 Impact factor: 79.321
Authors: Allison N Martin; Deepanjana Das; Florence E Turrentine; Todd W Bauer; Reid B Adams; Victor M Zaydfudim Journal: J Gastrointest Surg Date: 2016-06-30 Impact factor: 3.452
Authors: Jung Ho Kim; Jinnam Kim; Woon Ji Lee; Hye Seong; Heun Choi; Jin Young Ahn; Su Jin Jeong; Nam Su Ku; Taeil Son; Hyoung-Il Kim; Sang Hoon Han; Jun Yong Choi; Chang Oh Kim; Joon-Sup Yeom; Woo Jin Hyung; Young Goo Song; Sung Hoon Noh; June Myung Kim Journal: Medicine (Baltimore) Date: 2019-08 Impact factor: 1.817