Surgical Site Infection Risk Factors Identified for Patients Undergoing Colon Procedures, New York State 2009–2010

Tserenpuntsag, Boldtsetseg; Haley, Valerie B.; Antwerpen, Carole Van; Doughty, Diana; Gase, Kathleen A.; Hazamy, Peggy Ann; Tsivitis, Marie

doi:10.1086/677156

Cited by 22 publications

(17 citation statements)

References 29 publications

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“…Some scholars investigated the mortality in patients experiencing postoperative nosocomial infection in the departments of general surgery. The results showed 7.5% mortality in patients with single-pathogen nosocomial infection and a mortality of 17.1% in patients with multiplepathogen mixed infection, which is higher than the average postoperative mortality of 0.53% (7).…”

Section: Introductionmentioning

confidence: 67%

Regression analysis of the risk factors for postoperative nosocomial infection in patients with abdominal tumors: experience from a large cancer centre in China

Sun

Zhu

et al. 2015

DD&T

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Nosocomial infection is a common complication after abdominal oncology surgery. Aimed at finding its independent risk factors for prevention, all the patients who underwent abdominal oncology surgery were summarized from March 1(st), 2010 to March 1(st), 2013 from the oncology surgery department, Beijing Shijitan Hospital. The investigated variances were patients' information including admission number, sex, age, diabetes, diagnosis, length of stay, American society of anesthesiologists (ASA) grade, surgery time, number of drainage tubes. Comparisons were taken between the infected cases and non-infected cases for retrospective logistic regression analysis. 4 variances including diabetes, preoperative hospitalization time ≥ 6 days, surgery time ≥ 230 minutes, ASA grade ≥ III were found out to be related to nosocomial infection after surgery. The 4 variances mentioned above were risk factors for nosocomial infection after surgery.

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Section: Introductionmentioning

confidence: 67%

Regression analysis of the risk factors for postoperative nosocomial infection in patients with abdominal tumors: experience from a large cancer centre in China

Sun

Zhu

et al. 2015

DD&T

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“…There are other studies demonstrating obesity to have a negative influence on complications. Several studies have identified a high risk of surgical site infection (SSI) with obesity . Similar adverse influences have been recognized for surgical procedures such as right hemicolectomy, LAR, Hartmann surgery, Miles surgery, and robotic surgery .…”

Section: Colorectal Surgerymentioning

confidence: 83%

Obesity as a surgical risk factor

Aikou

Seto

2017

Annals of Gastroent Surgery

156

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In recent years, both the actual number of overweight/obese individuals and their proportion of the population have steadily been rising worldwide and obesity‐related diseases have become major health concerns. In addition, as obesity is associated with an increased incidence of gastroenterological cancer, the number of obese patients has also been increasing in the field of gastroenterological surgery. While the influence of obesity on gastroenterological surgery has been widely studied, very few reports have focused on individual organs or surgical procedures, using a cross‐sectional study design. In the present review, we aimed to summarize the impacts of obesity on surgeries for the esophagus, stomach, colorectum, liver and pancreas. In general, obesity prolongs operative time. As to short‐term postoperative outcomes, obesity might be a risk for certain complications, depending on the procedure carried out. In contrast, it is possible that obesity doesn't adversely impact long‐term surgical outcomes. The influences of obesity on surgery are made even more complex by various categories of operative outcomes, surgical procedures, and differences in obesity among races. Therefore, it is important to appropriately evaluate perioperative risk factors, including obesity.

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“…Higher SSI proportions were reported after colon surgery with colostomy vs. no colostomy at a single hospital in Italy, (11) and left sided colectomy was independently associated with higher SSI risk compared to other colectomies in New York state hospitals. (12) Trans-tibial amputations had significantly higher 30-day deep incisional SSI risk than trans-femoral amputations in people ≥50 years old in a study by Hasanadka et al using data from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP). (13) Olsen found that mastectomy plus immediate implant and mastectomy plus flap had higher 1-year SSI risk than mastectomy only at a tertiary care university hospital.…”

Section: Discussionmentioning

confidence: 99%

Procedure-specific surgical site infection incidence varies widely within certain National Healthcare Safety Network surgery groups

Saeed¹,

Dubberke²,

Fraser³

et al. 2015

American Journal of Infection Control

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Background The National Healthcare Safety Network (NHSN) classifies surgical procedures into 40 categories. The objective of this study was to determine surgical site infection (SSI) incidence for clinically defined subgroups within 5 heterogeneous NHSN surgery categories. Methods This is a retrospective cohort study using the longitudinal State Inpatient Database. We identified 5 groups of surgical procedures (amputation; biliary, liver and pancreas [BILI]; breast; colon and hernia) using ICD-9-CM procedure codes in community hospitals in California, Florida and New York from January 2009 through September 2011 in persons aged ≥18 years. Each of these 5 categories was classified to more specific surgical procedures within the group. 90-day SSI rates were calculated using ICD-9-CM diagnosis codes. Results There were 62,901 amputation, 33,358 BILI, 72,058 breast, 125,689 colon and 85,745 hernia surgeries in 349,298 people. 90-day SSI rates varied significantly within each of the 5 subgroups. Within the BILI category, bile duct, pancreas and laparoscopic liver procedures had SSI rates of 7.2%, 17.2%, and 2.2%, respectively (p<0.0001 for each) compared to open liver procedures (11.1% SSI). Conclusion 90-day SSI rates varied widely within certain NHSN categories. Risk adjustment for specific surgery type is needed in order to make valid comparisons between hospitals.

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Surgical Site Infection Risk Factors Identified for Patients Undergoing Colon Procedures, New York State 2009–2010

Abstract: Male sex, obesity, transfusion, type of procedure, and prolonged duration were significant factors associated with overall infection risk after adjusting other factors. Additional factors not collected in the NHSN slightly improved prediction of SSIs.

Cited by 22 publications

References 29 publications

Regression analysis of the risk factors for postoperative nosocomial infection in patients with abdominal tumors: experience from a large cancer centre in China

Regression analysis of the risk factors for postoperative nosocomial infection in patients with abdominal tumors: experience from a large cancer centre in China

Obesity as a surgical risk factor

Procedure-specific surgical site infection incidence varies widely within certain National Healthcare Safety Network surgery groups

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