Predictors of surgical site infection after liver resection: a multicentre analysis using National Surgical Quality Improvement Program data
| Autor: | Michael F. Daily, Jonathan Hundley, Daniel L. Davenport, Almudena Moreno Elola-Olaso, Roberto Gedaly |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Time Factors organ space infection medicine.medical_treatment MEDLINE Risk Assessment Resection hepatectomy Risk Factors Odds Ratio Humans Surgical Wound Infection Medicine Hypoalbuminemia Aged Quality Indicators Health Care Chi-Square Distribution Hypernatremia Hepatology business.industry Gastroenterology Bilirubin Original Articles Odds ratio Length of Stay Middle Aged surgical site infection medicine.disease Quality Improvement United States Up-Regulation Surgery Logistic Models Treatment Outcome Databases as Topic Female Hepatectomy Risk assessment business Surgical site infection Chi-squared distribution Biomarkers |
| Zdroj: | HPB. 14:136-141 |
| ISSN: | 1365-182X |
| DOI: | 10.1111/j.1477-2574.2011.00417.x |
| Popis: | BackgroundPostoperative infections are frequent complications after liver resection and have significant impact on length of stay, morbidity and mortality. Surgical site infection (SSI) is the most common nosocomial infection in surgical patients, accounting for 38% of all such infections.ObjectivesThis study aimed to identify predictors of SSI and organ space SSI after liver resection.MethodsData from the American College of Surgeons National Surgical Quality Improvement Program (ACS–NSQIP) database for patients who underwent liver resection in 2005, 2006 or 2007 in any of 173 hospitals throughout the USA were analysed. All patients who underwent a segmental resection, left hepatectomy, right hepatectomy or trisectionectomy were included.ResultsThe ACS–NSQIP database contained 2332 patients who underwent hepatectomy during 2005–2007. Rates of SSI varied significantly across primary procedures, ranging from 9.7% in segmental resection patients to 18.3% in trisectionectomy patients. A preoperative open wound, hypernatraemia, hypoalbuminaemia, elevated serum bilirubin, dialysis and longer operative time were independent predictors for SSI and for organ space SSI.ConclusionsThese findings may contribute towards the identification of patients at risk for SSI and the development of strategies to reduce the incidence of SSI and subsequent costs after liver resection. |
| Databáze: | OpenAIRE |
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