Risk Factors Associated with Postoperative Infection in Cancer Patients Undergoing Spine Surgery
| Autor: | Mauro Costa Morais Tavares-Júnior, Gabriela Estefania Delgado Cabrera, William Gemio Jacobsen Teixeira, Douglas Kenji Narazaki, Cesar Salge Ghilardi, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcisio Eloy Pessoa de Barros-Filho |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Medicine (General) medicine.medical_specialty 030204 cardiovascular system & hematology Logistic regression 03 medical and health sciences Postoperative Complications R5-920 0302 clinical medicine Spine surgery Risk Factors Neoplasms Internal medicine Postoperative infection medicine Humans Spinal Metastasis 030212 general & internal medicine Spine Tumor Retrospective Studies business.industry Incidence Incidence (epidemiology) Cancer Postoperative complication General Medicine Odds ratio Middle Aged medicine.disease Spine Confidence interval Surgical Site Infection Original Article Female Postoperative Complication business |
| Zdroj: | Clinics; v. 76 (2021); e2741 Clinics; Vol. 76 (2021); e2741 Clinics Universidade de São Paulo (USP) instacron:USP Clinics, Vol 76 (2021) Clinics, Volume: 76, Article number: e2741, Published: 17 MAY 2021 |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | OBJECTIVES: To determine the rate of and main risk factors for postoperative infection in cancer patients who underwent spine surgery in the last 5 years in order to determine whether there is an association between postoperative infection and increased mortality during hospitalization. METHODS: All cancer patients who underwent surgical procedures between January 2015 and December 2019 at a single hospital specializing in spine cancer surgery were analyzed. The primary outcome of interest was postoperative infection. Bivariate logistic regression was used to estimate the odds ratio and 95% confidence interval for each variable in relation to the occurrence of infection. RESULTS: We evaluated 324 patients, including 176 men (54.3%) and 148 women (45.7%) with a mean age of 56 years. The incidence of postoperative infection was 20.37%. Of the 324 patients, 39 died during hospitalization (12%). CONCLUSIONS: Surgical time greater than 4 hours, surgical instrumented levels greater than 6, and an Eastern Cooperative Oncology Group of 3 or 4 were associated with an increased risk of postoperative infection, but these factors did not lead to an increase in mortality during hospitalization. |
| Databáze: | OpenAIRE |
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