Complicated Surgical Wounds and Associated Factors in Oncology Patients
| Autor: | Diana Lima Villela de Castro, Ana Flávia dos Santos Amaral, Viviane Fernandes de Carvalho, Carol Viviana Serna González, Cinthia Viana Bandeira da Silva, See Hee Park Kim, Vera Lúcia Conceição de Gouveia Santos, Paula Cristina Nogueira |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Surgical Wound Logistic regression 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Risk Factors Intensive care Internal medicine Neoplasms Epidemiology medicine Humans Aged Advanced and Specialized Nursing business.industry Medical record Oncology Nursing Surgical wound Odds ratio Middle Aged Confidence interval Medical–Surgical Nursing Cross-Sectional Studies 030220 oncology & carcinogenesis NEOPLASIAS Surgery Observational study Female business |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 1550-1841 |
| Popis: | The objective of this study was to identify the occurrence of complicated surgical wounds (CSWs) and to analyze the associated factors in hospitalized patients at an oncology institution. This was an epidemiological, observational, cross-sectional, descriptive, and correlational study conducted in the intensive care and hospitalization units forming part of a large cancer hospital. Sociodemographic and clinical data were collected from medical records and physical examinations of the skin. Associations between the dependent variable (presence of CSWs) and the independent variables were obtained by chi-square tests and odds ratio (OR) calculations with a 95% confidence interval. Logistic regression (LASSO) was used to verify the possible predictors of the outcome. The sample consisted of 341 patients, specifically individuals who are White (46.9%), married (53.4%), and men (58.1%) with an average age of 59.2 years. Complicated surgical wounds were present in 3.2% of patients, and the most frequent types of complications were dehiscence (40%), infection (26.7%), and fistula (20%) present in the abdominal (40%), cephalic (26.7%), and cervical (13.3%) regions. Senile purpura, diaper use, and infection were the clinical variables associated with the occurrence of CSWs (p = .044, p = .001, and p < .001, respectively). Based on the logistic regression, the presence of infection (p < .001; OR = 90.8; 95% CI [18.42, 538.79]) persisted as a predictor of the occurrence of CSWs. From these observations, recommendations regarding best practices for the prevention of CSWs are made, specifically for patients with cancer. |
| Databáze: | OpenAIRE |
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