Scoring system to predict the risk of surgical-site infection after colorectal resection
| Autor: | P, Gervaz, C, Bandiera-Clerc, N C, Buchs, M-C, Eisenring, N, Troillet, T, Perneger, S, Harbarth |
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| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Colon Emergency Treatment/statistics & numerical data Risk Assessment Severity of Illness Index Colon/surgery Risk Factors Surgical Wound Infection Humans Surgical Procedures Elective/statistics & numerical data Risk Assessment/methods Emergency Treatment Aged Surgical Wound Infection/etiology ddc:616 Aged 80 and over ddc:617 Rectum Middle Aged digestive system diseases Elective Surgical Procedures Female Rectum/surgery Switzerland |
| Zdroj: | British Journal of Surgery, Vol. 99, No 4 (2012) pp. 589-95 |
| ISSN: | 0007-1323 |
| Popis: | There is no dedicated scoring system for predicting the risk of surgical-site infection (SSI) after resection of the colon or rectum. Generic scores, such as the National Nosocomial Infections Surveillance index, are not used by colorectal surgeons.Multivariable analysis of risk factors for SSI was performed in patients who underwent resection of the colon or rectum, and were followed during the first month after operation. A logistic regression model was used to identify determinant variables and construct a predictive score.There were 534 patients of whom 114 (21·3 per cent) developed SSI. In multivariable analysis, four parameters correlated with an increased risk of SSI: obesity (odds ratio (OR) 2·93, 95 per cent confidence interval 1·71 to 5·03), contamination class 3-4 (OR 3·33, 2·08 to 5·32), American Society of Anesthesiologists grade III-IV (OR 1·82, 1·14 to 2·90) and open surgery (OR 2·22, 1·01 to 4·88). Each of these contributed 1 point to the risk score. The observed risk of SSI was 5 per cent for a score of 0, 12·0 per cent for a score of 1 point, 18·7 per cent for 2 points, 44 per cent for 3 points and 68 per cent for 4 points. The area under the receiver operating characteristic curve for the score was 0·729.A simple clinical score based on four preoperative variables was clinically useful in predicting the risk of SSI in patients undergoing colorectal surgery. |
| Databáze: | OpenAIRE |
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