Risk Factors for Postoperative Deep Infection After Malignant Bone Tumor Surgery of the Extremities

被引：11
|
作者：
Langit, Mickhael Bang [1 ,2 ]
Miwa, Shinji [1 ]
Yamamoto, Norio [1 ]
Hayashi, Katsuhiro [1 ]
Takeuchi, Akihiko [1 ]
Igarashi, Kentaro [1 ]
Tada, Kaoru [1 ]
Higuchi, Takashi [1 ]
Yonezawa, Hirotaka [1 ]
Morinaga, Sei [1 ]
Araki, Yoshihiro [1 ]
Asano, Yohei [1 ]
Tsuchiya, Hiroyuki [1 ]
机构：
[1] Kanazawa Univ, Sch Med, Dept Orthoped Surg, Kanazawa, Ishikawa, Japan
[2] Philippine Orthoped Ctr, Dept Orthoped Surg, Manila, Philippines
来源：
ANTICANCER RESEARCH | 2020年 / 40卷 / 06期
关键词：
Bone tumor; extremity; postoperative deep infection; risk factor; multivariate analysis; SURGICAL SITE INFECTION; RECONSTRUCTION; AUTOGRAFT; COMPLICATIONS; OPERATIONS; RESECTION; OUTCOMES;
D O I：
10.21873/anticanres.14344
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Background/Aim: Previous studies have identified pelvic tumors as a risk factor for surgical site infections (SSI). However, risk factors for extremity tumors are still unclear. This study investigated risk factors for postoperative deep infection in malignant bone tumors of the extremities. Patients and Methods: Data from 238 patients with 256 malignant bone tumor surgeries were reviewed. Univariate analysis and multiple logistic regression determined risk factors for deep infection. Results: Deep infection was found in 23 of 256 cases (9.0%). Tibial tumor (OR=6.04; 95%CI=2.14-17.05; p<0.001) and operative time >= 5 hours (OR=3.25; 95%CI=1.15-9.23; p=0.027) were independent risk factors for deep infection. Conclusion: Tibial tumor and operative time >= 5 hours are independent risk factors for deep infection after surgery of malignant bone tumor of extremities. Strategies to minimize risk of infection in the tibia and decreasing operative time should be implemented, along with other measures to decrease SSI.
引用
收藏
页码：3551 / 3557
页数：7
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