Abdominal Wall Thickness is a Predictor for Surgical Site Infections in Patients Undergoing Colorectal Operations

被引:6
作者
Chang, Yu-Wei W. [1 ,2 ]
Murphy, Kyle [1 ,2 ]
Yackzan, Daniel [1 ]
Thomas, Sarah [1 ]
Kay, Danielle [1 ,2 ]
Davenport, Daniel [1 ]
Evers, Bernard M. [1 ,2 ]
Bhakta, Avinash S. [1 ,2 ]
机构
[1] Univ Kentucky, Dept Surg, Med Ctr, Lexington, KY 40536 USA
[2] Univ Kentucky, Markey Canc Ctr, Med Ctr, Lexington, KY 40536 USA
关键词
colorectal; surgical quality; surgical infection; SURGERY; MORTALITY; FAT; MORBIDITY; OBESITY; IMPACT;
D O I
10.1177/0003134820956932
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background Surgical site infections (SSIs) are an established complication following colorectal operations, with rates up to 30% reported in the literature. Obesity is a known risk factor for SSI; however, body mass index (BMI), body fat percentage, waist-hip ratio, or abdominal circumference are imperfect measures. The purpose of our study was to determine whether abdominal wall thickness (AWT) is predictive of SSI. Methods We queried our American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) database for patients (age >= 18 years) undergoing a colectomy at the University of Kentucky (UK) from January 1, 2013 to December 31, 2018. The exclusion criteria included patients with open abdomens or the lack of preoperative computed tomography (CT) within 3 months of their operation. AWT was measured at the level of the anterior superior iliac spine (ASIS) on abdominal CT. SSI was defined by superficial SSI, deep SSI, and wound dehiscence. Results Of 1261 patients enrolled, 52.2% were female, with an average age of 57.4 years. More patients had laparoscopic operations (51%), and the median length of stay was 7 days. Our study demonstrated an SSI rate of 9.4% and a 30-day readmission rate of 11%. The overall mean AWT was 2.6 cm (range .1-13.1), and patients with the highest AWT quintile were more likely to develop an SSI than the lowest quintile (12% vs. 5%). After controlling for risk factors and confounders, the odds of an SSI were 3.6 times higher for patients with the highest AWT than patients with the lowest AWT. Conclusions Among colorectal surgery patients, AWT is an independent risk factor predictive for SSI.
引用
收藏
页码:1155 / 1162
页数:8
相关论文
共 50 条
  • [21] Risk factors for surgical site infections and assessment of vancomycin powder as a preventive measure in patients undergoing first-time cranioplasty
    Abode-Iyamah, Kingsley O.
    Chiang, Hsiu-Yin
    Winslow, Nolan
    Park, Brian
    Zanaty, Mario
    Dlouhy, Brian J.
    Flouty, Oliver E.
    Rasmussen, Zachary D.
    Herwaldt, Loreen A.
    Greenlee, Jeremy D.
    JOURNAL OF NEUROSURGERY, 2018, 128 (04) : 1241 - 1249
  • [22] Nuchal thickness and increased risk of surgical site infection in posterior cervical operations
    Porche, Ken
    Lockney, Dennis T.
    Gooldy, Timothy
    Kubilis, Paul
    Murad, Gregory
    CLINICAL NEUROLOGY AND NEUROSURGERY, 2021, 205
  • [23] The relationship between obesity and surgical site infections in women undergoing caesarean sections: An integrative review
    Anderson, Vinah
    Chaboyer, Wendy
    Gillespie, Brigid
    MIDWIFERY, 2013, 29 (12) : 1331 - 1338
  • [24] Identifying Specific Surgical Tools and Methods for Laparoscopic Colorectal Operations in Obese Patients
    Makino, Tomoki
    Shukla, Parul J.
    Samuels, Jon D.
    Rubino, Francesco
    Milsom, Jeffrey W.
    JOURNAL OF GASTROINTESTINAL SURGERY, 2012, 16 (12) : 2304 - 2311
  • [25] Risk Factors for Surgical Site Infections in Patients Undergoing Emergency Surgery: A Single-centre Experience
    Papadopoulos, Aristeidis
    Machairas, Nikolaos
    Tsourouflis, Gerasimos
    Chouliaras, Christos
    Manioti, Eleni
    Broutas, Dimitrios
    Kykalos, Stylianos
    Daikos, George L.
    Samarkos, Michael
    Vagianos, Constantine
    IN VIVO, 2021, 35 (06): : 3569 - 3574
  • [26] Risk Factors for Surgical Site Infections after Colorectal Resection in Diabetic Patients
    Sehgal, Rishabh
    Berg, Arthur
    Figueroa, Rafael
    Poritz, Lisa S.
    McKenna, Kevin J.
    Stewart, David B.
    Koltun, Walter A.
    JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2011, 212 (01) : 29 - 34
  • [27] Impact of perioperative probiotic treatment for surgical site infections in patients with colorectal cancer
    Aisu, Naoya
    Tanimura, Shu
    Yamashita, Yuichi
    Yamashita, Kanefumi
    Maki, Kenji
    Yoshida, Yoichiro
    Sasaki, Takamitsu
    Takeno, Shinsuke
    Hoshino, Seiichiro
    EXPERIMENTAL AND THERAPEUTIC MEDICINE, 2015, 10 (03) : 966 - 972
  • [28] Frailty in older patients undergoing emergency colorectal surgery:USANational Surgical Quality Improvement Program analysis
    Simon, H. L.
    de Paula, T. Reif
    da Luz, M. M. Profeta
    Nemeth, S. K.
    Moug, S. J.
    Keller, D. S.
    BRITISH JOURNAL OF SURGERY, 2020, 107 (10) : 1363 - 1371
  • [29] Gentamicin/Collagen Sponge Use May Reduce the Risk of Surgical Site Infections for Patients Undergoing Cardiac Operations: A Meta-Analysis
    Formanek, Michelle B.
    Herwaldt, Loreen A.
    Perencevich, Eli N.
    Schweizer, Marin L.
    SURGICAL INFECTIONS, 2014, 15 (03) : 244 - 255
  • [30] Differing Risk Factors for Incisional and Organ/Space Surgical Site Infections Following Abdominal Colorectal Surgery
    Ho, Vanessa P.
    Stein, Sharon L.
    Trencheva, Koiana
    Barie, Philip S.
    Milsom, Jeffrey W.
    Lee, Sang W.
    Sonoda, Toyooki
    DISEASES OF THE COLON & RECTUM, 2011, 54 (07) : 818 - 825