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Predictors of surgical site infection after liver resection: a multicentre analysis using National Surgical Quality Improvement Program data.
- Source :
-
HPB : the official journal of the International Hepato Pancreato Biliary Association [HPB (Oxford)] 2012 Feb; Vol. 14 (2), pp. 136-41. Date of Electronic Publication: 2011 Dec 13. - Publication Year :
- 2012
-
Abstract
- Background: Postoperative infections are frequent complications after liver resection and have significant impact on length of stay, morbidity and mortality. Surgical site infection (SSI) is the most common nosocomial infection in surgical patients, accounting for 38% of all such infections.<br />Objectives: This study aimed to identify predictors of SSI and organ space SSI after liver resection.<br />Methods: Data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database for patients who underwent liver resection in 2005, 2006 or 2007 in any of 173 hospitals throughout the USA were analysed. All patients who underwent a segmental resection, left hepatectomy, right hepatectomy or trisectionectomy were included.<br />Results: The ACS-NSQIP database contained 2332 patients who underwent hepatectomy during 2005-2007. Rates of SSI varied significantly across primary procedures, ranging from 9.7% in segmental resection patients to 18.3% in trisectionectomy patients. A preoperative open wound, hypernatraemia, hypoalbuminaemia, elevated serum bilirubin, dialysis and longer operative time were independent predictors for SSI and for organ space SSI.<br />Conclusions: These findings may contribute towards the identification of patients at risk for SSI and the development of strategies to reduce the incidence of SSI and subsequent costs after liver resection.<br /> (© 2011 International Hepato-Pancreato-Biliary Association.)
- Subjects :
- Aged
Bilirubin blood
Biomarkers blood
Chi-Square Distribution
Databases as Topic
Female
Hepatectomy mortality
Hepatectomy standards
Humans
Hypernatremia complications
Hypoalbuminemia complications
Length of Stay
Logistic Models
Male
Middle Aged
Odds Ratio
Reoperation
Risk Assessment
Risk Factors
Surgical Wound Infection mortality
Surgical Wound Infection surgery
Time Factors
Treatment Outcome
United States
Up-Regulation
Hepatectomy adverse effects
Quality Improvement standards
Quality Indicators, Health Care standards
Surgical Wound Infection etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1477-2574
- Volume :
- 14
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- HPB : the official journal of the International Hepato Pancreato Biliary Association
- Publication Type :
- Academic Journal
- Accession number :
- 22221576
- Full Text :
- https://doi.org/10.1111/j.1477-2574.2011.00417.x