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Comprehensive analysis of risk factors for postoperative wound infection following radical mastectomy in breast cancer patients.
- Source :
- International Wound Journal; Apr2024, Vol. 21 Issue 4, p1-7, 7p
- Publication Year :
- 2024
-
Abstract
- Surgical site infections (SSIs) following radical mastectomy in breast cancer patients can significantly affect patient recovery and healthcare resources. Identifying and understanding the risk factors for postoperative wound infections (PWIs) are crucial for improving surgical outcomes. This retrospective study was conducted from June 2020 to June 2023, including 23 breast cancer patients who developed PWIs post‐radical mastectomy and a control group of 46 patients without such infections. Comprehensive patient data, including variables such as intraoperative blood loss, hospital stay duration, body mass index (BMI), operation time, anaemia, drainage time, diabetes mellitus, cancer stage, white blood cell (WBC) count, serum albumin levels and preoperative neoadjuvant chemotherapy, were meticulously gathered. Statistical analyses, including univariate and multivariate logistic regression, were performed using SPSS software (Version 27.0). The univariate analysis identified several factors significantly associated with an increased risk of PWIs, including preoperative neoadjuvant chemotherapy, low serum albumin levels, advanced cancer stage, diabetes mellitus and reduced WBC count. Multivariate logistic regression highlighted anaemia, prolonged drainage time, diabetes mellitus, advanced cancer stage, reduced WBC count, hypoalbuminemia and preoperative neoadjuvant chemotherapy as significant contributors to the increased risk of PWIs. Anaemia, extended drainage time, diabetes mellitus, advanced cancer stage, low WBC count, hypoalbuminemia and preoperative neoadjuvant chemotherapy are key risk factors for SSIs post‐radical mastectomy. Early identification and proactive management of these factors are imperative to reduce the incidence of postoperative infections and enhance recovery outcomes in breast cancer patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIABETES complications
RISK assessment
ANEMIA
LEUCOCYTES
RESEARCH funding
BODY mass index
BREAST tumors
MULTIPLE regression analysis
CANCER patients
SURGICAL blood loss
PREOPERATIVE care
DESCRIPTIVE statistics
RETROSPECTIVE studies
SURGICAL complications
CANCER chemotherapy
STATISTICS
COMBINED modality therapy
MASTECTOMY
SURGICAL site infections
LENGTH of stay in hospitals
TUMOR classification
ALBUMINS
DATA analysis software
DISEASE risk factors
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 17424801
- Volume :
- 21
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- International Wound Journal
- Publication Type :
- Academic Journal
- Accession number :
- 176866365
- Full Text :
- https://doi.org/10.1111/iwj.14848