Factors affecting surgical site infection rate after elective gastric cancer surgery

التفاصيل البيبلوغرافية
العنوان: Factors affecting surgical site infection rate after elective gastric cancer surgery
المؤلفون: Tolga Özmen, Mirkhalig Javadov, Cumhur Yegen
المصدر: Turkish Journal of Surgery. 32:178-184
بيانات النشر: AVES Publishing Co., 2016.
سنة النشر: 2016
مصطلحات موضوعية: medicine.medical_specialty, business.industry, Surgery, 03 medical and health sciences, 0302 clinical medicine, Gastrointestinal surgeries, 030220 oncology & carcinogenesis, medicine, 030212 general & internal medicine, Quality of care, Complication, business, Surgical site infection, Cancer surgery, Original Investigation
الوصف: Surgical site infection (SSI) is a common complication after surgery and is an indicator of quality of care. Risk factors for SSI are studied thoroughly for most types of gastrointestinal surgeries and especially colorectal surgeries, but accumulated data is still lacking for gastric surgeries. We studied the parameters affecting SSI rate after gastric cancer surgery.Consecutive patients, who underwent elective gastric cancer surgery between June and December 2013, were included. Descriptive parameters, laboratory values and past medical histories were recorded prospectively. All patients were followed for 1 month. Recorded parameters were compared between the SSI (+) and SSI (-) groups.Fifty-two patients (mean age: 58.87±9.25 [31-80]; 67% male) were included. SSI incidence was 19%. ASA score ≥3 (p0.001), postoperative weight gain (p0.001), smoking (p=0.014) and body mass index (BMI) ≥30 (p=0.025) were related with a higher SSI incidence. Also patients in the SSI (+) group had a higher preoperative serum C-reactive protein level (p=0.014).We assume that decreasing BMI to30, stopping smoking at least 3 weeks before the operation, and preventing postoperative weight gain by avoiding excessive intravenous hydration will all help decrease SSI rate after gastric surgery.
تدمد: 1308-8521
1300-0705
DOI: 10.5152/ucd.2015.3135
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a4a036c9c97d9ec425d5a8f8bc385aa0
https://doi.org/10.5152/ucd.2015.3135
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....a4a036c9c97d9ec425d5a8f8bc385aa0
قاعدة البيانات: OpenAIRE
الوصف
تدمد:13088521
13000705
DOI:10.5152/ucd.2015.3135