Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivo
Objective: The objective was to measure the incidence of surgical site infection (SSI) and identify risk factors, in patients undergoing elective surgery of the colon and rectum. Materials and methods: A prospective cohort study was performed from January 2017 to December 2018. Results: A total of 1...
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Permanyer
2021-04-01
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| Series: | Gaceta Médica de México |
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| Online Access: | https://www.gacetamedicademexico.com/frame_esp.php?id=457 |
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| author | Javier Páramo-Zunzunegui Marcos Alonso-GarcÃa Diego RodrÃguez-Villar Justina Drewniak-Jakubowska Pablo Calvo-Espino Rosa Cuberes-Montserrat Gil RodrÃguez-Caravaca |
| author_facet | Javier Páramo-Zunzunegui Marcos Alonso-GarcÃa Diego RodrÃguez-Villar Justina Drewniak-Jakubowska Pablo Calvo-Espino Rosa Cuberes-Montserrat Gil RodrÃguez-Caravaca |
| author_sort | Javier Páramo-Zunzunegui |
| collection | DOAJ |
| description | Objective: The objective was to measure the incidence of surgical site infection (SSI) and identify risk factors, in patients undergoing elective surgery of the colon and rectum. Materials and methods: A prospective cohort study was performed from January 2017 to December 2018. Results: A total of 130 patients were studied. The cumulative incidence of SSI was 12.3%. The 56.25% were superficial wound infections and the 31.25%, organ-space infection. The risk factors significantly associated with SSI were the non-administration of pre-operative oral nutrition, diabetes mellitus, heart disease, symptomatic state at the diagnosis of colorectal cancer (CRC), and ≥ 2 altered nutritional biochemical parameters at diagnosis. After multivariate , risk factors associated with SSI were: non-administration of preoperative enteral nutrition (odds ratio [OR] = 0.27; 95% confidence interval [CI]: 0.07-1.0), DM (OR = 3.0; 95% CI: 0.9-9.9), the heart disease (OR = 4.6; 95% CI: 1.1-18.6), and laparoscopic surgery (OR = 0.28; 95% CI: 0.08-0.97). The average stay was higher in patients with a diagnosis of SSI (11.9 vs. 9.2 days). Conclusions: Independent risk factors for SSI in CRC were the non-administration of pre-operative enteral nutrition, the existence of heart disease, and open surgery.
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| first_indexed | 2024-03-13T09:48:04Z |
| format | Article |
| id | doaj.art-f90363607a924c38a0d671c12299f867 |
| institution | Directory Open Access Journal |
| issn | 0016-3813 2696-1288 |
| language | English |
| last_indexed | 2024-03-13T09:48:04Z |
| publishDate | 2021-04-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Gaceta Médica de México |
| spelling | doaj.art-f90363607a924c38a0d671c12299f8672023-05-24T23:33:27ZengPermanyerGaceta Médica de México0016-38132696-12882021-04-0189210.24875/CIRU.20000205Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivoJavier Páramo-Zunzunegui0Marcos Alonso-GarcÃa1Diego RodrÃguez-Villar2Justina Drewniak-Jakubowska3Pablo Calvo-Espino4Rosa Cuberes-Montserrat5Gil RodrÃguez-Caravaca6Department of General and Digestive System Surgery, Hospital Universitario de Móstoles; International Doctoral Program, Universidad Rey Juan Carlos; Madrid, SpainPreventive Medicine Unit, Hospital Universitario Fundación Alcorcón, Madrid, SpainDepartment of Medicine and Public Health, Rey Juan Carlos University, Madrid, SpainDepartment of General and Digestive System Surgery, Hospital Universitario de Móstoles, Madrid, SpainDepartment of General and Digestive System Surgery, Hospital Universitario de Móstoles, Madrid, SpainDepartment of General and Digestive System Surgery, Hospital Universitario de Móstoles, Madrid, SpainDepartment of Preventive Medicine, Alcorcón Foundation University Teaching Hospital, Madrid, SpainObjective: The objective was to measure the incidence of surgical site infection (SSI) and identify risk factors, in patients undergoing elective surgery of the colon and rectum. Materials and methods: A prospective cohort study was performed from January 2017 to December 2018. Results: A total of 130 patients were studied. The cumulative incidence of SSI was 12.3%. The 56.25% were superficial wound infections and the 31.25%, organ-space infection. The risk factors significantly associated with SSI were the non-administration of pre-operative oral nutrition, diabetes mellitus, heart disease, symptomatic state at the diagnosis of colorectal cancer (CRC), and ≥ 2 altered nutritional biochemical parameters at diagnosis. After multivariate , risk factors associated with SSI were: non-administration of preoperative enteral nutrition (odds ratio [OR] = 0.27; 95% confidence interval [CI]: 0.07-1.0), DM (OR = 3.0; 95% CI: 0.9-9.9), the heart disease (OR = 4.6; 95% CI: 1.1-18.6), and laparoscopic surgery (OR = 0.28; 95% CI: 0.08-0.97). The average stay was higher in patients with a diagnosis of SSI (11.9 vs. 9.2 days). Conclusions: Independent risk factors for SSI in CRC were the non-administration of pre-operative enteral nutrition, the existence of heart disease, and open surgery. https://www.gacetamedicademexico.com/frame_esp.php?id=457Surgical site infection. Colorectal surgery. Surgical wound infection. Incidence. Risk factors. Cohort study. |
| spellingShingle | Javier Páramo-Zunzunegui Marcos Alonso-GarcÃa Diego RodrÃguez-Villar Justina Drewniak-Jakubowska Pablo Calvo-Espino Rosa Cuberes-Montserrat Gil RodrÃguez-Caravaca Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivo Gaceta Médica de México Surgical site infection. Colorectal surgery. Surgical wound infection. Incidence. Risk factors. Cohort study. |
| title | Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivo |
| title_full | Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivo |
| title_fullStr | Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivo |
| title_full_unstemmed | Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivo |
| title_short | Incidencia de infección quirúrgica y factores de riesgo en cirugÃa colorrectal. Estudio de cohorte prospectivo |
| title_sort | incidencia de infeccia³n quiraºrgica y factores de riesgo en ciruga a colorrectal estudio de cohorte prospectivo |
| topic | Surgical site infection. Colorectal surgery. Surgical wound infection. Incidence. Risk factors. Cohort study. |
| url | https://www.gacetamedicademexico.com/frame_esp.php?id=457 |
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