Increased incidence of surgical site infection with a body mass index ≥ 35 kg/m
Abdominal Wall
/ surgery
Adult
Aged
Body Mass Index
Female
Hernia, Ventral
/ complications
Herniorrhaphy
/ adverse effects
Humans
Incidence
Logistic Models
Male
Middle Aged
Obesity
/ complications
Odds Ratio
Reoperation
/ statistics & numerical data
Risk Factors
Surgical Wound Infection
/ epidemiology
Abdominal wall reconstruction
Component separation
Hernia repair
Obesity
Surgical site infections
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
23
01
2018
accepted:
12
10
2018
pubmed:
24
10
2018
medline:
6
5
2020
entrez:
24
10
2018
Statut:
ppublish
Résumé
To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. The 2005-2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/m There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/m
Sections du résumé
BACKGROUND
To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established.
METHODS
The 2005-2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported.
RESULTS
We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/m
CONCLUSION
There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/m
Identifiants
pubmed: 30350101
doi: 10.1007/s00464-018-6538-9
pii: 10.1007/s00464-018-6538-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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