The effect of preventive oral care on postoperative infections after head and neck cancer surgery.
Adult
Aged
Aged, 80 and over
Blood Loss, Surgical
/ statistics & numerical data
Dental Care
/ methods
Dental Plaque
/ epidemiology
Female
Head and Neck Neoplasms
/ surgery
Humans
Male
Middle Aged
Operative Time
Oral Hygiene
/ methods
Otorhinolaryngologic Surgical Procedures
/ methods
Pneumonia
/ epidemiology
Postoperative Complications
/ epidemiology
Preoperative Care
/ methods
Proportional Hazards Models
Plastic Surgery Procedures
Retrospective Studies
Risk Factors
Surgical Wound Infection
/ epidemiology
Tracheostomy
/ statistics & numerical data
Head and neck cancer
Oral care
Postoperative pneumonia
Surgical site infection
Journal
Auris, nasus, larynx
ISSN: 1879-1476
Titre abrégé: Auris Nasus Larynx
Pays: Netherlands
ID NLM: 7708170
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
03
09
2019
revised:
23
12
2019
accepted:
14
01
2020
pubmed:
11
2
2020
medline:
15
7
2021
entrez:
11
2
2020
Statut:
ppublish
Résumé
This study aimed to investigate the incidence of postoperative pneumonia (PP) and surgical site infection (SSI) in head and neck cancer (HNC) patients and clarify the relationship between oral care and postoperative infection. We conducted a retrospective observation survey based on the medical records of 209 HNC surgery patients managed at a University Hospital in 2016-2018. The incidence of PP and SSI were assessed in patients who underwent operations of the nose and paranasal sinuses to the larynx. Factors associated with PP and SSI in a univariate analysis were included in a multiple logistic regression analysis. A Cox proportional hazards model was used analyze the incidence of PP according to time after surgery. The present study was approved by the ethical review board of our Institute. The rates of PP and SSI in our study population were 20.5% and 23.0%. Operative time (P < 0.01), blood loss (P = 0.004), tracheostomy (P < 0.01), reconstruction (P < 0.01), and preoperative plaque control record (PCR) (P < 0.01) were significantly associated with PP. The PCR depicted the oral hygiene based on the percentage of plaque attached to the tooth neck. A multiple logistic regression analysis indicated that the incidence of PP was significantly higher in patients with PCR values of ≥50% after preoperative oral care (OR=10.174, 95% CI 2.14-48.32, P = 0.004). Tracheostomy (P < 0.01), reconstruction (P = 0.044), a lower preoperative albumin level (P = 0.019), and a lower preoperative hemoglobin level (P < 0.01) were significantly associated with SSI. The incidence of PP among patients who received oral care was high in those patients with high PCR values, indicating the importance of increasing compliance to preoperative oral care.
Identifiants
pubmed: 32037040
pii: S0385-8146(20)30021-3
doi: 10.1016/j.anl.2020.01.001
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
643-649Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare no conflicts of interest in association with the present study.