Risk Factors for Surgical Site Infection in Spinal Surgery and Interventions: A Retrospective Study.
complication
risk factor
spinal surgery
surgical site infection
Journal
The Kurume medical journal
ISSN: 1881-2090
Titre abrégé: Kurume Med J
Pays: Japan
ID NLM: 2985210R
Informations de publication
Date de publication:
25 Sep 2023
25 Sep 2023
Historique:
medline:
26
9
2023
pubmed:
15
6
2023
entrez:
14
6
2023
Statut:
ppublish
Résumé
Surgical site infection following spinal surgery causes prolonged delay in recovery after surgery, increases cost, and sometimes leads to additional surgical procedures. We investigated risk factors for the occurrence of surgical site infection events in terms of patient-related, surgery-related, and postoperative factors. This retrospective study included 1000 patients who underwent spinal surgery in our hospital between April 2016 and March 2019. Patient-related factors were dementia, length of preoperative hospital stay (≥ 14 days), and diagnosis at the time of surgery (traumatic injury or deformity). The one surgery-related factor was multilevel surgery (≥ 9 intervertebral levels), and the one postoperative factor was time to ambulation (≥ 7 days) were statistically significant risk factors for spinal surgical site infection. One risk factor identified in this study that is amenable to intervention is time to ambulation. As delayed ambulation is a risk factor for postoperative surgical site infection, how medical staff can intervene in postoperative ambulation to further reduce the incidence of surgical site infection is a topic for future research.
Sections du résumé
BACKGROUND
BACKGROUND
Surgical site infection following spinal surgery causes prolonged delay in recovery after surgery, increases cost, and sometimes leads to additional surgical procedures. We investigated risk factors for the occurrence of surgical site infection events in terms of patient-related, surgery-related, and postoperative factors.
METHODS
METHODS
This retrospective study included 1000 patients who underwent spinal surgery in our hospital between April 2016 and March 2019.
RESULTS
RESULTS
Patient-related factors were dementia, length of preoperative hospital stay (≥ 14 days), and diagnosis at the time of surgery (traumatic injury or deformity). The one surgery-related factor was multilevel surgery (≥ 9 intervertebral levels), and the one postoperative factor was time to ambulation (≥ 7 days) were statistically significant risk factors for spinal surgical site infection.
CONCLUSION
CONCLUSIONS
One risk factor identified in this study that is amenable to intervention is time to ambulation. As delayed ambulation is a risk factor for postoperative surgical site infection, how medical staff can intervene in postoperative ambulation to further reduce the incidence of surgical site infection is a topic for future research.
Identifiants
pubmed: 37316293
doi: 10.2739/kurumemedj.MS6834004
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM