Aeschbacher, Pauline; Nguyen, Thanh-Long; Dorn, Patrick; Kocher, Gregor Jan; Lutz, Jon Andri (2021). Surgical Site Infections Are Associated With Higher Blood Loss and Open Access in General Thoracic Practice. Frontiers in Surgery, 8(656249), p. 656249. Frontiers 10.3389/fsurg.2021.656249
|
Text
fsurg-08-656249.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (651kB) | Preview |
Background: Surgical site infections (SSIs) are the most costly and second most frequent healthcare-associated infections in the Western world. They are responsible for higher postoperative mortality and morbidity rates and longer hospital stays. The aim of this study is to analyze which factors are associated with SSI in a modern general thoracic practice. Methods: Data were collected from our department's quality database. Consecutive patients operated between January 2014 and December 2018 were included in this retrospective study. Results: A total of 2430 procedures were included. SSIs were reported in 37 cases (1.5%). The majority of operations were video-assisted (64.6%). We observed a shift toward video-assisted thoracic surgery in the subgroup of anatomical resections during the study period (2014: 26.7%, 2018: 69.3%). The multivariate regression analysis showed that blood loss >100 ml (p = 0.029, HR 2.70) and open surgery (p = 0.032, HR 2.37) are independent risk factors for SSI. The latter was higher in open surgery than in video-assisted thoracic procedures (p < 0.001). In the subgroup of anatomical resection, we found the same correlation (p = 0.043). SSIs are also associated with significantly longer mean hospital stays (17.7 vs. 7.8 days, p < 0.001). Conclusion: As SSIs represent higher postoperative morbidity and costs, efforts should be made to maintain their rate as low as possible. In terms of prevention of SSIs, video-assisted thoracic surgery should be favored over open surgery whenever possible.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine |
UniBE Contributor: |
Aeschbacher, Pauline, Nguyen, Thanh-Long, Dorn, Patrick, Kocher, Gregor, Lutz, Jon Andri |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2296-875X |
Publisher: |
Frontiers |
Language: |
English |
Submitter: |
Thomas Michael Marti |
Date Deposited: |
28 Jul 2021 09:17 |
Last Modified: |
05 Dec 2022 15:52 |
Publisher DOI: |
10.3389/fsurg.2021.656249 |
PubMed ID: |
34250005 |
Uncontrolled Keywords: |
complication minimal invasive surgery surgical site infection thoracic surgery video-assisted thoracic surgery |
BORIS DOI: |
10.48350/157718 |
URI: |
https://boris.unibe.ch/id/eprint/157718 |
Actions (login required)
 |
Edit item |