Surgical Site Infections Are Associated With Higher Blood Loss and Open Access in General Thoracic Practice

Frontiers in Surgery

article

Pauline Aeschbacher¹  Thanh-Long Nguyen²  Patrick Dorn²  Gregor Jan Kocher²  Jon Andri Lutz² 

[1] Department of Visceral Surgery and Medicine, Bern University Hospital, University of Bern;Department of Thoracic Surgery, Bern University Hospital, University of Bern

关键词: surgical site infection;    minimal invasive surgery;    video-assisted thoracic surgery;    thoracic surgery;    complication;   

DOI  :  10.3389/fsurg.2021.656249

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

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.

【 授权许可】

CC BY