Incidence and predictive risk factors of postoperative sepsis in orthopedic trauma patients

Journal of Orthopaedics and Traumatology

Original Article

Vasanth Sathiyakumar¹  Manish K. Sethi¹  Michelle S. Shen¹  William T. Obremskey¹  A. Alex Jahangir¹  Ashley C. Dodd¹  Hassan Mir¹  Nikita Lakomkin¹  Brandon Wick¹ 

[1] The Vanderbilt Orthopaedic Institute Center for Health Policy, 1215 21st Avenue South, Suite 4200, Medical Center East, South Tower, 37232, Nashville, TN, USA;

关键词: Septicemia;    Septic shock;    Complication;    Adverse event;    NSQIP;    Orthopedics;   

DOI  :  10.1007/s10195-016-0437-4

 received in 2015-08-26, accepted in 2016-11-02,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPostoperative sepsis is associated with high mortality and the national costs of septicemia exceed those of any other diagnosis. While numerous studies in the basic orthopedic science literature suggest that traumatic injuries facilitate the development of sepsis, it is currently unclear whether orthopedic trauma patients are at increased risk. The purpose of this study was thus to assess the incidence of sepsis and determine the risk factors that significantly predicted septicemia following orthopedic trauma surgery.Materials and methods56,336 orthopedic trauma patients treated between 2006 and 2013 were identified in the ACS-NSQIP database. Documentation of postoperative sepsis/septic shock, demographics, surgical variables, and preoperative comorbidities was collected. Chi-squared analyses were used to assess differences in the rates of sepsis between trauma and nontrauma groups. Binary multivariable regressions identified risk factors that significantly predicted the development of postoperative septicemia in orthopedic trauma patients.ResultsThere was a significant difference in the overall rates of both sepsis and septic shock between orthopedic trauma (1.6%) and nontrauma (0.5%) patients (p < 0.001). For orthopedic trauma patients, ventilator use (OR = 15.1, p = 0.002), history of pain at rest (OR = 2.8, p = 0.036), and prior sepsis (OR = 2.6, p < 0.001) were significantly associated with septicemia. Statistically predictive, modifiable comorbidities included hypertension (OR = 2.1, p = 0.003) and the use of corticosteroids (OR = 2.1, p = 0.016).ConclusionsThere is a significantly greater incidence of postoperative sepsis in the trauma cohort. Clinicians should be aware of these predictive characteristics, may seek to counsel at-risk patients, and should consider addressing modifiable risk factors such as hypertension and corticosteroid use preoperatively.Level of evidence Level III.

【 授权许可】

CC BY   
© The Author(s) 2016