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Influence of Enhanced Recovery Pathway on Surgical Site Infection after Colonic Surgery
Joint Authors
Hahnloser, Dieter
Gronnier, Caroline
Petignat, Christiane
Pache, Basile
Zanetti, Giorgio
Hübner, Martin
Demartines, Nicolas
Grass, Fabian
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-31
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
The present study aimed to evaluate a potential effect of ERAS on surgical site infections (SSI).
Methods.
Colonic surgical patients operated between May 2011 and September 2015 constituted the cohort for this retrospective analysis.
Over 100 items related to demographics, surgical details, compliance, and outcome were retrieved from a prospectively maintained database.
SSI were traced by an independent National surveillance program.
Risk factors for SSI were identified by univariate and multinomial logistic regression.
Results.
Fifty-four out of 397 patients (14%) developed SSI.
Independent risk factors for SSI were emergency surgery (OR 1.56; 95% CI 1.09–1.78, p=0.026), previous abdominal surgery (OR 1.7; 95% CI 1.32–1.87, p=0.004), smoking (OR 1.71; 95% CI 1.22–1.89, p=0.014), and oral bowel preparation (OR 1.86; 95% CI 1.34–1.97, p=0.013), while minimally invasive surgery (OR 0.3; 95% CI 0.16–0.56, p<0.001) protected against SSI.
Compliance to ERAS items of >70% was not retained as a protective factor for SSI after multivariate analysis (OR 0.94; 95% CI 0.46–1.92, p=0.86).
Conclusions.
Smoking, open and emergency surgery, and bowel preparation were risk factors for SSI.
ERAS pathway had no independent impact while minimally invasive approach did.
This study was registered under ResearchRegistry.com (UIN researchregistry2614).
American Psychological Association (APA)
Gronnier, Caroline& Grass, Fabian& Petignat, Christiane& Pache, Basile& Hahnloser, Dieter& Zanetti, Giorgio…[et al.]. 2017. Influence of Enhanced Recovery Pathway on Surgical Site Infection after Colonic Surgery. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156697
Modern Language Association (MLA)
Gronnier, Caroline…[et al.]. Influence of Enhanced Recovery Pathway on Surgical Site Infection after Colonic Surgery. Gastroenterology Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1156697
American Medical Association (AMA)
Gronnier, Caroline& Grass, Fabian& Petignat, Christiane& Pache, Basile& Hahnloser, Dieter& Zanetti, Giorgio…[et al.]. Influence of Enhanced Recovery Pathway on Surgical Site Infection after Colonic Surgery. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156697
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156697