Factors related to surgical site infection in spinal instrumentation surgery: a retrospective study in Japan.

IF 2.3 Q2 ORTHOPEDICS
Kazumasa Konishi, Hideto Sano, Yosuke Kawano, Takehiko Moroi, Takumi Takeuchi, Masahito Takahashi, Naobumi Hosogane
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引用次数: 0

Abstract

Study design: A retrospective study.

Purpose: To identify factors involved in surgical site infections (SSIs) after spinal instrumentation surgery performed at a single institution.

Overview of literature: SSIs after spinal instrumentation surgery are a serious complication. Despite reports on risk factors for SSIs in spine surgery, limited studies are related to spinal instrumentation surgery.

Methods: In total, 828 patients (338 males and 490 females; mean age, 65.0 years) who underwent spinal instrumentation surgery from 2013 to 2021 in Kyorin University School of Medicinewere retrospectively investigated. Patients were divided into the SSI (group I) and non-SSI (group N) groups. Patient characteristics, comorbidity, laboratory, and surgical factors were investigated. Univariate analysis was performed for each item, and multivariate logistic regression analysis was performed for items with significant differences.

Results: Fifteen patients (1.85%) had SSIs. Univariate analysis revealed significant differences between groups I and N in history of steroid use, serum albumin, C-reactive protein, number of fixed vertebrae, and perioperative blood transfusion. Multivariate logistic regression analysis showed that a history of steroid use (odds ratio [OR], 5.38; 95% confidence interval [CI], 1.41-20.49; p=0.014), serum albumin (OR, 0.34; 95% CI, 0.13-0.84; p=0.020), and perioperative blood transfusion (OR, 5.85; 95% CI, 1.46-23.50; p=0.013) were independent risk factors for SSIs.

Conclusions: The results of this study indicate that preoperative nutritional intervention, appropriate management of anemia, and intraoperative and postoperative bleeding control may decrease the incidence of SSIs. However, this study has several limitations, including its retrospective design, analysis of a few SSI cases, and inclusion of various surgical approaches and disease types. Future studies that address these limitations are desirable.

脊柱器械手术中手术部位感染的相关因素:日本的一项回顾性研究。
研究设计:目的:确定在一家医疗机构进行脊柱器械手术后发生手术部位感染(SSI)的相关因素:脊柱器械手术后的 SSI 是一种严重的并发症。尽管有关于脊柱手术 SSI 风险因素的报道,但与脊柱器械手术相关的研究却很有限:方法:回顾性调查了 2013 年至 2021 年在韩国庆林大学医学院接受脊柱器械手术的 828 例患者(男性 338 例,女性 490 例;平均年龄 65.0 岁)。患者分为 SSI 组(I 组)和非 SSI 组(N 组)。调查了患者特征、合并症、实验室和手术因素。对每个项目进行单变量分析,对差异显著的项目进行多变量逻辑回归分析:结果:15 名患者(1.85%)出现 SSI。单变量分析显示,I 组和 N 组在类固醇使用史、血清白蛋白、C 反应蛋白、固定椎体数量和围手术期输血方面存在显著差异。多变量逻辑回归分析显示,类固醇使用史(几率比[OR],5.38;95% 置信区间[CI],1.41-20.49;P=0.014)、血清白蛋白(OR,0.34;95% CI,0.13-0.84;P=0.020)和围手术期输血(OR,5.85;95% CI,1.46-23.50;P=0.013)是导致 SSI 的独立风险因素:本研究结果表明,术前营养干预、贫血的适当处理以及术中和术后出血控制可降低 SSI 的发生率。不过,这项研究也存在一些局限性,包括其回顾性设计、对少数 SSI 病例的分析以及纳入了各种手术方法和疾病类型。今后的研究最好能解决这些局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Asian Spine Journal
Asian Spine Journal ORTHOPEDICS-
CiteScore
5.10
自引率
4.30%
发文量
108
审稿时长
24 weeks
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