1. Association of CT-assessed Sarcopenia with Postoperative Surgical Site Infections in Patients with Colorectal Cancer
- Author
-
Fangfang ZHANG, Yajing HU, Huayong HUANG, Jinhui NI, Ze YOU, Qiaoling CHANG, Li LIAO
- Subjects
sarcopenia ,colorectal neoplasms ,surgical wound infection ,postoperative complications ,root cause analysis ,Medicine - Abstract
Background Sarcopenia, a syndrome of progressive and generalised loss of skeletal muscle, which can increase the risk of postoperative complications of colorectal cancer, but its association with postoperative surgical site infections in colorectal cancer is still inconclusive. Objective To evaluate the association of abdominal CT-assessed sarcopenia with postoperative surgical site infections in patients undergoing colorectal cancer surgery. Methods Three hundred and twenty-eight colorectal cancer patients underwent radical surgery in Gastrointestinal Surgery, the First Affiliated Hospital of University of South China between July 2019 and December 2021 were selected. Clinical data were retrospectively collected through the electronic medical record system. Sarcopenia was diagnosed by the L3 skeletal muscle index (L3 SMI) assessed using abdominal CT. Surgical site infection was assessed using the Diagnostic Criteria of Nosocomial Infection (Trial) . Multivariate Logistic regression was applied to explore the influencing factors of postoperative surgical site infection. Results The incidence of surgical site infection in sarcopenia group was higher than that in non-sarcopenia group〔27.3% (12/44) vs 12.3% (35/284) 〕 (P
- Published
- 2022
- Full Text
- View/download PDF