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Incidence, Prevalence, and Analysis of Risk Factors for Surgical Site Infection After Lumbar Fusion Surgery: ≥2-Year Follow-Up Retrospective Study
- Source :
- World Neurosurgery. 131:e460-e467
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Surgical site infection (SSI) in spine surgery remains a significant cause of morbidity and prolonged hospitalization. We intended to document our experience in our center and to highlight possible factors influencing SSI in posterior lumbar fusion surgery.Between June 2015 and March 2017, 448 consecutive patients with lumbar degenerative disease who underwent classic open transforaminal lumbar interbody fusion were enrolled in the study. We divided the patients into the SSI group and the non-SSI group and compared their patient-specific and procedure-specific factors. Univariate and multiple logistic regression analyses were performed to determine risk factors.There was a significant difference between groups in age (P = 0.001), body mass index (P0.001), subcutaneous fat thickness (P0.001), preoperative American Society of Anesthesiologists (ASA) score (P0.001), postoperative hemoglobin (P = 0.003), preoperative serum albumin (P0.001), operative time (P0.001), operated levels (P0.001), postoperative drainage (P = 0.004), time of draining (P0.001) and late-presenting dural tear (P = 0.008). Logistic regression analysis of these differences showed that thicker subcutaneous fat thickness, higher preoperative ASA score, lower preoperative serum albumin, and longer time of draining were significantly related to SSI (P0.05).The risk factors for SSI after lumbar fusion surgery are multifactorial. These data should provide a step toward the development of quality improvement measures aimed at reducing complications in high-risk patients. These factors may prove useful for patient counseling and for surgical planning.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
medicine.medical_treatment
Subcutaneous Fat
Logistic regression
Surgical planning
03 medical and health sciences
Spinal Stenosis
0302 clinical medicine
Lumbar
Degenerative disease
Risk Factors
Prevalence
medicine
Humans
Surgical Wound Infection
Risk factor
Serum Albumin
Aged
Retrospective Studies
Lumbar Vertebrae
business.industry
Incidence
Retrospective cohort study
Organ Size
Middle Aged
medicine.disease
Surgery
Logistic Models
Spinal Fusion
030220 oncology & carcinogenesis
Spinal fusion
Preoperative Period
Drainage
Female
Neurology (clinical)
Spondylolisthesis
business
Body mass index
Intervertebral Disc Displacement
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18788750
- Volume :
- 131
- Database :
- OpenAIRE
- Journal :
- World Neurosurgery
- Accession number :
- edsair.doi.dedup.....91af9f5b70046b1c2872a8287331da09