Risk Factors for Wound Infection in Outpatients With Lower Extremity Burns
Background We sought to evaluate risk factors for wound infection in patients with lower extremity (LE) burn. Methods Adults presenting with LE burn from January 2014 to July 2015 were included. Data regarding demographics, injury characteristics, and outcomes were obtained. The primary outcome was...
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| Veröffentlicht in: | The American surgeon 2021-07, Vol.87 (7), p.1118-1125 |
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| creator | Ladhani, Husayn A. Young, Brian T. Posillico, Sarah E. Yowler, Charles J. Brandt, Christopher P. Claridge, Jeffrey A. Khandelwal, Anjay K. |
| description | Background
We sought to evaluate risk factors for wound infection in patients with lower extremity (LE) burn.
Methods
Adults presenting with LE burn from January 2014 to July 2015 were included. Data regarding demographics, injury characteristics, and outcomes were obtained. The primary outcome was wound infection. Multivariate logistic regression analysis was performed to identify independent risk factors for wound infection.
Results
317 patients were included with a mean age of 43 years and median total body surface area of .8%; 22 (7%) patients had a component of full-thickness (FT) burn; and 212 (67%) patients had below-the-knee (BTK) burn. The incidence of wound infection was 15%. The median time to infection was 5 days, and majority (61%) of the patients developed wound infection by day 5. Patients who developed wound infection were more likely to have an FT burn (22% vs. 5%, P < .001) and BTK burn (87% vs. 64%, P = .002), without a difference in other variables. Multivariate logistic regression analysis showed age (Odds ratio (OR) 1.02 and CI 1.00-1.04), presence of FT burn (OR 5.33 and CI 2.09-13.62), and BTK burn (OR 3.42 and CI 1.37-8.52) as independent risk factors for wound infection (area under the curve = .72).
Conclusion
Age, presence of FT burn, and BTK burn are independent risk factors for wound infection in outpatients with LE burns. |
| doi_str_mv | 10.1177/0003134820952387 |
| format | Article |
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We sought to evaluate risk factors for wound infection in patients with lower extremity (LE) burn.
Methods
Adults presenting with LE burn from January 2014 to July 2015 were included. Data regarding demographics, injury characteristics, and outcomes were obtained. The primary outcome was wound infection. Multivariate logistic regression analysis was performed to identify independent risk factors for wound infection.
Results
317 patients were included with a mean age of 43 years and median total body surface area of .8%; 22 (7%) patients had a component of full-thickness (FT) burn; and 212 (67%) patients had below-the-knee (BTK) burn. The incidence of wound infection was 15%. The median time to infection was 5 days, and majority (61%) of the patients developed wound infection by day 5. Patients who developed wound infection were more likely to have an FT burn (22% vs. 5%, P < .001) and BTK burn (87% vs. 64%, P = .002), without a difference in other variables. Multivariate logistic regression analysis showed age (Odds ratio (OR) 1.02 and CI 1.00-1.04), presence of FT burn (OR 5.33 and CI 2.09-13.62), and BTK burn (OR 3.42 and CI 1.37-8.52) as independent risk factors for wound infection (area under the curve = .72).
Conclusion
Age, presence of FT burn, and BTK burn are independent risk factors for wound infection in outpatients with LE burns.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/0003134820952387</identifier><identifier>PMID: 33334142</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Age ; Antibiotics ; Antimicrobial agents ; Burns ; Cardiovascular disease ; Comorbidity ; Demographics ; Demography ; Epidemiology ; Health risks ; Infections ; Injuries ; Multivariate analysis ; Patient satisfaction ; Regression analysis ; Risk analysis ; Risk factors ; Sepsis ; Wound healing ; Wound infection</subject><ispartof>The American surgeon, 2021-07, Vol.87 (7), p.1118-1125</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-956a545b032aa9b58e9e328a0f477f95ec046140cd8331fd5bcb82cafb6641723</citedby><cites>FETCH-LOGICAL-c365t-956a545b032aa9b58e9e328a0f477f95ec046140cd8331fd5bcb82cafb6641723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0003134820952387$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0003134820952387$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33334142$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ladhani, Husayn A.</creatorcontrib><creatorcontrib>Young, Brian T.</creatorcontrib><creatorcontrib>Posillico, Sarah E.</creatorcontrib><creatorcontrib>Yowler, Charles J.</creatorcontrib><creatorcontrib>Brandt, Christopher P.</creatorcontrib><creatorcontrib>Claridge, Jeffrey A.</creatorcontrib><creatorcontrib>Khandelwal, Anjay K.</creatorcontrib><title>Risk Factors for Wound Infection in Outpatients With Lower Extremity Burns</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>Background
We sought to evaluate risk factors for wound infection in patients with lower extremity (LE) burn.
Methods
Adults presenting with LE burn from January 2014 to July 2015 were included. Data regarding demographics, injury characteristics, and outcomes were obtained. The primary outcome was wound infection. Multivariate logistic regression analysis was performed to identify independent risk factors for wound infection.
Results
317 patients were included with a mean age of 43 years and median total body surface area of .8%; 22 (7%) patients had a component of full-thickness (FT) burn; and 212 (67%) patients had below-the-knee (BTK) burn. The incidence of wound infection was 15%. The median time to infection was 5 days, and majority (61%) of the patients developed wound infection by day 5. Patients who developed wound infection were more likely to have an FT burn (22% vs. 5%, P < .001) and BTK burn (87% vs. 64%, P = .002), without a difference in other variables. Multivariate logistic regression analysis showed age (Odds ratio (OR) 1.02 and CI 1.00-1.04), presence of FT burn (OR 5.33 and CI 2.09-13.62), and BTK burn (OR 3.42 and CI 1.37-8.52) as independent risk factors for wound infection (area under the curve = .72).
Conclusion
Age, presence of FT burn, and BTK burn are independent risk factors for wound infection in outpatients with LE burns.</description><subject>Age</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Burns</subject><subject>Cardiovascular disease</subject><subject>Comorbidity</subject><subject>Demographics</subject><subject>Demography</subject><subject>Epidemiology</subject><subject>Health risks</subject><subject>Infections</subject><subject>Injuries</subject><subject>Multivariate analysis</subject><subject>Patient satisfaction</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Sepsis</subject><subject>Wound healing</subject><subject>Wound infection</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kM1LAzEQxYMotlbvniTgxctqPnezRy2tVgoFUXpcstmspnY3Ncmi_e9NaVUoOJdhmN-8eTwAzjG6xjjLbhBCFFMmCMo5oSI7AH3MOU9yQegh6G_WyWbfAyfeL-LIUo6PQY_GYpiRPnh8Mv4djqUK1nlYWwfntmsrOGlrrYKxLTQtnHVhJYPRbfBwbsIbnNpP7eDoKzjdmLCGd51r_Sk4quXS67NdH4CX8eh5-JBMZ_eT4e00UTTlIcl5KjnjJaJEyrzkQueaEiFRzbKszrlW0SVmSFWCUlxXvFSlIErWZZoynBE6AFdb3ZWzH532oWiMV3q5lK22nS8IyzBLacbziF7uoQsbrUZ3BeFpSrAQhEcKbSnlrPdO18XKmUa6dYFRscm52M85nlzshLuy0dXvwU-wEUi2gJev-u_rv4Lf-6CC2w</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Ladhani, Husayn A.</creator><creator>Young, Brian T.</creator><creator>Posillico, Sarah E.</creator><creator>Yowler, Charles J.</creator><creator>Brandt, Christopher P.</creator><creator>Claridge, Jeffrey A.</creator><creator>Khandelwal, Anjay K.</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, 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Factors for Wound Infection in Outpatients With Lower Extremity Burns</title><author>Ladhani, Husayn A. ; Young, Brian T. ; Posillico, Sarah E. ; Yowler, Charles J. ; Brandt, Christopher P. ; Claridge, Jeffrey A. ; Khandelwal, Anjay K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-956a545b032aa9b58e9e328a0f477f95ec046140cd8331fd5bcb82cafb6641723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>Burns</topic><topic>Cardiovascular disease</topic><topic>Comorbidity</topic><topic>Demographics</topic><topic>Demography</topic><topic>Epidemiology</topic><topic>Health risks</topic><topic>Infections</topic><topic>Injuries</topic><topic>Multivariate analysis</topic><topic>Patient satisfaction</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Sepsis</topic><topic>Wound healing</topic><topic>Wound infection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ladhani, Husayn A.</creatorcontrib><creatorcontrib>Young, Brian T.</creatorcontrib><creatorcontrib>Posillico, Sarah E.</creatorcontrib><creatorcontrib>Yowler, Charles J.</creatorcontrib><creatorcontrib>Brandt, Christopher P.</creatorcontrib><creatorcontrib>Claridge, Jeffrey A.</creatorcontrib><creatorcontrib>Khandelwal, Anjay K.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS 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(Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ladhani, Husayn A.</au><au>Young, Brian T.</au><au>Posillico, Sarah E.</au><au>Yowler, Charles J.</au><au>Brandt, Christopher P.</au><au>Claridge, Jeffrey A.</au><au>Khandelwal, Anjay K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors for Wound Infection in Outpatients With Lower Extremity Burns</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>87</volume><issue>7</issue><spage>1118</spage><epage>1125</epage><pages>1118-1125</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>Background
We sought to evaluate risk factors for wound infection in patients with lower extremity (LE) burn.
Methods
Adults presenting with LE burn from January 2014 to July 2015 were included. Data regarding demographics, injury characteristics, and outcomes were obtained. The primary outcome was wound infection. Multivariate logistic regression analysis was performed to identify independent risk factors for wound infection.
Results
317 patients were included with a mean age of 43 years and median total body surface area of .8%; 22 (7%) patients had a component of full-thickness (FT) burn; and 212 (67%) patients had below-the-knee (BTK) burn. The incidence of wound infection was 15%. The median time to infection was 5 days, and majority (61%) of the patients developed wound infection by day 5. Patients who developed wound infection were more likely to have an FT burn (22% vs. 5%, P < .001) and BTK burn (87% vs. 64%, P = .002), without a difference in other variables. Multivariate logistic regression analysis showed age (Odds ratio (OR) 1.02 and CI 1.00-1.04), presence of FT burn (OR 5.33 and CI 2.09-13.62), and BTK burn (OR 3.42 and CI 1.37-8.52) as independent risk factors for wound infection (area under the curve = .72).
Conclusion
Age, presence of FT burn, and BTK burn are independent risk factors for wound infection in outpatients with LE burns.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>33334142</pmid><doi>10.1177/0003134820952387</doi><tpages>8</tpages></addata></record> |
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| source | SAGE Complete |
| subjects | Age Antibiotics Antimicrobial agents Burns Cardiovascular disease Comorbidity Demographics Demography Epidemiology Health risks Infections Injuries Multivariate analysis Patient satisfaction Regression analysis Risk analysis Risk factors Sepsis Wound healing Wound infection |
| title | Risk Factors for Wound Infection in Outpatients With Lower Extremity Burns |
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