Risk factors for surgical site infection in the patient with spinal injury
A retrospective chart review of 1561 patients with spinal injury was conducted over a 4-year period. To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk facto...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2003-07, Vol.28 (13), p.1475-1480 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | BLAM, Oren G VACCARO, Alexander R VANICHKACHORN, Jed S ALBERT, Todd J HILIBRAND, Alan S MINNICH, John M MURPHEY, Sheila A |
| description | A retrospective chart review of 1561 patients with spinal injury was conducted over a 4-year period.
To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk factors for postoperative wound infections in the traumatic subpopulation.
Surgical site infection after spinal operations is a dreaded complication. Risk factors have been investigated previously, but the subset of patients with acute traumatic spinal injury may be distinct.
The hospital's infection control program was used to identify surgical site infections after spinal operations, and infection rates were calculated. Data including patient characteristics, severity of injury indicators, surgical factors, and perioperative management factors were collected for the patients presenting with acute spinal injury over a 4-year period.
Postoperative wound infections developed in 24 of 256 patients. This infection rate of 9.4% was significantly (P < 0.001) higher than for elective spinal operations during the same period (3.7%). Risk factors found to be independently significant included delay until operation, increased postoperative intensive care unit stay, single (neurosurgical or orthopedic) versus combined operative team.
Risk factors for surgical site infection in the acute trauma setting are identified. Two surgical teams may be involved without causing a higher rate of infection. |
| doi_str_mv | 10.1097/01.BRS.0000067109.23914.0A |
| format | Article |
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To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk factors for postoperative wound infections in the traumatic subpopulation.
Surgical site infection after spinal operations is a dreaded complication. Risk factors have been investigated previously, but the subset of patients with acute traumatic spinal injury may be distinct.
The hospital's infection control program was used to identify surgical site infections after spinal operations, and infection rates were calculated. Data including patient characteristics, severity of injury indicators, surgical factors, and perioperative management factors were collected for the patients presenting with acute spinal injury over a 4-year period.
Postoperative wound infections developed in 24 of 256 patients. This infection rate of 9.4% was significantly (P < 0.001) higher than for elective spinal operations during the same period (3.7%). Risk factors found to be independently significant included delay until operation, increased postoperative intensive care unit stay, single (neurosurgical or orthopedic) versus combined operative team.
Risk factors for surgical site infection in the acute trauma setting are identified. Two surgical teams may be involved without causing a higher rate of infection.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/01.BRS.0000067109.23914.0A</identifier><identifier>PMID: 12838110</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject><![CDATA[Acute Disease ; Analysis of Variance ; Biological and medical sciences ; Critical Care - statistics & numerical data ; Humans ; Infection Control - statistics & numerical data ; Injuries of the limb. Injuries of the spine ; Length of Stay - statistics & numerical data ; Medical sciences ; Multivariate Analysis ; Neurosurgical Procedures - adverse effects ; Neurosurgical Procedures - statistics & numerical data ; Orthopedic Procedures - adverse effects ; Orthopedic Procedures - statistics & numerical data ; Retrospective Studies ; Risk Factors ; Spinal Injuries - microbiology ; Spinal Injuries - surgery ; Surgical Procedures, Operative - adverse effects ; Surgical Procedures, Operative - statistics & numerical data ; Surgical Wound Infection - etiology ; Surgical Wound Infection - microbiology ; Time Factors ; Traumas. Diseases due to physical agents]]></subject><ispartof>Spine (Philadelphia, Pa. 1976), 2003-07, Vol.28 (13), p.1475-1480</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2210-7acbbd313e29227bc87287f898630f02200763e5c2ac261ec2523f9b6201d1993</citedby><cites>FETCH-LOGICAL-c2210-7acbbd313e29227bc87287f898630f02200763e5c2ac261ec2523f9b6201d1993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14950599$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12838110$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BLAM, Oren G</creatorcontrib><creatorcontrib>VACCARO, Alexander R</creatorcontrib><creatorcontrib>VANICHKACHORN, Jed S</creatorcontrib><creatorcontrib>ALBERT, Todd J</creatorcontrib><creatorcontrib>HILIBRAND, Alan S</creatorcontrib><creatorcontrib>MINNICH, John M</creatorcontrib><creatorcontrib>MURPHEY, Sheila A</creatorcontrib><title>Risk factors for surgical site infection in the patient with spinal injury</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A retrospective chart review of 1561 patients with spinal injury was conducted over a 4-year period.
To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk factors for postoperative wound infections in the traumatic subpopulation.
Surgical site infection after spinal operations is a dreaded complication. Risk factors have been investigated previously, but the subset of patients with acute traumatic spinal injury may be distinct.
The hospital's infection control program was used to identify surgical site infections after spinal operations, and infection rates were calculated. Data including patient characteristics, severity of injury indicators, surgical factors, and perioperative management factors were collected for the patients presenting with acute spinal injury over a 4-year period.
Postoperative wound infections developed in 24 of 256 patients. This infection rate of 9.4% was significantly (P < 0.001) higher than for elective spinal operations during the same period (3.7%). Risk factors found to be independently significant included delay until operation, increased postoperative intensive care unit stay, single (neurosurgical or orthopedic) versus combined operative team.
Risk factors for surgical site infection in the acute trauma setting are identified. Two surgical teams may be involved without causing a higher rate of infection.</description><subject>Acute Disease</subject><subject>Analysis of Variance</subject><subject>Biological and medical sciences</subject><subject>Critical Care - statistics & numerical data</subject><subject>Humans</subject><subject>Infection Control - statistics & numerical data</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Medical sciences</subject><subject>Multivariate Analysis</subject><subject>Neurosurgical Procedures - adverse effects</subject><subject>Neurosurgical Procedures - statistics & numerical data</subject><subject>Orthopedic Procedures - adverse effects</subject><subject>Orthopedic Procedures - statistics & numerical data</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Spinal Injuries - microbiology</subject><subject>Spinal Injuries - surgery</subject><subject>Surgical Procedures, Operative - adverse effects</subject><subject>Surgical Procedures, Operative - statistics & numerical data</subject><subject>Surgical Wound Infection - etiology</subject><subject>Surgical Wound Infection - microbiology</subject><subject>Time Factors</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkNtKAzEQQIMoWi-_IEHQt11nJt1LfKvFK4Lg5Tlk00Sj7W5NdhH_3lQLnZcZhjOTzGHsBCFHkNU5YH759JzDKsoqtXISEsc5TLbYCAuqM8RCbrMRiJIyGotyj-3H-LHCBcpdtodUixoRRuz-ycdP7rTpuxC56wKPQ3jzRs959L3lvnXW9L5rU8X7d8uXuve27fm37995XPo2kb79GMLPIdtxeh7t0TofsNfrq5fpbfbweHM3nTxkhgghq7RpmplAYUkSVY2pK6orV8u6FOCACKAqhS0MaUMlWkMFCSebkgBnKKU4YGf_e5eh-xps7NXCR2Pnc93aboiqEuN0HpYJvPgHTehiDNapZfALHX4UglqZVIAqmVQbk-rPpIJJGj5evzI0CzvbjK7VJeB0DeiYdLmgW-PjhhvLAor03V-VwXsZ</recordid><startdate>20030701</startdate><enddate>20030701</enddate><creator>BLAM, Oren G</creator><creator>VACCARO, Alexander R</creator><creator>VANICHKACHORN, Jed S</creator><creator>ALBERT, Todd J</creator><creator>HILIBRAND, Alan S</creator><creator>MINNICH, John M</creator><creator>MURPHEY, Sheila A</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030701</creationdate><title>Risk factors for surgical site infection in the patient with spinal injury</title><author>BLAM, Oren G ; VACCARO, Alexander R ; VANICHKACHORN, Jed S ; ALBERT, Todd J ; HILIBRAND, Alan S ; MINNICH, John M ; MURPHEY, Sheila A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2210-7acbbd313e29227bc87287f898630f02200763e5c2ac261ec2523f9b6201d1993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Acute Disease</topic><topic>Analysis of Variance</topic><topic>Biological and medical sciences</topic><topic>Critical Care - statistics & numerical data</topic><topic>Humans</topic><topic>Infection Control - statistics & numerical data</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Medical sciences</topic><topic>Multivariate Analysis</topic><topic>Neurosurgical Procedures - adverse effects</topic><topic>Neurosurgical Procedures - statistics & numerical data</topic><topic>Orthopedic Procedures - adverse effects</topic><topic>Orthopedic Procedures - statistics & numerical data</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Spinal Injuries - microbiology</topic><topic>Spinal Injuries - surgery</topic><topic>Surgical Procedures, Operative - adverse effects</topic><topic>Surgical Procedures, Operative - statistics & numerical data</topic><topic>Surgical Wound Infection - etiology</topic><topic>Surgical Wound Infection - microbiology</topic><topic>Time Factors</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BLAM, Oren G</creatorcontrib><creatorcontrib>VACCARO, Alexander R</creatorcontrib><creatorcontrib>VANICHKACHORN, Jed S</creatorcontrib><creatorcontrib>ALBERT, Todd J</creatorcontrib><creatorcontrib>HILIBRAND, Alan S</creatorcontrib><creatorcontrib>MINNICH, John M</creatorcontrib><creatorcontrib>MURPHEY, Sheila A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BLAM, Oren G</au><au>VACCARO, Alexander R</au><au>VANICHKACHORN, Jed S</au><au>ALBERT, Todd J</au><au>HILIBRAND, Alan S</au><au>MINNICH, John M</au><au>MURPHEY, Sheila A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors for surgical site infection in the patient with spinal injury</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2003-07-01</date><risdate>2003</risdate><volume>28</volume><issue>13</issue><spage>1475</spage><epage>1480</epage><pages>1475-1480</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A retrospective chart review of 1561 patients with spinal injury was conducted over a 4-year period.
To determine the rate of surgical site infection in the spinal trauma population, to compare infection rates after spinal operations for elective and traumatic indications, and to identify risk factors for postoperative wound infections in the traumatic subpopulation.
Surgical site infection after spinal operations is a dreaded complication. Risk factors have been investigated previously, but the subset of patients with acute traumatic spinal injury may be distinct.
The hospital's infection control program was used to identify surgical site infections after spinal operations, and infection rates were calculated. Data including patient characteristics, severity of injury indicators, surgical factors, and perioperative management factors were collected for the patients presenting with acute spinal injury over a 4-year period.
Postoperative wound infections developed in 24 of 256 patients. This infection rate of 9.4% was significantly (P < 0.001) higher than for elective spinal operations during the same period (3.7%). Risk factors found to be independently significant included delay until operation, increased postoperative intensive care unit stay, single (neurosurgical or orthopedic) versus combined operative team.
Risk factors for surgical site infection in the acute trauma setting are identified. Two surgical teams may be involved without causing a higher rate of infection.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12838110</pmid><doi>10.1097/01.BRS.0000067109.23914.0A</doi><tpages>6</tpages></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2003-07, Vol.28 (13), p.1475-1480 |
| issn | 0362-2436 1528-1159 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acute Disease Analysis of Variance Biological and medical sciences Critical Care - statistics & numerical data Humans Infection Control - statistics & numerical data Injuries of the limb. Injuries of the spine Length of Stay - statistics & numerical data Medical sciences Multivariate Analysis Neurosurgical Procedures - adverse effects Neurosurgical Procedures - statistics & numerical data Orthopedic Procedures - adverse effects Orthopedic Procedures - statistics & numerical data Retrospective Studies Risk Factors Spinal Injuries - microbiology Spinal Injuries - surgery Surgical Procedures, Operative - adverse effects Surgical Procedures, Operative - statistics & numerical data Surgical Wound Infection - etiology Surgical Wound Infection - microbiology Time Factors Traumas. Diseases due to physical agents |
| title | Risk factors for surgical site infection in the patient with spinal injury |
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