دورية أكاديمية
Comprehensive analysis of risk factors for postoperative wound infection following open reduction and internal fixation of Rib fractures.
| العنوان: | Comprehensive analysis of risk factors for postoperative wound infection following open reduction and internal fixation of Rib fractures. |
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| المؤلفون: | Li H; Cardio-Thoracic Surgery Department, Qionghai People's Hospital, Qionghai City, 571400, Hainan Province, China., Zheng X; Cardio-Thoracic Surgery Department, Qionghai People's Hospital, Qionghai City, 571400, Hainan Province, China., Gao J; Gynecology-Breast And Thyroid Surgery Department, Qionghai People's Hospital, No. 33 Fuhai Road, Jiaji Town, Qionghai City, 571400, Hainan Province, China. gj605758303@outlook.com. |
| المصدر: | BMC infectious diseases [BMC Infect Dis] 2024 Sep 19; Vol. 24 (1), pp. 1013. Date of Electronic Publication: 2024 Sep 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968551 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2334 (Electronic) Linking ISSN: 14712334 NLM ISO Abbreviation: BMC Infect Dis Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Surgical Wound Infection*/epidemiology , Surgical Wound Infection*/etiology , Fracture Fixation, Internal*/adverse effects , Rib Fractures*/surgery, Humans ; Male ; Risk Factors ; Female ; Middle Aged ; Retrospective Studies ; Aged ; Adult ; Open Fracture Reduction/adverse effects ; Operative Time ; Length of Stay/statistics & numerical data |
| مستخلص: | Background: Postoperative wound infections (PWIs) significantly impact patient outcomes following open reduction and internal fixation (ORIF) of rib fractures. Identifying and understanding risk factors associated with these infections are crucial for improving surgical outcomes and patient care. Methods: This retrospective study, conducted from January 2020 to October 2023 at our institution, aimed to analyze the risk factors for PWIs in patients undergoing ORIF for rib fractures. A total of 150 patients were included, with 50 in the infected group and 100 in the non-infected control group, matched for demographic and clinical characteristics. Data on variables such as intraoperative blood loss, hospital stay duration, body mass index (BMI), operation time, presence of anemia, drainage time, diabetes mellitus status, smoking habits, and age were collected. Statistical analysis involved univariate and multivariate logistic regression using SPSS software (Version 27.0), with p-values < 0.05 considered statistically significant. Results: Univariate analysis revealed no significant association between intraoperative blood loss or hospital stay duration and PWIs. However, operation time ≥ 5 h, anemia, drainage time ≥ 7 days, diabetes mellitus, smoking, and age ≥ 60 years were significantly associated with higher PWI rates. Multivariate logistic regression confirmed these factors as independent predictors of PWIs, with operation time and diabetes mellitus showing particularly strong associations. Conclusions: Prolonged operation time, anemia, extended drainage, diabetes mellitus, smoking, and advanced age significantly increase the risk of PWIs following ORIF for rib fractures. Early identification and targeted management of these risk factors are essential to reduce the incidence of infections and improve postoperative outcomes. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Open reduction and internal fixation; Postoperative wound infections; Rib fractures; Risk factors |
| تواريخ الأحداث: | Date Created: 20240919 Date Completed: 20240919 Latest Revision: 20240922 |
| رمز التحديث: | 20240922 |
| مُعرف محوري في PubMed: | PMC11414111 |
| DOI: | 10.1186/s12879-024-09946-1 |
| PMID: | 39300348 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2334 |
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| DOI: | 10.1186/s12879-024-09946-1 |