دورية أكاديمية
Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF)
العنوان: | Incidence and risk factors for surgical site infection following volar locking plating (VLP) of unstable distal radius fracture (DRF) |
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المؤلفون: | Hongyu Meng, Bin Xu, Yi Xu, Haiyun Niu, Ning Liu |
المصدر: | Journal of Orthopaedic Surgery and Research, Vol 17, Iss 1, Pp 1-7 (2022) |
بيانات النشر: | BMC, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Orthopedic surgery LCC:Diseases of the musculoskeletal system |
مصطلحات موضوعية: | Distal radius fracture, Surgical site infection, Risk factor, Perioperative condition optimization, Orthopedic surgery, RD701-811, Diseases of the musculoskeletal system, RC925-935 |
الوصف: | Abstract Purpose Volar locking plating (VLP) is the mainstay of treatment for distal radius fracture (DRF) but may be compromised by postoperative surgical site infection (SSI). This study aimed to identify the incidence and the risk factors for SSI following VLP of DRF. Methods This retrospective study identified consecutive patients who underwent VLP for closed unstable DRFs in our institution between January 2015 and June 2021. Postoperative SSI was identified by inquiring the medical records, the follow-up records or the readmission medical records for treatment of SSI. The potential factors for SSI were extracted from the medical records. Univariate and multivariate logistic regression analyses were performed to identify the independent factors. Results There were 930 patients included, and 34 had an SSI, representing an incidence of 3.7% (95% CI 2.4–4.9%). Patients with an SSI had threefold extended hospitalization stay (44.1 ± 38.2 versus 14.4 ± 12.5 days) as did those without. In univariate analysis, 18 variables were tested to be statistically different between SSI and non-SSI group. In multivariate analysis, 6 factors were identified as independently associated with SSI, including sex (male vs. female, OR 3.5, p = 0.014), ASA (III and IV vs. I, OR 3.2, p = 0.031), smoking (yes vs. no, OR 2.4, p = 0.015), bone grafting (OR 4.0, p = 0.007), surgeon volume (low vs. high, OR 2.7, p 0.011) and operation at night-time (vs. day-time, OR 7.8, p |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1749-799X |
Relation: | https://doaj.org/toc/1749-799X |
DOI: | 10.1186/s13018-022-03440-7 |
URL الوصول: | https://doaj.org/article/bfda02f6ccbd40d7a41893f3edd5cca0 |
رقم الأكسشن: | edsdoj.bfda02f6ccbd40d7a41893f3edd5cca0 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 1749799X |
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DOI: | 10.1186/s13018-022-03440-7 |