RESUMO
<p><b>OBJECTIVE</b>To review and analyze the risk factors of postoperative surgical site infection (SSI) in geriatric patients who undergo surgical treatment of oral squamous cell carcinoma.</p><p><b>METHODS</b>A retrospective study was conducted on 143 geriatric patients who have undergone surgical treatment of oral squamous cell carcinoma. Factors were classified into four types, namely, characteristics, tumor factors, general comorbidity factors, and perioperative factors. The primary outcome variable was the presence of SSI. A logistic stepwise regression model was used for the subsequent multivariate analysis, wherein only significant risk factors in the univariate analysis were included.</p><p><b>RESULTS</b>Among 143 cases, 33 showed postoperative SSI. Results of univariate analysis indicated that risk factors included age, body mass index (BMI), tumor location, tumor size, diabetes, chronic obstructive pulmonary disease, American Society of Anesthesiologists (ASA) score, Charlson comorbidity index (CCI), adult comorbidity evaluation-27 (ACE-27) score, previous radiotherapy, reconstructive method, operation time, and blood transfusion. Among these factors, six parameters were identified to have a significant factor association with the development of SSI, namely BMI, diabetes, ASA score, ACE-27 score, operation time, and reconstructive method.</p><p><b>CONCLUSION</b>Special attention should be given to factors associated with the development of SSI before operation of geriatric patients with oral squamous cell carcinoma.</p>
Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Índice de Massa Corporal , Carcinoma de Células Escamosas , Cirurgia Geral , Avaliação Geriátrica , Modelos Logísticos , Neoplasias Bucais , Cirurgia Geral , Análise Multivariada , Duração da Cirurgia , Complicações Pós-Operatórias , Período Pós-Operatório , Procedimentos de Cirurgia Plástica , Métodos , Estudos Retrospectivos , Fatores de Risco , Infecção da Ferida CirúrgicaRESUMO
Objective To investigate the importance for early operation in severe acute pancreatitis (SAP) treatment. Method We retrospectively compared the mortality of 37 cases of SAP gradeⅡthat were treated by non-operative and early operative methods.Result The mortality of the nonoperative group was significantly higher than operative group (88.9% to 42.1%). Conclusion In the early course of SAP, nonoperative treatment should not overemphasized and,operation should be considered as a therapeutic method according to different pathophysiological changes.