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Surgical site infection in adults undergoing major non-cardiac surgery and its association with anemia, El severe bleeding and intraoperative transfusion: A preliminary report from a prospective registry / Infección de sitio operatorio en adultos llevados a cirugía mayor no cardiaca y su relación con anemia, sangrado mayor y transfusión intraoperatoria: Informe preliminar de un registro prospectivo
Ariza, Fredy; Castaño, Darío Alberto; Bolaños-Aldana, Julián David; Quintana-Díaz, Manuel.
  • Ariza, Fredy; Fundación Valle del Lili. Anesthesia and Perioperative Medicine Department. Cali. CO
  • Castaño, Darío Alberto; Universidad ICESI. School of Heath Sciences. Cali. CO
  • Bolaños-Aldana, Julián David; Universidad ICESI. School of Heath Sciences. Cali. CO
  • Quintana-Díaz, Manuel; Universidad Autónoma de Madrid. La Paz University Hospital. Intensive Medicine Service. Madrid. ES
Rev. colomb. anestesiol ; 48(4): e202, Oct.-Dec. 2020. tab, graf
Article in English | LILACS, COLNAL | ID: biblio-1144313
ABSTRACT
Abstract

Introduction:

Surgical site infection (SSI) is among the most common healthcare-related infections. Given their greater morbidity and surgical complexity, patients undergoing major surgery are exposed to a high risk of SSI.

Objective:

To determine the incidence of SSI in adult patients undergoing major elective non-cardiac surgery, and to identify risk factors associated with its occurrence within the first 30 days after surgery.

Methods:

An analytical study was designed on the basis of a prospective institutional registry. Clinical and laboratory variables associated with perioperative management were recorded. An active search was conducted in order to find SSI episodes, renal failure and multiple organ dysfunction during the first 30 days after surgery. Adjusted logistic regression was done to identify potential associations between risk factors and the development of SSI.

Results:

Overall, 1501 patients were included. The incidence of SSI during the first 30 days after surgery was 6.72% (95% CI 5.57-8.11). ASA III, abdominal surgery and longer procedures were more frequent in the SSI group. Association with the occurrence of SSI was documented for preoperative hemoglobin levels (adjusted OR 0.79 [95% CI 0.72-0.88], p = 0.04), intraoperative transfusion (adjusted OR 2,47 [95% CI 1.16-5.27], p = 0.02) and major blood loss (adjusted OR 3.80 [95% CI 1.63-8.88], p = 0.04).

Conclusion:

Preoperative hemoglobin level, intraoperative transfusion and major bleeding are independent risk factors associated with the occurrence of SSI in adult patients undergoing major elective non-cardiac surgery.
RESUMEN
Resumen

Introducción:

La infección del sitio operatorio (ISO) ocupa los primeros lugares entre las infecciones asociadas a la atención en salud. Con una mayor morbilidad y complejidad quirúrgica, los pacientes de cirugía mayor están expuestos a un alto riesgo de ISO.

Objetivo:

Determinar la incidencia de ISO en pacientes adultos sometidos a cirugía mayor electiva no cardiaca e identificar factores de riesgo relacionados con su aparición durante los primeros 30 días postoperatorios.

Métodos:

Se diseñó un estudio analítico a partir de un registro institucional prospectivo. Se registraron variables clínicas y de laboratorio relacionadas con el manejo perioperatorio. Se realizó una búsqueda activa de episodios de ISO, sepsis, falla renal y disfunción multiorgánica durante los primeros 30 días postoperatorios. Las potenciales asociaciones entre factores de riesgo y el desarrollo de ISO fueron identificadas mediante regresión logística ajustada.

Resultados:

Se incluyeron 1.501 pacientes. La incidencia de ISO durante los 30 días postoperatorios fue de 6,72 % [IC 95 % 5,57-8,11). El estado ASA III, la cirugía abdominal y los procedimientos de duración prolongada fueron más frecuentes en el grupo ISO. Se documentó asociación con la ocurrencia de ISO para los niveles de hemoglobina preoperatoria (OR ajustado 0,79 [IC 95 % 0,72-0,88], p = 0,04), transfusión intraoperatoria (OR ajustado 2,47 [IC 95 % 1,16-5,27], p = 0,02) y sangrado mayor intraoperatorio (OR ajustado 3,80 [IC 95 % 1,63-8,88], p = 0,04).

Conclusiones:

El nivel de hemoglobina preoperatoria, la transfusión intraoperatoria y el sangrado mayor son factores de riesgo asociados de forma independiente a la ocurrencia de ISO en pacientes adultos llevados a cirugía mayor electiva no cardiaca.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Surgical Wound Infection / Hemorrhage Type of study: Etiology study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Rev. colomb. anestesiol Journal subject: Anesthesiology Year: 2020 Type: Article Affiliation country: Colombia / Spain Institution/Affiliation country: Fundación Valle del Lili/CO / Universidad Autónoma de Madrid/ES / Universidad ICESI/CO

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Full text: Available Index: LILACS (Americas) Main subject: Surgical Wound Infection / Hemorrhage Type of study: Etiology study / Prognostic study / Risk factors Limits: Adult / Female / Humans / Male Language: English Journal: Rev. colomb. anestesiol Journal subject: Anesthesiology Year: 2020 Type: Article Affiliation country: Colombia / Spain Institution/Affiliation country: Fundación Valle del Lili/CO / Universidad Autónoma de Madrid/ES / Universidad ICESI/CO