TY - JOUR
T1 - Timing of postoperative infections after colectomy
T2 - evidence from NSQIP
AU - Wilson, Matthew Z.
AU - Dillon, Peter W.
AU - Stewart, David B.
AU - Hollenbeak, Christopher S.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Background We studied whether risk factors for infectious complications differed between inpatient (IP) and postdischarge (PD) periods in patients undergoing colon surgery. Methods Among partial colon resection patients in the National Surgical Quality Improvement Program (2005 to 2010), we identified risk factors for superficial and deep (D-SSI) surgical site infections and urinary tract infections in the IP and PD phases of care. Results Obesity was associated with higher risk of both IP superficial surgical site infections and D-SSI (odds ratio [OR] 1.41, P <.0001 and OR 1.28, P <.0001) and increasing to OR 1.73 (P <.0001) and OR 1.83 (P <.0001), respectively, in the PD period. Smoking was associated with development of D-SSI, and this risk increased from IP to PD phases of care (OR 1.15, P =.02 to OR 1.54, P <.0001). Conclusions Risk factors for infections differ between IP and PD phases of care in colon surgery patients. Earlier discharge from the hospital may shift recognition of an SSI to the outpatient setting.
AB - Background We studied whether risk factors for infectious complications differed between inpatient (IP) and postdischarge (PD) periods in patients undergoing colon surgery. Methods Among partial colon resection patients in the National Surgical Quality Improvement Program (2005 to 2010), we identified risk factors for superficial and deep (D-SSI) surgical site infections and urinary tract infections in the IP and PD phases of care. Results Obesity was associated with higher risk of both IP superficial surgical site infections and D-SSI (odds ratio [OR] 1.41, P <.0001 and OR 1.28, P <.0001) and increasing to OR 1.73 (P <.0001) and OR 1.83 (P <.0001), respectively, in the PD period. Smoking was associated with development of D-SSI, and this risk increased from IP to PD phases of care (OR 1.15, P =.02 to OR 1.54, P <.0001). Conclusions Risk factors for infections differ between IP and PD phases of care in colon surgery patients. Earlier discharge from the hospital may shift recognition of an SSI to the outpatient setting.
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U2 - 10.1016/j.amjsurg.2015.12.025
DO - 10.1016/j.amjsurg.2015.12.025
M3 - Article
C2 - 27156799
AN - SCOPUS:84965050352
SN - 0002-9610
VL - 212
SP - 844
EP - 850
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 5
ER -
