Influence of Enhanced Recovery Pathway on Surgical Site Infection after Colonic Surgery.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_13562D759452
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Influence of Enhanced Recovery Pathway on Surgical Site Infection after Colonic Surgery.
Journal
Gastroenterology research and practice
Author(s)
Gronnier C., Grass F., Petignat C., Pache B., Hahnloser D., Zanetti G., Demartines N., Hübner M.
ISSN
1687-6121 (Print)
ISSN-L
1687-6121
Publication state
Published
Issued date
2017
Peer-reviewed
Oui
Volume
2017
Pages
9015854
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The present study aimed to evaluate a potential effect of ERAS on surgical site infections (SSI).
Colonic surgical patients operated between May 2011 and September 2015 constituted the cohort for this retrospective analysis. Over 100 items related to demographics, surgical details, compliance, and outcome were retrieved from a prospectively maintained database. SSI were traced by an independent National surveillance program. Risk factors for SSI were identified by univariate and multinomial logistic regression.
Fifty-four out of 397 patients (14%) developed SSI. Independent risk factors for SSI were emergency surgery (OR 1.56; 95% CI 1.09-1.78, p = 0.026), previous abdominal surgery (OR 1.7; 95% CI 1.32-1.87, p = 0.004), smoking (OR 1.71; 95% CI 1.22-1.89, p = 0.014), and oral bowel preparation (OR 1.86; 95% CI 1.34-1.97, p = 0.013), while minimally invasive surgery (OR 0.3; 95% CI 0.16-0.56, p < 0.001) protected against SSI. Compliance to ERAS items of >70% was not retained as a protective factor for SSI after multivariate analysis (OR 0.94; 95% CI 0.46-1.92, p = 0.86).
Smoking, open and emergency surgery, and bowel preparation were risk factors for SSI. ERAS pathway had no independent impact while minimally invasive approach did. This study was registered under ResearchRegistry.com (UIN researchregistry2614).

Pubmed
Web of science
Open Access
Yes
Create date
14/12/2017 18:41
Last modification date
20/08/2019 13:41
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