Surgical site infections after pancreatic surgery in the era of enhanced recovery protocols.

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Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_1A295B320418
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Surgical site infections after pancreatic surgery in the era of enhanced recovery protocols.
Journal
Medicine
Author(s)
Joliat G.R., Sauvain M.O., Petermann D., Halkic N., Demartines N., Schäfer M.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Publication state
Published
Issued date
08/2018
Peer-reviewed
Oui
Volume
97
Number
31
Pages
e11728
Language
english
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Abstract
Few data exist on risk factors (RF) for surgical site infections (SSI) among patients treated in an enhanced recovery after surgery (ERAS) pathway. This study aimed to assess RF for SSI after pancreas surgery in a non-ERAS group and an ERAS cohort.An exploratory retrospective analysis of all pancreas surgeries prospectively collected (01/2000-12/2015) was performed. RF for SSI were calculated using uni- and multivariable binary logistic regressions in non-ERAS and ERAS patients.Pancreas surgery was performed in 549 patients. Among them, 144 presented a SSI (26%). In the non-ERAS group (n = 377), SSI incidence was 27% (99/377), and RF for SSI were male gender and preoperative biliary stenting. Since 2012, 172 consecutive patients were managed within an ERAS pathway. Forty-five patients (26%) had SSI. On multivariable analysis no RF for SSI in the ERAS cohort was found. In the ERAS group, patients with a pathway compliance ≤70% had higher occurrence of SSI (30/45 = 67% vs. 7/127 = 6%, p < 0.001) and patients with and without SSI had similar median overall compliances (77%, IQR 71-80 vs. 80%, IQR 73-83, p = 0.097).In the non-ERAS cohort, male gender and preoperative biliary stenting were RF for SSI, whereas in the ERAS group no RF for SSI was found. In an ERAS pathway, having an overall compliance >70% might diminish the SSI rate.
Keywords
Aged, Clinical Protocols, Female, Humans, Length of Stay, Male, Middle Aged, Pancreas/surgery, Perioperative Care/methods, Perioperative Care/standards, Retrospective Studies, Risk Factors, Sex Factors, Surgical Wound Infection/epidemiology
Pubmed
Web of science
Open Access
Yes
Create date
14/08/2018 15:36
Last modification date
15/01/2021 8:08
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