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

Détails

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Etat: Public
Version: Final published version
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_1A295B320418
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Surgical site infections after pancreatic surgery in the era of enhanced recovery protocols.
Périodique
Medicine
Auteur⸱e⸱s
Joliat G.R., Sauvain M.O., Petermann D., Halkic N., Demartines N., Schäfer M.
ISSN
1536-5964 (Electronic)
ISSN-L
0025-7974
Statut éditorial
Publié
Date de publication
08/2018
Peer-reviewed
Oui
Volume
97
Numéro
31
Pages
e11728
Langue
anglais
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Oui
Création de la notice
14/08/2018 15:36
Dernière modification de la notice
15/01/2021 8:08
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