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The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery: A STROBE-compliant retrospective study

Authors
 Kim, Jung Ho  ;  Kim, Jinnam  ;  Lee, Woon Ji  ;  Seong, Hye  ;  Choi, Heun  ;  Ahn, Jin Young  ;  Jeong, Su Jin  ;  Ku, Nam Su  ;  Son, Taeil  ;  Kim, Hyoung-Il  ;  Han, Sang Hoon  ;  Choi, Jun Yong  ;  Kim, Chang Oh  ;  Yeom, Joon-Sup  ;  Hyung, Woo Jin  ;  Song, Young Goo  ;  Noh, Sung Hoon  ;  Kim, June Myung 
Citation
 Medicine, Vol.98(32) : e16739, 2019 
Journal Title
 Medicine 
ISSN
 0025-7974 
Issue Date
2019
MeSH
Aged ; Comorbidity ; Female ; Gastrectomy/adverse effects* ; Gastrectomy/methods ; Humans ; Incidence ; Length of Stay/statistics & numerical data ; Lymph Node Excision ; Male ; Operative Time ; Patient Readmission/statistics & numerical data ; Republic of Korea/epidemiology ; Retrospective Studies ; Risk Factors ; Stomach Neoplasms/surgery* ; Surgical Wound Infection/epidemiology*
Abstract
Surgical site infection (SSI) is a well-known complication in older adults. However, there have been no studies on SSI after gastrectomy in older adults. Therefore, we aimed to investigate the incidence, risk factors, and outcomes of SSIs after gastrectomy in older adults.We performed a retrospective cohort study of older adults, aged 65 years or older, who underwent gastrectomy between January 2015 and December 2015 at the Severance Hospital in Seoul, Korea. The incidence and outcomes of SSIs after gastrectomy were evaluated, and the risk factors for SSI were identified using multivariate analyses.We identified 353 older adults who underwent gastrectomy. Of these, 25 patients (7.1%) developed an SSI. Multivariate analysis indicated that open surgery (odds ratio, 2.71; 95% confidence interval, 1.13-6.51; P = .03) and a longer operation time (odds ratio, 1.01; 95% confidence interval, 1.00-1.01; P = .04) were independent risk factors for SSI after gastrectomy. In the SSI group, the incidence of postoperative fever (84.0% vs 51.8%; P < .001), length of postoperative hospital stay (13 days vs 6 days; P < .001), and re-admission rates within 30 days postoperatively (32.0% vs 3.4%; P < .001) were significantly higher than those in the non-SSI group.The risk factors for SSI in older adults after gastrectomy were open surgery and a longer operation time. When an SSI occurred, the postoperative hospital stay was prolonged and the chances of having a postoperative fever and being re-admitted within 30 days increased.
Files in This Item:
T201902948.pdf Download
DOI
10.1097/MD.0000000000016739
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Ku, Nam Su(구남수) ORCID logo https://orcid.org/0000-0002-9717-4327
Kim, Jung Ho(김정호) ORCID logo https://orcid.org/0000-0002-5033-3482
Kim, June Myung(김준명)
Kim, Jin Nam(김진남)
Kim, Chang Oh(김창오) ORCID logo https://orcid.org/0000-0002-0773-5443
Kim, Hyoung Il(김형일) ORCID logo https://orcid.org/0000-0002-6134-4523
Noh, Sung Hoon(노성훈) ORCID logo https://orcid.org/0000-0003-4386-6886
Seong, Hye(성혜) ORCID logo https://orcid.org/0000-0002-5633-7214
Son, Tae Il(손태일) ORCID logo https://orcid.org/0000-0002-0327-5224
Song, Young Goo(송영구) ORCID logo https://orcid.org/0000-0002-0733-4156
Ahn, Jin Young(안진영) ORCID logo https://orcid.org/0000-0002-3740-2826
Yeom, Joon Sup(염준섭) ORCID logo https://orcid.org/0000-0001-8940-7170
Jeong, Su Jin(정수진) ORCID logo https://orcid.org/0000-0003-4025-4542
Choi, Jun Yong(최준용) ORCID logo https://orcid.org/0000-0002-2775-3315
Choi, Heun(최흔) ORCID logo https://orcid.org/0000-0002-9622-9381
Han, Sang Hoon(한상훈) ORCID logo https://orcid.org/0000-0002-4278-5198
Hyung, Woo Jin(형우진) ORCID logo https://orcid.org/0000-0002-8593-9214
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171124
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