Thickness of Subcutaneous Fat Is a Predictive Factor of Incisional Surgical Site Infection in Crohn’s Disease Surgery: A Retrospective Study

Background. Incisional surgical site infection (iSSI) is a frequent postoperative complication of abdominal surgeries in patients with Crohn’s disease (CD). In this study, we investigated the association between thickness of subcutaneous fat (TSF) and iSSI in patients with CD undergoing intestinal r...

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Bibliographic Details
Published in:Gastroenterology research and practice 2018-01, Vol.2018 (2018), p.1-7
Main Authors: Zhu, Weiming, Cao, Lei, Li, Yi, Guo, Zhen, Shen, Weisong, Cai, Xingchen, Gong, Jianfeng
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Analysis
Antibiotics
Cancer therapies
Care and treatment
Colorectal cancer
Colorectal surgery
Crohn's disease
Hospitals
Inflammatory bowel disease
Malnutrition
Meta-analysis
Multivariate analysis
Nosocomial infections
Nutrition
Parenteral nutrition
Patients
Proteins
Risk assessment
Risk factors
Studies
Surgeons
Surgical wound infections
Systematic review
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Summary:Background. Incisional surgical site infection (iSSI) is a frequent postoperative complication of abdominal surgeries in patients with Crohn’s disease (CD). In this study, we investigated the association between thickness of subcutaneous fat (TSF) and iSSI in patients with CD undergoing intestinal resections. Patients and Methods. Patients with CD who had undergone abdominal surgery from January 2014 to January 2017 were included in this retrospective study. Patients’ TSF and other possible predictors of iSSI, including clinical characteristics, preoperative medications, hematological index, surgery-related data, and postoperative outcomes, were collected. Univariate and multivariate statistical analyses were used to examine the potential factors. Receiver operating characteristic (ROC) curve analysis was used to evaluate the predictive value of factors. Results. The patient cohort comprised 246 patients (167 male (67.9%); mean age 35.7 ± 12.4 years; mean disease duration 69.6 ± 60.8 months). The incidence of iSSI was 24.8% (61/246). TSF was a significant predictor of iSSI (OR 1.079, 95% CIs (1.020, 1.142), P=0.008), being 13.7 mm in patients with iSSI and 9.9 mm in those without iSSI (P
ISSN:1687-6121
1687-630X
DOI:10.1155/2018/1546075