Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
10175463 | Journal of Orthopaedic Science | 2015 | 7 Pages |
Abstract
Results A total of 2,736 consecutive adult patients were enrolled, of which 24 (0.9%) developed postoperative deep surgical site infection. Multivariate regression analysis indicated four independent risk factors. Preoperative steroid therapy (P = 0.001), spinal trauma (P = 0.048) and gender (male) (P = 0.02) were statistically significant independent patient-related risk factors, whereas an operating time â¥3 h (P < 0.001) was a surgery-related independent risk factor. Conclusion Preoperative steroid therapy, spinal trauma, male gender and an operating time â¥3 h were independent risk factors for deep surgical site infection after thoracic and/or lumbar spinal surgery in adult patients. Identification of these risk factors can be used to develop protocols aimed at decreasing the risk of surgical site infection.
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Authors
Satoshi Ogihara, Takashi Yamazaki, Toru Maruyama, Hiroyuki Oka, Kota Miyoshi, Seiichi Azuma, Takashi Yamada, Motoaki Murakami, Naohiro Kawamura, Nobuhiro Hara, Sei Terayama, Jiro Morii, So Kato, Sakae Tanaka,