

Risk factors in emergency abdominal surgery
https://doi.org/10.33667/2078-5631-2023-35-48-50
Abstract
The urgent nature of the surgical disease causes a high incidence of infectious complications. Surgical site infections account for 20% of all nosocomial infections and contribute to dramatically increased costs and higher readmission rates. About 38% of deaths in this category of patients are associated with infection.
Goal of the work. To identify possible risk factors in emergency abdominal surgery.
Results. Univariate analysis showed that risk factors such as diabetes had a significantly significant effect on the occurrence of surgical site infection in the study group (odds ratio [OR] = 4.27; 95% confidence interval [CI]: 1.67–14.19), arterial hypertension (OR = 3.80; 95% CI: 1.11–9.55), coronary heart disease (OR = 1.32; 95% CI: 1.23–10.13), duration hospital stay (OR = 1.78; 95% CI: 1.17–1.40).
About the Authors
A. M. AlekseevRussian Federation
Alekseev Andrei M., PhD Med, associate professor at Dept of Surgery, Urology, Endoscopy and Pediatric Surgery
Novokuznetsk
A. D. Tarasko
Russian Federation
Tarasko Andrei D., professor, head of Dept of Surgery, Urology, Endoscopy and Pediatric Surgery
Novokuznetsk
References
1. Baymakov S.R., Yunusov S.Sh., Jamilov U.R. et al. Our Experience in Treatment Acute Surgical Diseases of the Abdominal Cavity in Patients with Situs Inversus Viscerum (Transposition of Internal Organs). Indian Journal of Forensic Medicine & Toxicology. 2020; 14 (4): 7753–7757. doi.org/10.37506/ijfmt.v14i4.12870
2. Astagneau P., Rioux C., Golliot F., Brücker G. Morbidity and mortality associated withsurgical site infections: Results from the 1997–1999 INCISO surveillance. Journal of Hospital Infection. 2001; No. 48 (4): 267–274. DOI: 10.1053/jhin.2001.1003.
3. Forrester J.A. et al. Clean cut (adaptive, multimodal surgical infection prevention programme) for low-resource settings: A prospective quality improvement study. British Journal of Surgery. 2021; 108 (6): 727–734. Doi: 10.1002/bjs.11997.
4. Khan O.H., Zakaria A.D., Hashim M.N., Sulaiman S.A., Khan A.H. Predictive Validity of National Nosocomial Infection Surveillance (NNIS) and Study on the Efficacy of Nosocomial Infections (SENIC) Risk Indexes for the Incidence of Surgical Site Infections (SSI) in General Surgery at Hospital University Sains Malaysia (HUSM). Value in Health. 2016; 19 (7): 827 р. doi.org/10.1016/j.jval.2016.08.589
5. Everitt B.S. Medical statistics from A to Z: A guide for clinicians and medical students. Cambridge University Press, 2021. doi.org/10.1017/9781108919739
6. Kim M., Wall M.M., Li G. Risk stratification for major postoperative complications in patients undergoing intra-abdominal general surgery using latent class analysis. Anesthesia & Analgesia. 2018; 126 (3): 848–857. Doi: 10.1213/ane.0000000000002345.
7. Kuznetsov N.A. et al. Fundamentals of clinical surgery. Practical guide. 2nd edition, revised and expanded. M.: GEOTAR-Media, 2009; 200 p.
8. Munoz-Price L.S., Bowdle A., Johnston B.L. et al. Infection prevention in the operating room anesthesia work area. Infection Control & Hospital Epidemiology. 2019; 40 (1): 1–17. DOI: 10.1017/ice.2018.303.
Review
For citations:
Alekseev A.M., Tarasko A.D. Risk factors in emergency abdominal surgery. Medical alphabet. 2023;(35):48-50. (In Russ.) https://doi.org/10.33667/2078-5631-2023-35-48-50