Shi M, Han Z, Qin L, Su M, Liu Y, Li M, Cheng L, Huang X, Sun Z. Risk factors for surgical site infection after major oral oncological surgery: the experience of a tertiary referral hospital in China.
J Int Med Res 2021;
48:300060520944072. [PMID:
32841576 PMCID:
PMC7463046 DOI:
10.1177/0300060520944072]
[Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Objective
To identify risk factors associated with surgical site infection (SSI) after
major oral oncological surgery.
Methods
This retrospective study reviewed data from patients that underwent major
surgery for oral cancer at a tertiary referral hospital in China between
January 2005 and July 2016. SSI was diagnosed within 30 days. Demographic,
cancer-related, preoperative, perioperative and postoperative data were
analysed using descriptive statistics and univariate and multivariate
analyses of the risk factors for SSI.
Results
A total of 786 patients were enrolled, of whom 125 had SSI (15.9%), which
were all incisional. Independent risk factors for SSI, identified by
multivariate analysis, were diabetes mellitus (odds ratio [OR] 2.147, 95%
confidence interval [CI] 1.240, 3.642), prior radiotherapy (OR 4.595, 95% CI
1.293, 17.317) and oral–neck communication (OR 2.838, 95% CI 1.263, 7.604);
and factors reflecting large extent resections were tracheostomy (OR 2.235,
95% CI 1.435, 3.525), anterolateral thigh flap (OR 1.971, 95% CI 1.103,
3.448) and latissimus dorsi flap (OR 4.178, 95% CI 1.325, 13.189).
Conclusions
Multiple risk factors were associated with SSI after major oral oncological
surgery. To minimize SSI risk, surgeons managing oral cancer patients should
have a better understanding of the risk factors, including diabetes
mellitus, prior radiotherapy, tracheostomy, oral–neck communication and flap
reconstruction.
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