Titre
Surgical site infections after pancreatic surgery in the era of enhanced recovery protocols.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Joliat, G.R.
Auteure/Auteur
Sauvain, M.O.
Auteure/Auteur
Petermann, D.
Auteure/Auteur
Halkic, N.
Auteure/Auteur
Demartines, N.
Auteure/Auteur
Schäfer, M.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1536-5964
Statut éditorial
Publié
Date de publication
2018-08
Volume
97
Numéro
31
Première page
e11728
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Observational Study
Publication Status: ppublish
Publication Status: ppublish
Résumé
Few data exist on risk factors (RF) for surgical site infections (SSI) among patients treated in an enhanced recovery after surgery (ERAS) pathway. This study aimed to assess RF for SSI after pancreas surgery in a non-ERAS group and an ERAS cohort.An exploratory retrospective analysis of all pancreas surgeries prospectively collected (01/2000-12/2015) was performed. RF for SSI were calculated using uni- and multivariable binary logistic regressions in non-ERAS and ERAS patients.Pancreas surgery was performed in 549 patients. Among them, 144 presented a SSI (26%). In the non-ERAS group (n = 377), SSI incidence was 27% (99/377), and RF for SSI were male gender and preoperative biliary stenting. Since 2012, 172 consecutive patients were managed within an ERAS pathway. Forty-five patients (26%) had SSI. On multivariable analysis no RF for SSI in the ERAS cohort was found. In the ERAS group, patients with a pathway compliance ≤70% had higher occurrence of SSI (30/45 = 67% vs. 7/127 = 6%, p < 0.001) and patients with and without SSI had similar median overall compliances (77%, IQR 71-80 vs. 80%, IQR 73-83, p = 0.097).In the non-ERAS cohort, male gender and preoperative biliary stenting were RF for SSI, whereas in the ERAS group no RF for SSI was found. In an ERAS pathway, having an overall compliance >70% might diminish the SSI rate.
PID Serval
serval:BIB_1A295B320418
PMID
Open Access
Oui
Date de création
2018-08-14T13:36:50.428Z
Date de création dans IRIS
2025-05-20T18:16:56Z
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Nom
30075582_BIB_1A295B320418.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by-nc/4.0
Taille
212.08 KB
Format
Adobe PDF
PID Serval
serval:BIB_1A295B320418.P001
URN
urn:nbn:ch:serval-BIB_1A295B3204187
Somme de contrôle
(MD5):1be4943775dc230ba4e9b852cb5ffc6c