Intra-abdominal infection in patients with abdominal trauma

被引:33
作者
Morales, CH
Villegas, MI
Villavicencio, R
Gonzalez, G
Pérez, LF
Peña, AM
Vanegas, LE
机构
[1] Univ Antioquia, Dept Cirugia, Medellin 1226, Colombia
[2] Hosp San Vicente Paul, Dept Surg, Medellin, Colombia
[3] Univ Antioquia, Natl Sch Publ Hlth, Medellin, Colombia
关键词
D O I
10.1001/archsurg.139.12.1278
中图分类号
R61 [外科手术学];
学科分类号
摘要
Main Outcome Measure: We performed univariate analysis to explore in an isolated way the behavior of the dependent and independent variables. Bivariate analysis was carried out with each of the independent variables and the main outcome to establish the association between individual risk factors and intra-abdominal infection. Finally, a logistic regression model was developed using the SPSS 10.0 program and the forward method. Results: Intra-abdominal infection developed in 81 patients (10.6%). Variables independently associated with this complication were an Abdominal Trauma Index greater than 24, abdominal contamination, and admission to the intensive care unit. Conclusions: The development of intra-abdominal infection in patients undergoing operation because of abdominal trauma is a complex phenomenon resulting from the multiple risk factors during the preoperative, intraoperative, and postoperative periods. Multivariate logistic regression analysis allowed us to identify an Abdominal Trauma Index greater than 24, contamination of the abdominal cavity, and admission to the intensive care unit as independent risk factors for the development of organ/ space surgical site infection.
引用
收藏
页码:1278 / 1285
页数:8
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