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Related Experiment Videos

Wound infection after elective colorectal resection.

Robert L Smith1, Jamie K Bohl, Shannon T McElearney

  • 1Department of Surgery, University of Virginia, Building MR-4, Room 3150, Lane Road, Charlottesville, VA 22908, USA. rls9t@virginia.edu

Annals of Surgery
|April 15, 2004
PubMed
Summary

Surgical site infections (SSIs) after colorectal surgery are more common than reported, predicted by patient BMI and hypotension. Accurate documentation by clinical teams is vital for reducing SSIs and associated costs.

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Area of Science:

  • Colorectal Surgery
  • Infectious Disease Epidemiology
  • Health Services Research

Background:

  • Surgical site infection (SSI) is a significant complication of colorectal resection, impacting patient morbidity and healthcare costs.
  • Existing literature and monitoring systems may underestimate the true incidence of incisional SSIs following elective colorectal surgery.
  • There is a need to identify predictive factors and understand the economic burden of SSIs in this patient population.

Purpose of the Study:

  • To determine the actual incidence of incisional SSIs following elective colorectal resection.
  • To identify perioperative factors that predict the development of incisional SSIs.
  • To assess the morbidity and cost associated with incisional SSIs.

Main Methods:

  • Retrospective data collection from 176 patients undergoing elective colorectal resection over 2 years.

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  • Analysis of preoperative and perioperative variables for association with incisional SSI using univariate and multivariate logistic regression.
  • Comparison of observed SSI rates with literature, national surveillance systems, and institutional databases.

    • Main Results:

    • The incidence of incisional SSI was 26%, substantially higher than previously reported rates.
    • Increasing patient body mass index and intraoperative hypotension were independent predictors of SSI.
    • Patients with SSI incurred significant home health expenses ($6200/patient) for wound care.

    Conclusions:

    • The incidence of incisional SSI in elective colorectal resection is likely underestimated by current reporting and surveillance methods.
    • Accurate, clinically-driven documentation is crucial for identifying the true frequency and causes of SSIs.
    • Improved documentation and understanding of predictive factors can lead to better strategies for SSI reduction and cost containment.