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New Scoring System for Predicting the Risk of Surgical Site Infections Following Stoma Reversal
Teppei Kamada1, Eisaku Ito2, Hironori Ohdaira1
1Department of Surgery, International University of Health and Welfare Hospital, Tochigi, Japan.
A new scoring system can predict surgical site infections after stoma reversal. Key factors include subcutaneous fat thickness, time since stoma creation, and prior infection, aiding in risk assessment for stoma reversal patients.
Area of Science:
- Colorectal Surgery
- Surgical Site Infections
- Stoma Reversal Procedures
Background:
- Surgical site infections (SSI) are common after stoma reversal (SR-SSI), causing complications and increased costs.
- No validated risk scoring systems currently exist for predicting SR-SSI.
- This study aimed to identify SR-SSI risk factors and develop a predictive scoring system.
Purpose of the Study:
- To analyze preoperative risk factors associated with surgical site infections following stoma reversal.
- To develop and validate a simple clinical scoring system for predicting SR-SSI risk.
Main Methods:
- Multivariate logistic regression analysis was performed on 182 patients undergoing elective stoma reversal.
- Risk factors were identified and used to construct a predictive score.
- Patient follow-up occurred during the first month post-surgery.
Main Results:
- Subcutaneous fat thickness (≥ 20 mm), shorter time from stoma creation (≤ 20 weeks), and prior SSI were significant risk factors for SR-SSI.
- A scoring system was developed where these factors contributed 2, 1, and 1 point respectively.
- The SR-SSI rate increased significantly with higher scores, reaching 81.8% for a score of 4.
Conclusions:
- A straightforward clinical scoring system utilizing three preoperative variables can effectively predict SR-SSI risk.
- This tool may assist clinicians in identifying high-risk patients for stoma reversal.
- Further validation of the scoring system is recommended.
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