创伤患者吸烟者的手术部位感染的相关风险增加
Carlin Lee1, Areg Grigorian1, Raven Rutledge1
1Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, Orange, California.
The Journal of surgical research
|July 2, 2025
概括
接受创伤手术的吸烟者患手术部位感染 (SSI) 的风险更高. 这种风险在患有严重创伤的患者中甚至更大,这凸显了需要采取干预措施来减轻这种风险的必要性.
科学领域:
- 创伤外科 手术 创伤外科
- 传染病流行病学 传染病流行病学
- 公共卫生 公共卫生
背景情况:
- 吸烟是选择性手术中手术部位感染 (SSI) 的已知危险因素.
- 在创伤患者 (TPs) 中,吸烟和SSI之间的联系需要进一步调查.
研究的目的:
- 为了确定吸烟和创伤患者的SSI之间的关联.
- 评估吸烟是否会增加TPs的SSI风险,特别是那些遭受严重创伤的人.
主要方法:
- 对创伤质量改善计划数据库 (2017-2022) 的分析.
- 包括接受创伤相关手术的成年TTPs,停留时间≥48小时.
- 多变量逻辑回归用于评估吸烟者与非吸烟者的SSI风险,包括对严重创伤的子组分析 (ISS≥16和≥25).
主要成果:
- 在1,043,112名TPs中,有24.3%是吸烟者.
- 吸烟者SSI率较高 (0.9%与0.7%,P<0.001),并增加了相关风险 (OR1.15,P<0.001).
- 吸烟和SSI之间的关联在患有严重创伤 (ISS≥16和≥25) 的患者中更为强烈.
结论:
- 吸烟与创伤患者的SSI率和风险增加有关.
- 这种联系在严重的创伤病例中更为明显.
- 需要咨询和进一步研究干预措施,以减少吸烟TP的SSI风险.
相关概念视频
Factors Affecting the Risk of Infection
12.3K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
12.3K
Stress Prevention and Stress Management Techniques IV
64
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
64
Tonsillitis II: Management
179
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
179
Pulmonary Tuberculosis I
332
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
332
Oxygen Delivering System III: Tracheostomy and T-piece
2.4K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
2.4K
Tracheostomy: Procedure and Tubes
1.3K
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
1.3K


