TY - JOUR
T1 - Risk factors for surgical site infection in cervico-facial oncological surgery
AU - Cunha, Tiago Filipe Santos
AU - Soares Melancia, Tanya Alexandra
AU - Zagalo Fernandes Ribeiro, Carlos Manuel
AU - Almeida De Brito, José Américo
AU - Abreu Miguel, Susana Sofia
AU - Andre Abreu Esteves Bogalhao, Diogo
N1 - Funding Information:
One of the authors (Diogo Casal) received financial support from The Programme for Advanced Medical Education, which is sponsored by Fundação Calouste Gulbenkian , Fundação Champalimaud , Ministério da Saúde e Fundação para a Ciência e Tecnologia , Portugal.
PY - 2012/7
Y1 - 2012/7
N2 - Introduction: Infection after head and neck oncological surgery is relatively frequent, and is associated with significant morbidity and mortality. Aim: The primary objective of this prospective study was to determine risk factors for Surgical Site Infection (SSI) in major head and neck cancer surgery. Patients and methods: A population of 137 head and neck cancer patients, of the Portuguese Institute of Oncology Francisco Gentil (Lisbon, Portugal), was prospectively studied in order to ascertain the correlation between 31 known risk factors and the presence of SSI. Results: The rate of SSI was 10.9%, with all of the infections being of the deep incisional type. A discriminant analysis and multiple logistic regression methods identified pre-surgical tracheostomy (p < 0.001), previous surgery (p = 0.001) and length of pre-operative hospital stay (p < 0.001) as the most significant risk factors for surgical site infections. Conclusion: In order to minimize the risk of post-operative SSI in the context of head and neck cancer patients, particular attention should be paid to patients submitted to tracheostomy before surgery, to those submitted to previous oncological surgery, and to patients who are forced to remain in the hospital for prolonged periods of time before surgery.
AB - Introduction: Infection after head and neck oncological surgery is relatively frequent, and is associated with significant morbidity and mortality. Aim: The primary objective of this prospective study was to determine risk factors for Surgical Site Infection (SSI) in major head and neck cancer surgery. Patients and methods: A population of 137 head and neck cancer patients, of the Portuguese Institute of Oncology Francisco Gentil (Lisbon, Portugal), was prospectively studied in order to ascertain the correlation between 31 known risk factors and the presence of SSI. Results: The rate of SSI was 10.9%, with all of the infections being of the deep incisional type. A discriminant analysis and multiple logistic regression methods identified pre-surgical tracheostomy (p < 0.001), previous surgery (p = 0.001) and length of pre-operative hospital stay (p < 0.001) as the most significant risk factors for surgical site infections. Conclusion: In order to minimize the risk of post-operative SSI in the context of head and neck cancer patients, particular attention should be paid to patients submitted to tracheostomy before surgery, to those submitted to previous oncological surgery, and to patients who are forced to remain in the hospital for prolonged periods of time before surgery.
KW - Head and neck cancer
KW - Length of stay
KW - Reoperation
KW - Risk factors
KW - Surgical wound infection
KW - Tracheostomy
UR - http://www.scopus.com/inward/record.url?scp=84862758309&partnerID=8YFLogxK
U2 - 10.1016/j.jcms.2011.07.019
DO - 10.1016/j.jcms.2011.07.019
M3 - Article
C2 - 21873075
AN - SCOPUS:84862758309
SN - 1010-5182
VL - 40
SP - 443
EP - 448
JO - Journal of Cranio-Maxillofacial Surgery
JF - Journal of Cranio-Maxillofacial Surgery
IS - 5
ER -
