A positive association between nutritional risk and the incidence of surgical site infections: A hospital-based register study

PloS One
Eli SkeieRandi J Tangvik

Abstract

Surgical site infections (SSI) are amongst the most common health care-associated infections and have adverse effects for patient health and for hospital resources. Although surgery guidelines recognize poor nutritional status to be a risk factor for SSI, they do not tell how to identify this condition. The screening tool Nutritional Risk Screening 2002 is commonly used at hospitals to identify patients at nutritional risk. We investigated the association between nutritional risk and the incidence of SSI among 1194 surgical patients at Haukeland University Hospital (Bergen, Norway). This current study combines data from two mandatory hospital-based registers: a) the incidence of SSI within 30 days after surgery, and b) the point-prevalence of patients at nutritional risk. Patients with more than 30 days between surgery and nutritional risk screening were excluded. Associations were assessed using logistic regression, and the adjusted odds ratio included age (continuous), gender (male/female), type of surgery (acute/elective) and score from The American Society of Anesthesiologists Physical Status Classification System. There was a significant higher incidence of SSI among patients at nutritional risk (11.8%), as compared to tho...Continue Reading

References

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Citations

Aug 24, 2019·The Nigerian Postgraduate Medical Journal·Ahmed Olowo-OkereJoseph Olorunmola Ehinmidu
Jan 18, 2020·BMC Health Services Research·Kristin HarrisArvid Steinar Haugen
Aug 4, 2019·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Eli SkeieAsgaut Viste
Jan 15, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Tyler TantilloAdam Bitterman

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