General surgical operative duration is associated with increased risk-adjusted infectious complication rates and length of hospital stay

Journal of the American College of Surgeons
Levi D ProcterJoseph B Zwischenberger

Abstract

Studies of specific procedures have shown increases in infectious complications with operative duration. We hypothesized that operative duration is independently associated with increased risk-adjusted infectious complication (IC) rates in a broad range of general surgical procedures. We queried the American College of Surgeons National Surgical Quality Improvement Program database for general surgical operations performed from 2005 to 2007. ICs (wound infection, sepsis, urinary tract infection, and/or pneumonia) and length of hospital stay (LOS) were evaluated versus operative duration (OD, ie, incision to closure). Multivariable regression adjusted for 38 patient risk variables, operation type and complexity, wound class and intraoperative transfusion. We also analyzed isolated laparoscopic cholecystectomies in patients of American Society of Anesthesiologists class 1 or 2, without intraoperative transfusion and with a clean or clean-contaminated wound class. In 299,359 operations performed at 173 hospitals, unadjusted IC rates increased linearly with OD at a rate of close to 2.5% per half hour (chi-square test for linear trend, p < 0.001). After adjustment, IC risk increased for each half hour of OD relative to cases lasting...Continue Reading

References

Nov 1, 1989·Annals of Surgery·V W FazioI C Lavery
Aug 1, 1973·Archives of Surgery·P J Cruse, R Foord
Jun 1, 1997·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·N GarciaJ M Davis
Mar 21, 1998·Journal of Medical Systems·D P StrumG Bashein
Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
Dec 2, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·K B KirklandD J Sexton
Nov 7, 2000·Clinical Orthopaedics and Related Research·C J LaverniaR A Hernandez
Jun 16, 2001·American Journal of Obstetrics and Gynecology·K W CoatesB L Shull
Feb 22, 2002·The Journal of Surgical Research·Debra L MaloneLena M Napolitano
Jun 1, 2002·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Khaled SalehEdward McElfresh
Feb 27, 2003·Emerging Infectious Diseases·Eli N PerencevichRichard Platt
May 25, 2005·Annals of Surgery·Mark WilkiemeyerLeigh A Neumayer
May 28, 2005·The Journal of Surgical Research·Haytham M A KaafaraniDavid H Berger
Jun 24, 2005·American Journal of Surgery·E Patchen DellingerJonathan R Sugarman
Jan 18, 2006·The Journal of Surgical Research·David S KauvarMichael Harnisch
Jun 1, 2006·Journal of the American College of Surgeons·Justin B DimickDarrell A Campbell
Jun 5, 2007·Journal of the American College of Surgeons·Shukri F KhuriUNKNOWN Principal Site Investigators of the Patient Safety in Surgery Study
Jan 16, 2009·The New England Journal of Medicine·Alex B HaynesUNKNOWN Safe Surgery Saves Lives Study Group

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Citations

Nov 1, 2011·Annals of Surgery·Christopher S HollenbeakPeter W Dillon
Sep 11, 2013·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Kulbir MannSukhpal Singh
Mar 4, 2014·Plastic Surgical Nursing : Official Journal of the American Society of Plastic and Reconstructive Surgical Nurses·Laura J GoldsteinSiobhan Brennan
Jun 18, 2014·Surgical Endoscopy·Anne O LidorMichael A Schweitzer
Aug 16, 2014·Surgical Endoscopy·Ugo BoggiFranco Mosca
Jul 10, 2012·World Journal of Surgical Oncology·Josephine A MauskopfJuan B Ochoa
Dec 24, 2013·The Journal of Arthroplasty·Mohammad R RasouliJonathan H Waters
Dec 10, 2013·Journal of the American College of Surgeons·Robert W KrellUNKNOWN Michigan Bariatric Surgery Collaborative
Jun 12, 2013·The Veterinary Clinics of North America. Small Animal Practice·Jennifer J Devey
Apr 13, 2013·The Spine Journal : Official Journal of the North American Spine Society·Andrew J SchoenfeldChristopher M Bono
Jul 10, 2012·American Journal of Surgery·Tolulope A OyetunjiAdil H Haider
Sep 8, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Chad G BallKeith D Lillemoe
Dec 25, 2015·Healthcare : the Journal of Delivery Science and Innovation·Natalia WilsonCharles Davis
Aug 28, 2015·Journal of Surgical Oncology·Zhobin MoghadamyeghanehMichael J Stamos
Jan 28, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Mohammad R RasouliJonathan H Waters
Sep 30, 2015·Surgical Endoscopy·Deborah S KellerEric M Haas
Jun 3, 2015·Journal of Surgical Oncology·Taeil Son, Woo Jin Hyung
Apr 17, 2016·Journal of Robotic Surgery·Aaron M PotretzkeSam B Bhayani
Mar 13, 2015·Asian Journal of Andrology·Neil BaumPaul Perito
Mar 23, 2015·The Journal of Surgical Research·Yinin HuSara K Rasmussen
May 2, 2014·Irish Journal of Medical Science·R TevlinP R O'Connell
Oct 1, 2013·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Hélène Chevrou-SéveracMarkus Schäfer
Jul 24, 2013·Burns : Journal of the International Society for Burn Injuries·Jolene LimFiona M Wood
Oct 11, 2013·The New England Journal of Medicine·John D BirkmeyerUNKNOWN Michigan Bariatric Surgery Collaborative

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