Risk factors and predictive model for abdominal wound dehiscence in neonates: a retrospective cohort study.

Annals of Medicine
Shouxing DuanJianhong Li

Abstract

Abdominal wound dehiscence (AWD) is a major complication of abdominal surgery, and neonates are a group with a high risk of AWD, which has serious consequences or can even result in death. The purpose of this study is to explore the risk factors for neonatal AWD and construct a predictive model. The clinical data of 453 cases that underwent neonatal laparotomy from June 2009 to June 2020 were retrospectively analyzed, among which 27 cases of AWD were identified. Nine factors, including gender, age at admission, weight at admission, preterm delivery, level of preoperative anaemia, hypoalbuminemia, operation time, incision length, and incision type, were analyzed to explore their correlation with neonatal AWD. The incidence of neonatal AWD was 6.0% (27/453), among which partial wound dehiscence accounted for 4.9% (22/453) and complete wound dehiscence accounted for 1.1% (5/453). Hypoproteinemia and incision type were the independent risk factors for neonatal AWD, and weight at admission was a protective factor for AWD in the multivariate models. All these factors were incorporated to construct a nomogram, and a calibration curve was plotted. The result indicated that the actual risk was close to the predicted risk when the predic...Continue Reading

References

Aug 10, 2010·The British Journal of Nutrition·Junbo WangYong Li
Apr 6, 2012·Seminars in Pediatric Surgery·Lohfa B ChirdanEssam A Elhalaby
Jul 6, 2014·Annals of the Royal College of Surgeons of England·P A Jategaonkar, S P Yadav
Apr 3, 2015·The Journal of Nutrition·Daniel J RaitenUNKNOWN INSPIRE Consultative Group
Apr 19, 2015·Clinics in Dermatology·Marty O VisscherMauricio Odio
Feb 13, 2016·Langenbeck's Archives of Surgery·Salomone Di SaverioGregorio Tugnoli
Nov 30, 2016·The Surgical Clinics of North America·Dylan R Childs, Ananth S Murthy
Apr 8, 2017·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Arved WeimannPierre Singer
Jun 27, 2017·Journal of the Academy of Nutrition and Dietetics·Wendy Marcason
Oct 20, 2018·Frontiers in Medicine·Gordana JovanovićMirka Lukić-Šarkanović
Dec 4, 2019·Annals of Gastroenterological Surgery·Kosei TakagiBas Groot Koerkamp
Sep 9, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Andreas DenysGabriëlle H van Ramshorst
Jan 5, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K K JensenP-M Krarup

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