The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery: A STROBE-compliant retrospective study

Jung Ho Kim; Jinnam Kim; Woon Ji Lee; Hye Seong; Heun Choi; Jin Young Ahn; Su Jin Jeong; Nam Su Ku; Taeil Son; Hyoung Il Kim; Sang Hoon Han; Jun Yong Choi; Chang Oh Kim; Joon Sup Yeom; Woo Jin Hyung; Young Goo Song; Sung Hoon Noh; June Myung Kim; Anna S. Levin

doi:10.1097/MD.0000000000016739

The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery: A STROBE-compliant retrospective study

Jung Ho Kim, Jinnam Kim, Woon Ji Lee, Hye Seong, Heun Choi, Jin Young Ahn, Su Jin Jeong, Nam Su Ku, Taeil Son, Hyoung Il Kim, Sang Hoon Han, Jun Yong Choi, Chang Oh Kim, Joon Sup Yeom, Woo Jin Hyung, Young Goo Song, Sung Hoon Noh, June Myung Kim, Anna S. Levin

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Abstract

Surgical site infection (SSI) is a well-known complication in older adults. However, there have been no studies on SSI after gastrectomy in older adults. Therefore, we aimed to investigate the incidence, risk factors, and outcomes of SSIs after gastrectomy in older adults.We performed a retrospective cohort study of older adults, aged 65 years or older, who underwent gastrectomy between January 2015 and December 2015 at the Severance Hospital in Seoul, Korea. The incidence and outcomes of SSIs after gastrectomy were evaluated, and the risk factors for SSI were identified using multivariate analyses.We identified 353 older adults who underwent gastrectomy. Of these, 25 patients (7.1%) developed an SSI. Multivariate analysis indicated that open surgery (odds ratio, 2.71; 95% confidence interval, 1.13-6.51; P=.03) and a longer operation time (odds ratio, 1.01; 95% confidence interval, 1.00-1.01; P=.04) were independent risk factors for SSI after gastrectomy. In the SSI group, the incidence of postoperative fever (84.0% vs 51.8%; P<.001), length of postoperative hospital stay (13 days vs 6 days; P<.001), and re-admission rates within 30 days postoperatively (32.0% vs 3.4%; P<.001) were significantly higher than those in the non-SSI group.The risk factors for SSI in older adults after gastrectomy were open surgery and a longer operation time. When an SSI occurred, the postoperative hospital stay was prolonged and the chances of having a postoperative fever and being re-admitted within 30 days increased.

Original language	English
Article number	e16739
Journal	Medicine (United States)
Volume	98
Issue number	32
DOIs	https://doi.org/10.1097/MD.0000000000016739
Publication status	Published - 2019 Aug 1

Bibliographical note

Funding Information:
This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (2017R1C1B5017875). This study was supported by a faculty research grant of Yonsei University College of Medicine (6-2017-0054).

Publisher Copyright:
© 2019 the Author(s). Published by Wolters Kluwer Health, Inc.

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Medicine(all)

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Kim, J. H., Kim, J., Lee, W. J., Seong, H., Choi, H., Ahn, J. Y., Jeong, S. J., Ku, N. S., Son, T., Kim, H. I., Han, S. H., Choi, J. Y., Kim, C. O., Yeom, J. S., Hyung, W. J., Song, Y. G., Noh, S. H., Kim, J. M., & Levin, A. S. (2019). The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery: A STROBE-compliant retrospective study. Medicine (United States), 98(32), [e16739]. https://doi.org/10.1097/MD.0000000000016739

Kim, Jung Ho ; Kim, Jinnam ; Lee, Woon Ji ; Seong, Hye ; Choi, Heun ; Ahn, Jin Young ; Jeong, Su Jin ; Ku, Nam Su ; Son, Taeil ; Kim, Hyoung Il ; Han, Sang Hoon ; Choi, Jun Yong ; Kim, Chang Oh ; Yeom, Joon Sup ; Hyung, Woo Jin ; Song, Young Goo ; Noh, Sung Hoon ; Kim, June Myung ; Levin, Anna S. / The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery : A STROBE-compliant retrospective study. In: Medicine (United States). 2019 ; Vol. 98, No. 32.

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title = "The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery: A STROBE-compliant retrospective study",

abstract = "Surgical site infection (SSI) is a well-known complication in older adults. However, there have been no studies on SSI after gastrectomy in older adults. Therefore, we aimed to investigate the incidence, risk factors, and outcomes of SSIs after gastrectomy in older adults.We performed a retrospective cohort study of older adults, aged 65 years or older, who underwent gastrectomy between January 2015 and December 2015 at the Severance Hospital in Seoul, Korea. The incidence and outcomes of SSIs after gastrectomy were evaluated, and the risk factors for SSI were identified using multivariate analyses.We identified 353 older adults who underwent gastrectomy. Of these, 25 patients (7.1%) developed an SSI. Multivariate analysis indicated that open surgery (odds ratio, 2.71; 95% confidence interval, 1.13-6.51; P=.03) and a longer operation time (odds ratio, 1.01; 95% confidence interval, 1.00-1.01; P=.04) were independent risk factors for SSI after gastrectomy. In the SSI group, the incidence of postoperative fever (84.0% vs 51.8%; P<.001), length of postoperative hospital stay (13 days vs 6 days; P<.001), and re-admission rates within 30 days postoperatively (32.0% vs 3.4%; P<.001) were significantly higher than those in the non-SSI group.The risk factors for SSI in older adults after gastrectomy were open surgery and a longer operation time. When an SSI occurred, the postoperative hospital stay was prolonged and the chances of having a postoperative fever and being re-admitted within 30 days increased.",

author = "Kim, {Jung Ho} and Jinnam Kim and Lee, {Woon Ji} and Hye Seong and Heun Choi and Ahn, {Jin Young} and Jeong, {Su Jin} and Ku, {Nam Su} and Taeil Son and Kim, {Hyoung Il} and Han, {Sang Hoon} and Choi, {Jun Yong} and Kim, {Chang Oh} and Yeom, {Joon Sup} and Hyung, {Woo Jin} and Song, {Young Goo} and Noh, {Sung Hoon} and Kim, {June Myung} and Levin, {Anna S.}",

note = "Funding Information: This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (2017R1C1B5017875). This study was supported by a faculty research grant of Yonsei University College of Medicine (6-2017-0054). Publisher Copyright: {\textcopyright} 2019 the Author(s). Published by Wolters Kluwer Health, Inc.",

year = "2019",

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doi = "10.1097/MD.0000000000016739",

language = "English",

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issn = "0025-7974",

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Kim, JH, Kim, J, Lee, WJ, Seong, H, Choi, H, Ahn, JY, Jeong, SJ, Ku, NS, Son, T, Kim, HI, Han, SH, Choi, JY, Kim, CO, Yeom, JS, Hyung, WJ, Song, YG, Noh, SH, Kim, JM & Levin, AS 2019, 'The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery: A STROBE-compliant retrospective study', Medicine (United States), vol. 98, no. 32, e16739. https://doi.org/10.1097/MD.0000000000016739

The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery : A STROBE-compliant retrospective study. / Kim, Jung Ho; Kim, Jinnam; Lee, Woon Ji; Seong, Hye; Choi, Heun; Ahn, Jin Young; Jeong, Su Jin; Ku, Nam Su; Son, Taeil; Kim, Hyoung Il; Han, Sang Hoon; Choi, Jun Yong; Kim, Chang Oh; Yeom, Joon Sup; Hyung, Woo Jin; Song, Young Goo; Noh, Sung Hoon; Kim, June Myung; Levin, Anna S.

In: Medicine (United States), Vol. 98, No. 32, e16739, 01.08.2019.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery

T2 - A STROBE-compliant retrospective study

AU - Kim, Jung Ho

AU - Kim, Jinnam

AU - Lee, Woon Ji

AU - Seong, Hye

AU - Choi, Heun

AU - Ahn, Jin Young

AU - Jeong, Su Jin

AU - Ku, Nam Su

AU - Son, Taeil

AU - Kim, Hyoung Il

AU - Han, Sang Hoon

AU - Choi, Jun Yong

AU - Kim, Chang Oh

AU - Yeom, Joon Sup

AU - Hyung, Woo Jin

AU - Song, Young Goo

AU - Noh, Sung Hoon

AU - Kim, June Myung

AU - Levin, Anna S.

N1 - Funding Information: This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIT) (2017R1C1B5017875). This study was supported by a faculty research grant of Yonsei University College of Medicine (6-2017-0054). Publisher Copyright: © 2019 the Author(s). Published by Wolters Kluwer Health, Inc.

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Surgical site infection (SSI) is a well-known complication in older adults. However, there have been no studies on SSI after gastrectomy in older adults. Therefore, we aimed to investigate the incidence, risk factors, and outcomes of SSIs after gastrectomy in older adults.We performed a retrospective cohort study of older adults, aged 65 years or older, who underwent gastrectomy between January 2015 and December 2015 at the Severance Hospital in Seoul, Korea. The incidence and outcomes of SSIs after gastrectomy were evaluated, and the risk factors for SSI were identified using multivariate analyses.We identified 353 older adults who underwent gastrectomy. Of these, 25 patients (7.1%) developed an SSI. Multivariate analysis indicated that open surgery (odds ratio, 2.71; 95% confidence interval, 1.13-6.51; P=.03) and a longer operation time (odds ratio, 1.01; 95% confidence interval, 1.00-1.01; P=.04) were independent risk factors for SSI after gastrectomy. In the SSI group, the incidence of postoperative fever (84.0% vs 51.8%; P<.001), length of postoperative hospital stay (13 days vs 6 days; P<.001), and re-admission rates within 30 days postoperatively (32.0% vs 3.4%; P<.001) were significantly higher than those in the non-SSI group.The risk factors for SSI in older adults after gastrectomy were open surgery and a longer operation time. When an SSI occurred, the postoperative hospital stay was prolonged and the chances of having a postoperative fever and being re-admitted within 30 days increased.

AB - Surgical site infection (SSI) is a well-known complication in older adults. However, there have been no studies on SSI after gastrectomy in older adults. Therefore, we aimed to investigate the incidence, risk factors, and outcomes of SSIs after gastrectomy in older adults.We performed a retrospective cohort study of older adults, aged 65 years or older, who underwent gastrectomy between January 2015 and December 2015 at the Severance Hospital in Seoul, Korea. The incidence and outcomes of SSIs after gastrectomy were evaluated, and the risk factors for SSI were identified using multivariate analyses.We identified 353 older adults who underwent gastrectomy. Of these, 25 patients (7.1%) developed an SSI. Multivariate analysis indicated that open surgery (odds ratio, 2.71; 95% confidence interval, 1.13-6.51; P=.03) and a longer operation time (odds ratio, 1.01; 95% confidence interval, 1.00-1.01; P=.04) were independent risk factors for SSI after gastrectomy. In the SSI group, the incidence of postoperative fever (84.0% vs 51.8%; P<.001), length of postoperative hospital stay (13 days vs 6 days; P<.001), and re-admission rates within 30 days postoperatively (32.0% vs 3.4%; P<.001) were significantly higher than those in the non-SSI group.The risk factors for SSI in older adults after gastrectomy were open surgery and a longer operation time. When an SSI occurred, the postoperative hospital stay was prolonged and the chances of having a postoperative fever and being re-admitted within 30 days increased.

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DO - 10.1097/MD.0000000000016739

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JO - Medicine (United States)

JF - Medicine (United States)

SN - 0025-7974

IS - 32

M1 - e16739

ER -

The incidence and risk factors for surgical site infection in older adults after gastric cancer surgery: A STROBE-compliant retrospective study

Abstract

Bibliographical note

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UN SDGs

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