Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation
Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient opt...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Docimo, Salvatore [verfasserIn] Spaniolas, Konstantinos [verfasserIn] Svestka, Michael [verfasserIn] Bates, Andrew T. [verfasserIn] Sbayi, Samer [verfasserIn] Schnur, Jessica [verfasserIn] Talamini, Mark [verfasserIn] Pryor, Aurora D. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Surgical endoscopy and other interventional techniques - New York, NY : Springer, 1987, 33(2018), 8 vom: 22. Okt., Seite 2503-2507 |
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| Übergeordnetes Werk: |
volume:33 ; year:2018 ; number:8 ; day:22 ; month:10 ; pages:2503-2507 |
| Links: |
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| DOI / URN: |
10.1007/s00464-018-6538-9 |
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| Katalog-ID: |
SPR00634660X |
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| 245 | 1 | 0 | |a Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation |
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| 520 | |a Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. | ||
| 650 | 4 | |a Abdominal wall reconstruction |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Obesity |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Surgical site infections |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Component separation |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hernia repair |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Spaniolas, Konstantinos |e verfasserin |4 aut | |
| 700 | 1 | |a Svestka, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Bates, Andrew T. |e verfasserin |4 aut | |
| 700 | 1 | |a Sbayi, Samer |e verfasserin |4 aut | |
| 700 | 1 | |a Schnur, Jessica |e verfasserin |4 aut | |
| 700 | 1 | |a Talamini, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Pryor, Aurora D. |e verfasserin |4 aut | |
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10.1007/s00464-018-6538-9 doi (DE-627)SPR00634660X (SPR)s00464-018-6538-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Docimo, Salvatore verfasserin aut Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. Abdominal wall reconstruction (dpeaa)DE-He213 Obesity (dpeaa)DE-He213 Surgical site infections (dpeaa)DE-He213 Component separation (dpeaa)DE-He213 Hernia repair (dpeaa)DE-He213 Spaniolas, Konstantinos verfasserin aut Svestka, Michael verfasserin aut Bates, Andrew T. verfasserin aut Sbayi, Samer verfasserin aut Schnur, Jessica verfasserin aut Talamini, Mark verfasserin aut Pryor, Aurora D. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 33(2018), 8 vom: 22. Okt., Seite 2503-2507 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:33 year:2018 number:8 day:22 month:10 pages:2503-2507 https://dx.doi.org/10.1007/s00464-018-6538-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 33 2018 8 22 10 2503-2507 |
| spelling |
10.1007/s00464-018-6538-9 doi (DE-627)SPR00634660X (SPR)s00464-018-6538-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Docimo, Salvatore verfasserin aut Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. Abdominal wall reconstruction (dpeaa)DE-He213 Obesity (dpeaa)DE-He213 Surgical site infections (dpeaa)DE-He213 Component separation (dpeaa)DE-He213 Hernia repair (dpeaa)DE-He213 Spaniolas, Konstantinos verfasserin aut Svestka, Michael verfasserin aut Bates, Andrew T. verfasserin aut Sbayi, Samer verfasserin aut Schnur, Jessica verfasserin aut Talamini, Mark verfasserin aut Pryor, Aurora D. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 33(2018), 8 vom: 22. Okt., Seite 2503-2507 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:33 year:2018 number:8 day:22 month:10 pages:2503-2507 https://dx.doi.org/10.1007/s00464-018-6538-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 33 2018 8 22 10 2503-2507 |
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10.1007/s00464-018-6538-9 doi (DE-627)SPR00634660X (SPR)s00464-018-6538-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Docimo, Salvatore verfasserin aut Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. Abdominal wall reconstruction (dpeaa)DE-He213 Obesity (dpeaa)DE-He213 Surgical site infections (dpeaa)DE-He213 Component separation (dpeaa)DE-He213 Hernia repair (dpeaa)DE-He213 Spaniolas, Konstantinos verfasserin aut Svestka, Michael verfasserin aut Bates, Andrew T. verfasserin aut Sbayi, Samer verfasserin aut Schnur, Jessica verfasserin aut Talamini, Mark verfasserin aut Pryor, Aurora D. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 33(2018), 8 vom: 22. Okt., Seite 2503-2507 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:33 year:2018 number:8 day:22 month:10 pages:2503-2507 https://dx.doi.org/10.1007/s00464-018-6538-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 33 2018 8 22 10 2503-2507 |
| allfieldsGer |
10.1007/s00464-018-6538-9 doi (DE-627)SPR00634660X (SPR)s00464-018-6538-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Docimo, Salvatore verfasserin aut Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. Abdominal wall reconstruction (dpeaa)DE-He213 Obesity (dpeaa)DE-He213 Surgical site infections (dpeaa)DE-He213 Component separation (dpeaa)DE-He213 Hernia repair (dpeaa)DE-He213 Spaniolas, Konstantinos verfasserin aut Svestka, Michael verfasserin aut Bates, Andrew T. verfasserin aut Sbayi, Samer verfasserin aut Schnur, Jessica verfasserin aut Talamini, Mark verfasserin aut Pryor, Aurora D. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 33(2018), 8 vom: 22. Okt., Seite 2503-2507 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:33 year:2018 number:8 day:22 month:10 pages:2503-2507 https://dx.doi.org/10.1007/s00464-018-6538-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 33 2018 8 22 10 2503-2507 |
| allfieldsSound |
10.1007/s00464-018-6538-9 doi (DE-627)SPR00634660X (SPR)s00464-018-6538-9-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Docimo, Salvatore verfasserin aut Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. Abdominal wall reconstruction (dpeaa)DE-He213 Obesity (dpeaa)DE-He213 Surgical site infections (dpeaa)DE-He213 Component separation (dpeaa)DE-He213 Hernia repair (dpeaa)DE-He213 Spaniolas, Konstantinos verfasserin aut Svestka, Michael verfasserin aut Bates, Andrew T. verfasserin aut Sbayi, Samer verfasserin aut Schnur, Jessica verfasserin aut Talamini, Mark verfasserin aut Pryor, Aurora D. verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 33(2018), 8 vom: 22. Okt., Seite 2503-2507 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:33 year:2018 number:8 day:22 month:10 pages:2503-2507 https://dx.doi.org/10.1007/s00464-018-6538-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 33 2018 8 22 10 2503-2507 |
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English |
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Enthalten in Surgical endoscopy and other interventional techniques 33(2018), 8 vom: 22. Okt., Seite 2503-2507 volume:33 year:2018 number:8 day:22 month:10 pages:2503-2507 |
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Enthalten in Surgical endoscopy and other interventional techniques 33(2018), 8 vom: 22. Okt., Seite 2503-2507 volume:33 year:2018 number:8 day:22 month:10 pages:2503-2507 |
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Abdominal wall reconstruction Obesity Surgical site infections Component separation Hernia repair |
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Surgical endoscopy and other interventional techniques |
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Docimo, Salvatore @@aut@@ Spaniolas, Konstantinos @@aut@@ Svestka, Michael @@aut@@ Bates, Andrew T. @@aut@@ Sbayi, Samer @@aut@@ Schnur, Jessica @@aut@@ Talamini, Mark @@aut@@ Pryor, Aurora D. @@aut@@ |
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2018-10-22T00:00:00Z |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR00634660X</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519183529.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201002s2018 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00464-018-6538-9</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR00634660X</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00464-018-6538-9-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.87</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Docimo, Salvatore</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. 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Docimo, Salvatore |
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Docimo, Salvatore ddc 610 bkl 44.87 misc Abdominal wall reconstruction misc Obesity misc Surgical site infections misc Component separation misc Hernia repair Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation |
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610 ASE 44.87 bkl Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation Abdominal wall reconstruction (dpeaa)DE-He213 Obesity (dpeaa)DE-He213 Surgical site infections (dpeaa)DE-He213 Component separation (dpeaa)DE-He213 Hernia repair (dpeaa)DE-He213 |
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ddc 610 bkl 44.87 misc Abdominal wall reconstruction misc Obesity misc Surgical site infections misc Component separation misc Hernia repair |
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ddc 610 bkl 44.87 misc Abdominal wall reconstruction misc Obesity misc Surgical site infections misc Component separation misc Hernia repair |
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Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation |
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Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation |
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Docimo, Salvatore |
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Surgical endoscopy and other interventional techniques |
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Docimo, Salvatore Spaniolas, Konstantinos Svestka, Michael Bates, Andrew T. Sbayi, Samer Schnur, Jessica Talamini, Mark Pryor, Aurora D. |
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increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation |
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Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation |
| abstract |
Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. |
| abstractGer |
Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. |
| abstract_unstemmed |
Background To quantify the impact of body mass index (BMI) on surgical site infection (SSI) following abdominal wall reconstruction (AWR) using component separation techniques and attempt to identify obesity-related targets, such as BMI, that can be potentially used to guide preoperative patient optimization. Though AWR has established perioperative outcomes for hernia repair, the applicability in the obese population is not well established. Methods The 2005–2013 ACS-NSQIP participant use file was reviewed to compare SSI, severe, and overall morbidity in non-emergent AWR patients based on BMI. Multivariable logistic regression was used to control for patient demographics and comorbidities. Odds ratios (OR) with 95% confidence intervals were reported. Results We identified 4488 patients. The average BMI was 32.76 ± 7.70 kg/$ m^{2} $. The majority of cases (76.8%) had wound classified as clean. The SSI rate significantly increased at a BMI of ≥ 35 kg/$ m^{2} $ compared to < 35 (18.5% vs. 10.5%, p < 0.0001). There was no significant different in SSI rate between BMI 35–40 and > 40. After controlling for differences in baseline characteristics and wound classification, BMI ≥ 35 kg/$ m^{2} $ was independently associated with SSI (OR 1.47, 1.21–1.78), minor complications (OR 1.65, 1.41–1.94), major complications (OR 1.91, 1.60–2.27), re-operation (OR 1.59, 1.23–2.05), and hospital re-admission (OR 1.93, 1.23–3.02). Conclusion There is a significant increase in SSI and other perioperative complications in patients with a BMI ≥ 35 kg/$ m^{2} $ undergoing AWR. Higher BMI is also independently associated with higher resource utilization in this patient population. Severely obese patients in need of AWR may benefit from a structured preoperative weight loss intervention. |
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Increased incidence of surgical site infection with a body mass index ≥ 35 kg/$ m^{2} $ following abdominal wall reconstruction with open component separation |
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Spaniolas, Konstantinos Svestka, Michael Bates, Andrew T. Sbayi, Samer Schnur, Jessica Talamini, Mark Pryor, Aurora D. |
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| score |
7.40178 |