gms | German Medical Science

Deutscher Kongress für Orthopädie und Unfallchirurgie
74. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie
96. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie
51. Tagung des Berufsverbandes der Fachärzte für Orthopädie und Unfallchirurgie

26. - 29.10.2010, Berlin

Surgical site infections in orthopaedic trauma

Meeting Abstract

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  • T.G. Guitton - MGH, Boston, United States
  • D. Ring - MGH, Boston, United States

Deutscher Kongress für Orthopädie und Unfallchirurgie. 74. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 96. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie, 51. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 26.-29.10.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. DocIN24-1670

DOI: 10.3205/10dkou156, URN: urn:nbn:de:0183-10dkou1565

Published: October 21, 2010

© 2010 Guitton et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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Objective: Orthopaedic surgical-site infections (SSI) prolong hospital stays, double re-hospitalization rates, and increase healthcare costs. In addition, orthopaedic SSI’s are associated with greater physical limitations and reduced health-related quality of life. The purpose of this study is to determine the risk factors for surgical-site infection in patients treated for skeletal trauma.

Methods: A trauma database and billing record were used to identify 1783 patients that had operative treatment for skeletal trauma 2006 and 2008. The medical record was demographic, medical, injury and surgery specific data as well as SSI were recorded. Factors that were significant in bivariate analysis were included in a multiple logistic regression model.

Results and conclusions: Six independent predictors of surgical site infection were identified: 1) The use of a drain (odds ratio 2.2, p=0.003); 2) Number of operations (odds ratio 3.5, <0.001); 3) Diabetes (odds ratio 2.3, p=0.01); 4) Congestive Heart Failure (odds ratio 2.9, p=0.01); 5) Site of Injury Tibial Shaft/Plateau (odds ratio 2.4, p=0.005); and 6) Site of Injury Elbow (odds ratio 2.6, p=0.01).

The strongest risk factors for surgical site infection after skeletal trauma are related to patient infirmity, injury severity and injury location.