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Prediction Score of Zorbas et al for Surgical Site Infection After Clean Neck Operation

Description

Zorbas et al reported a simple score for predicting surgical site infection after a clean neck operation. This can help to identify a patient who may require more aggressive management. The authors are from BronxCare Health System, University of Pennsylvania, Temple University and Henry Dunant Hospital Center (Athens, Greece).


Patient selection: clean neck operation, typically elective

 

Parameters:

(1) sex

(2) diabetes mellitus

(3) current smoking

(4) pre-operative steroid use

(5) cancer diagnosis

(6) radical lymphadenectomy (radical neck dissection)

 

Parameter

Finding

Points

sex

male

1

 

female

0

diabetes mellitus

no

0

 

yes

1

current smoking

no

0

 

yes

1

pre-operative steroid use

no

0

 

yes

1

cancer diagnosis

no

0

 

yes

1

radical lymphadenectomy

no

0

 

yes

2

 

Additional factor(s) not included in score:

(1) total operative time >= 198 minutes (aOR 2.3)

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 7

• The higher the score the greater the risk of surgical site infection,


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