Risk Factors of Amri et al Surgical Site Infection Following Colon Cancer Surgery

Description

Amri et al identified risk factors associated with surgical site infections (SSI) following surgery for colon cancer. These can help to identify patients who may benefit from more aggressive maangement. The authors are from Massachusetts General Hospital.

Patient selection: surgery for colon cancer

Outcome: surgical site infection (SSI)

Parameter:

(1) smoker

(2) alcohol use

(3) type 2 diabetes mellitus

(4) obesity based on body mass index (BMI) in kg per square meter

(5) operation duration in minutes

(6) surgical approach

Parameter	Finding	Points
smoker	never	0
	ever	1
alcohol use	none to moderate	0
	abuse	1
type 2 diabetes	absent	0
	present	1
obesity	absent (BMI < 30 kpsm)	0
	present (BMI >= 30 kpsm)	1
operation duration	< 140 minutes	0
	>= 140 minutes	1
surgical approach	laparoscopic	0
	other	1

total number of risk factors =

= SUM(points for all 6 parameters)

Interpretation:

• minimum score: 0

• maximum score: 6

• The higher the score the greater the risk of a surgical site infection.

Number of Risk Factors	Percent SSI
0 or 1	2%
2	5%
3	8%
4 to 6	14%

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Risk Factors of Amri et al Surgical Site Infection Following Colon Cancer Surgery

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