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논문 기본 정보

자료유형
학술저널
저자정보
Winocour, Sebastian (Division of Plastic Surgery, Department of Surgery, Mayo Clinic) Martinez-Jorge, Jorys (Division of Plastic Surgery, Department of Surgery, Mayo Clinic) Habermann, Elizabeth (Department of Health Sciences Research) Thomsen, Kristine (Department of Health Sciences Research) Lemaine, Valerie (Division of Plastic Surgery, Department of Surgery, Mayo Clinic)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제2호
발행연도
2015.1
수록면
194 - 200 (7page)

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Background Surgical site infections (SSIs) result in significant patient morbidity following immediate tissue expander breast reconstruction (ITEBR). This study determined a single institution's 30-day SSI rate and benchmarked it against that among national institutions participating in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). Methods Women who underwent ITEBR with/without acellular dermal matrix (ADM) were identified using the ACS-NSQIP database between 2005 and 2011. Patient characteristics associated with the 30-day SSI rate were determined, and differences in rates between our institution and the national database were assessed. Results 12,163 patients underwent ITEBR, including 263 at our institution. SSIs occurred in 416 (3.4%) patients nationwide excluding our institution, with lower rates observed at our institution (1.9%). Nationwide, SSIs were significantly more common in ITEBR patients with ADM (4.5%) compared to non-ADM patients (3.2%, P=0.005), and this trend was observed at our institution (2.1% vs. 1.6%, P=1.00). A multivariable analysis of all institutions identified age ${\geq}50$ years (odds ratio [OR], 1.4; confidence interval [CI], 1.1-1.7), body mass index ${\geq}30kg/m^2$ vs. < $25kg/m^2$ (OR, 3.4; CI, 2.6-4.5), and operative time >4.25 hours (OR, 1.9; CI, 1.5-2.4) as risk factors for SSIs. Our institutional SSI rate was lower than the nationwide rate (OR, 0.4; CI, 0.2-1.1), although this difference was not statistically significant (P=0.07). Conclusions The 30-day SSI rate at our institution in patients who underwent ITEBR was lower than the nation. SSIs occurred more frequently in procedures involving ADM both nationally and at our institution.
#Breast implantation #Acellular dermis #Benchmarking #Surgical wound infection

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참고문헌 (24)

참고문헌 신청
Albornoz CR / 2013 / A paradigm shift in U.S. Breast reconstruction: increasing implant rates / Plast Reconstr Surg 131:15~23 google schola Cemal Y / 2013 / A paradigm shift in U.S. breast reconstruction: Part 2. The influence of changing mastectomy patterns on reconstructive rate and method / Plast Reconstr Surg 131:320e~326e google schola Gurunluoglu R / 2010 / Current trends in breast reconstruction: survey of American Society of Plastic Surgeons 2010 / Ann Plast Surg 70:103~110 google schola Fischer JP / 2013 / Peri-operative risk factors associated with early tissue expander (TE) loss following immediate breast reconstruction (IBR): a review of 9305 patients from the 2005-2010 ACS-NSQIP datasets / J Plast Reconstr Aesthet Surg 66:1504~1512 google schola Fischer JP / 2013 / Comprehensive outcome and cost analysis of free tissue transfer for breast reconstruction: an experience with 1303 flaps / Plast Reconstr Surg 131:195~203 google schola

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