Survival of patients with surgical wound infection: A case-control study of common surgical interventions

Author:

Poulsen K B1,Wachmann C H2,Bremmelgaard A3,Sørensen A I4,Raahave D5,Petersen J V6

Affiliation:

1. National Center for Hospital Hygiene, Frederiksberg Hospital, Copenhagen, Denmark

2. Department of Biostatistics, Statens Seruminstitut, Frederiksberg Hospital, Copenhagen, Denmark

3. Department of Clinical Microbiology, Frederiksberg Hospital, Copenhagen, Denmark

4. Department of Orthopaedic Surgery, Frederiksberg Hospital, Copenhagen, Denmark

5. Department of General Surgery, Frederiksberg Hospital, Copenhagen, Denmark

6. Electronic Dataprocessing Department, Frederiksberg Hospital, Copenhagen, Denmark

Abstract

Abstract A cohort of 4515 surgical patients was selected from ten different surgical intervention groups, and 291 of 317 with a postoperative wound infection were matched 1:1 with controls with regard to intervention, sex and age. The mortality rate was investigated from the time of operation, with a follow-up period from 4 years 4 months to 8 years 4 months. Eighty-seven patients with a deep infection had a significantly increased mortality rate, with a risk ratio of 1·7. Without a distinction between superficial and deep infection the former might mask the higher mortality rate associated with the latter.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference13 articles.

1. Nosocomial infections and hospital deaths. A case-control study;Gross;Am J Med,1983

2. Ten-year computerized audit of infection after abdominal surgery;Krukowski;Br J Surg,1988

3. Recent experience with major sternal wound complications;Demmy;Ann Thorac Surg,1990

4. Role of infection in increased mortality associated with age in laparotomy;Harbrecht;Am Surg,1983

5. Surveillance of surgical wound;Nichols;Infect Control Hosp Epidemiol,1990

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