Factores de riesgo para el desarrollo de infecciones de heridas quirúrgicas en pacientes con fracturas cerradas.
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| Title: | Factores de riesgo para el desarrollo de infecciones de heridas quirúrgicas en pacientes con fracturas cerradas. |
|---|---|
| Alternate Title: | Risk factors for the development of surgical wound infections in patients with closed fractures. |
| Authors: | J., Quiroz-Williams1, G., Antonio-Flores1, S., Gaytán-Fernández1, S., Portillo-Gutiérrez1, C. R., Rueda-Alvarado1, A. B., Barrios-López2, A. M., Palma-Jaimes3, R. G., Barragán-Hervella1,4,5 rodolfo68@icloud.com |
| Source: | Acta Ortopédica Mexicana. Nov/Dec2024, Vol. 38 Issue 6, p383-389. 7p. |
| Abstract (English): | Introduction: orthopedic deviceassociated infections (ODI) are considered surgical site infections (SSI). SSIs are generally attributed to contamination during surgery, but they require certain factors for their development. Therefore, the objective of this study was to analyze the risk factors for the development of SSIs in patients with closed fractures. Material and methods: a retrospective observational study was carried out, where records of patients with closed bone fractures undergoing surgery were reviewed during the period from January to December 2020. The variables studied were age, sex, BMI, comorbidities, as well as surgery time, ischemia time, intraoperative bleeding, type of fracture, serum glucose 24-48 hours prior to surgery and blood transfusion. The analysis was performed with Fisher, OR and binary logistic regression. Accepted statistical value: p < 0.05. Results: sample of 131 patients. Mean age was 47.6 ± 18.7 years. Diabetes mellitus (DM) 24.4%, systemic arterial hypertension (SAH) 23.7%, obesity 70.2%, smoking 47.3% and alcoholism 67.9%. Simple fractures 34.4% and complex 65.6%. 19.1% presented infection after surgery. Risk factors found: glucose > 120 mg/dl OR: 4.9 (95% CI, 1.6-15.7, p = 0.001), surgery time > 120 minutes OR: 6.7 (95% CI, 2.3-20.1, p = 0.001), male sex OR: 4.5 (95% CI, 1.5-13.9, p = 0.009) and age < 50 years OR: 0.3 (95% CI, 0.07-0.8, p = 0.031). Conclusions: having a glucose > 120 mg/dl before surgery and a surgical time > 120 minutes as risk factors for the development of ODI in closed long. g bone fractures. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: las infecciones de sitio quirúrgico (ISQ), por lo general son atribuidas a contaminación durante la cirugía. y requieren de ciertos factores para su desarrollo. El objetivo de este estudio fue analizar los factores de riesgo para el desarrollo de ISQ en pacientes con fracturas cerradas. Material y métodos: estudio observacional retrospectivo, donde se revisaron expedientes de pacientes con fractura cerrada de huesos sometidos a cirugía durante el período de Enero a Diciembre de 2020. Variables estudiadas: edad, sexo, índice de masa corporal (IMC), comorbilidades, tiempo de cirugía, tiempo de isquemia, sangrado transquirúrgico, tipo de fractura, glucosa sérica 24-48 horas previas a la cirugía y transfusión sanguínea. El análisis se realizó con Fisher, OR y regresión logística binaria. Valor estadístico aceptado: p < 0.05. Resultados: muestra de 131 pacientes. Media de edad de 47.6 ± 18.7 años. Diabetes mellitus (DM) 24.4%, hipertensión arterial sistémica (HAS) 23.7%, obesidad 70.2%, tabaquismo 47.3% y alcoholismo 67.9%. Fracturas simples 34.4% y complejas 65.6%; 19.1% presentaron infección posterior de la cirugía. Factores de riesgo: glucosa > 120 mg/dl OR: 4.9 (IC95%, 1.6-15.7, p = 0.001), tiempo de cirugía > 120 minutos OR: 6.7 (IC95%, 2.3-20.1, p = 0.001), sexo masculino OR: 4.5 (IC95%, 1.5- 13.9, p = 0.009) y edad < 50 años OR: 0.3 (IC95%, 0.07- 0.8, p = 0.031). Conclusiones: ser de sexo masculino, tener glucosa > 120 mg/dl antes de la cirugía y un tiempo quirúrgico > 120 minuto son factores de riesgo para el desarrollo de ISQ en fracturas cerradas de huesos largos. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 180865929 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Factores de riesgo para el desarrollo de infecciones de heridas quirúrgicas en pacientes con fracturas cerradas. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Risk factors for the development of surgical wound infections in patients with closed fractures. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22J%2E%2C+Quiroz-Williams%22">J., Quiroz-Williams</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22G%2E%2C+Antonio-Flores%22">G., Antonio-Flores</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22S%2E%2C+Gaytán-Fernández%22">S., Gaytán-Fernández</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22S%2E%2C+Portillo-Gutiérrez%22">S., Portillo-Gutiérrez</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22C%2E+R%2E%2C+Rueda-Alvarado%22">C. R., Rueda-Alvarado</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22A%2E+B%2E%2C+Barrios-López%22">A. B., Barrios-López</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22A%2E+M%2E%2C+Palma-Jaimes%22">A. M., Palma-Jaimes</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22R%2E+G%2E%2C+Barragán-Hervella%22">R. G., Barragán-Hervella</searchLink><relatesTo>1,4,5</relatesTo><i> rodolfo68@icloud.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Ortopédica+Mexicana%22">Acta Ortopédica Mexicana</searchLink>. Nov/Dec2024, Vol. 38 Issue 6, p383-389. 7p. – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: orthopedic deviceassociated infections (ODI) are considered surgical site infections (SSI). SSIs are generally attributed to contamination during surgery, but they require certain factors for their development. Therefore, the objective of this study was to analyze the risk factors for the development of SSIs in patients with closed fractures. Material and methods: a retrospective observational study was carried out, where records of patients with closed bone fractures undergoing surgery were reviewed during the period from January to December 2020. The variables studied were age, sex, BMI, comorbidities, as well as surgery time, ischemia time, intraoperative bleeding, type of fracture, serum glucose 24-48 hours prior to surgery and blood transfusion. The analysis was performed with Fisher, OR and binary logistic regression. Accepted statistical value: p < 0.05. Results: sample of 131 patients. Mean age was 47.6 ± 18.7 years. Diabetes mellitus (DM) 24.4%, systemic arterial hypertension (SAH) 23.7%, obesity 70.2%, smoking 47.3% and alcoholism 67.9%. Simple fractures 34.4% and complex 65.6%. 19.1% presented infection after surgery. Risk factors found: glucose > 120 mg/dl OR: 4.9 (95% CI, 1.6-15.7, p = 0.001), surgery time > 120 minutes OR: 6.7 (95% CI, 2.3-20.1, p = 0.001), male sex OR: 4.5 (95% CI, 1.5-13.9, p = 0.009) and age < 50 years OR: 0.3 (95% CI, 0.07-0.8, p = 0.031). Conclusions: having a glucose > 120 mg/dl before surgery and a surgical time > 120 minutes as risk factors for the development of ODI in closed long. g bone fractures. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: las infecciones de sitio quirúrgico (ISQ), por lo general son atribuidas a contaminación durante la cirugía. y requieren de ciertos factores para su desarrollo. El objetivo de este estudio fue analizar los factores de riesgo para el desarrollo de ISQ en pacientes con fracturas cerradas. Material y métodos: estudio observacional retrospectivo, donde se revisaron expedientes de pacientes con fractura cerrada de huesos sometidos a cirugía durante el período de Enero a Diciembre de 2020. Variables estudiadas: edad, sexo, índice de masa corporal (IMC), comorbilidades, tiempo de cirugía, tiempo de isquemia, sangrado transquirúrgico, tipo de fractura, glucosa sérica 24-48 horas previas a la cirugía y transfusión sanguínea. El análisis se realizó con Fisher, OR y regresión logística binaria. Valor estadístico aceptado: p < 0.05. Resultados: muestra de 131 pacientes. Media de edad de 47.6 ± 18.7 años. Diabetes mellitus (DM) 24.4%, hipertensión arterial sistémica (HAS) 23.7%, obesidad 70.2%, tabaquismo 47.3% y alcoholismo 67.9%. Fracturas simples 34.4% y complejas 65.6%; 19.1% presentaron infección posterior de la cirugía. Factores de riesgo: glucosa > 120 mg/dl OR: 4.9 (IC95%, 1.6-15.7, p = 0.001), tiempo de cirugía > 120 minutos OR: 6.7 (IC95%, 2.3-20.1, p = 0.001), sexo masculino OR: 4.5 (IC95%, 1.5- 13.9, p = 0.009) y edad < 50 años OR: 0.3 (IC95%, 0.07- 0.8, p = 0.031). Conclusiones: ser de sexo masculino, tener glucosa > 120 mg/dl antes de la cirugía y un tiempo quirúrgico > 120 minuto son factores de riesgo para el desarrollo de ISQ en fracturas cerradas de huesos largos. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35366/118290 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 383 Titles: – TitleFull: Factores de riesgo para el desarrollo de infecciones de heridas quirúrgicas en pacientes con fracturas cerradas. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: J., Quiroz-Williams – PersonEntity: Name: NameFull: G., Antonio-Flores – PersonEntity: Name: NameFull: S., Gaytán-Fernández – PersonEntity: Name: NameFull: S., Portillo-Gutiérrez – PersonEntity: Name: NameFull: C. R., Rueda-Alvarado – PersonEntity: Name: NameFull: A. B., Barrios-López – PersonEntity: Name: NameFull: A. M., Palma-Jaimes – PersonEntity: Name: NameFull: R. G., Barragán-Hervella IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov/Dec2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 23064102 Numbering: – Type: volume Value: 38 – Type: issue Value: 6 Titles: – TitleFull: Acta Ortopédica Mexicana Type: main |
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