Risk factors for surgical site infection after surgical treatment of closed distal radial fractures.

IF 2 2区 医学 Q2 ORTHOPEDICS Journal of Hand Surgery-European Volume Pub Date : 2024-03-01 Epub Date: 2023-09-04 DOI:10.1177/17531934231194672
Jennifer L Crook, William Pientka, Andrew Y Zhang, Ann Golden, Daniel Koehler, Douglas Sammer
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Abstract

We assessed operatively treated closed distal radial fractures to identify independent risk factors for surgical site infection after treatment. A retrospective review was carried out of 531 operatively treated closed distal radial fractures over a 5-year period. Multiple logistic regression was performed with infection as the dependent variable, using a stepwise regression procedure to select variables to construct the final model. In total, 19 (3.6%) fractures were complicated by postoperative surgical site infection. Uncontrolled diabetes with HbA1c >7, the presence of external fixation or external Kirschner wires, and tobacco use were significant independent predictors of infection. Age and time in the operating room were also statistically significant predictors but deemed to be not clinically meaningful.Level of evidence: IV.

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闭合性桡骨远端骨折手术治疗后手术部位感染的风险因素。
我们对接受过手术治疗的闭合性桡骨远端骨折进行了评估,以确定治疗后手术部位感染的独立风险因素。我们对 5 年内接受手术治疗的 531 例闭合性桡骨远端骨折进行了回顾性研究。以感染为因变量进行多元逻辑回归,采用逐步回归程序选择变量构建最终模型。共有19例(3.6%)骨折并发术后手术部位感染。未控制的糖尿病(HbA1c>7)、存在外固定或外Kirschner钢丝以及吸烟是感染的重要独立预测因素。年龄和在手术室的时间在统计学上也是重要的预测因素,但被认为没有临床意义:证据等级:IV。
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来源期刊
CiteScore
3.10
自引率
16.70%
发文量
190
审稿时长
4-8 weeks
期刊介绍: The Journal of Hand Surgery (European Volume) is essential reading for everyone involved in restoring the function to the hand and upper limb. Dedicated to the needs of hand, plastic, reconstructive and orthopaedic surgeons, it publishes the best selection of current papers on hand surgery. The journal regularly highlights key developments in a range of original, authoritative and highly informative articles written by distinguished experts from around the world. Rapid coverage of the latest research, techniques, trends and ideas to make sure you stay up-to-date. Subjects covered include: joint replacement fracture and joint injuries microvascular surgery congenital hand problems You will also find editorials, book reviews, conference dates, case studies, detailed coverage of new techniques and full-length reviews articles.
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