Evidence map›Paper›PMID 11505063›Full record

ArticleAnnals of surgery2001

Risk factors for surgical site infection after elective resection of the colon and rectum: a single-center prospective study of 2,809 consecutive patients.

R Tang, H H Chen, Y L Wang, C R Changchien, J S Chen, K C Hsu, J M Chiang, J Y Wang

Registry-linked trialOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of surgery, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02348034 (A Randomized Controlled Trial Exploring the Ability of Negative Pressure Wound Therapy), which is not on this map. Cited by 175 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
175citing papers in PubMed, 10 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02348034 nacompletednot on this mapstarted 2015, after this paper: background citation

A Randomized Controlled Trial Exploring the Ability of Negative Pressure Wound Therapy (NPWT) to Reduce Colorectal Surgical Site Infections (SSI)

TypeinterventionalSponsorUniversity of SaskatchewanRan2015 to 2020Enrolled126ConditionsSurgical Wound InfectionArmsPrevena Dressing
3 · Its place in the literature

Who cites it

175 citing papers in PubMed, 10 syntheses or guidelines pooled it, 543 citations in OpenAlex.

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  8. Wound drainage after plastic and reconstructive surgery of the breast.The Cochrane database of systematic reviews · 2015
    Pooled it
  9. Wound drains after incisional hernia repair.The Cochrane database of systematic reviews · 2013
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  10. Selective decontamination of the digestive tract in gastrointestinal surgery: useful in infection prevention? A systematic review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2013
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  12. Prognostic Value of Surgical Site Infection in Patients After Radical Colorectal Cancer Resection.Medical science monitor : international medical journal of experimental and clinical research · 2020
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115 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

R TangColorectal Section, Chang Gung Memorial Hospital, Linkou, Taiwan.
H H Chen
Y L Wang
C R Changchien
J S Chen
K C Hsu
J M Chiang
J Y Wang
Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the risk factors for surgical site infection (SSI) in patients undergoing elective resection of the colon and rectum. SUMMARY BACKGROUND DATA: SSI causes a substantial number of deaths and complications. Determining risk factors for SSI may provide information on reducing complications and improving outcome.

methodsThe authors performed a prospective study of 2,809 consecutive patients undergoing elective colorectal resection via laparotomy between February 1995 and December 1998 at a single institution. The outcome of interest was SSI, which was classified as being incisional or organ/space with or without clinical leakage. A likelihood ratio forward regression model was used to assess the independent association of variables with SSIs.

resultsThe overall SSI, incisional SSI, and organ/space SSI with and without clinical anastomotic leakage rates were 4.7%, 3%, 2%, and 0.8%, respectively. Risk factors for overall SSI were American Society of Anesthesiology (ASA) score 2 or 3 (odd ratio [OR] = 1.7), male gender (OR = 1.5), surgeons (OR = 1.3-3.3), types of operation (OR = 0.3-2.1), creation of ostomy (OR = 2.1), contaminated wound (OR = 2.9), use of drainage (OR = 1.6), and intra- or postoperative blood transfusion (1-3 units, OR = 5.3; >/=4 units, OR = 6.2). However, SSIs at specific sites differed from each other with respect to the risk factors. Among a variety of risk factors, only blood transfusion was consistently associated with a risk of SSI at any specific site.

conclusionsIn addition to ASA score and surgical wound class, blood transfusion, creation of ostomy, types of operation, use of drainage, sex, and surgeons were important in predicting SSIs after elective colorectal resection.

Indexed as

AdolescentAdultAgedAged, 80 and overColonic DiseasesFemaleHumansMaleMiddle AgedRectal DiseasesRegression AnalysisRisk FactorsSurgical Wound Infection

Identifiers

PMID11505063
PMCPMC1422004
OpenAlexW2023330124

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.