Evidence map›Paper›PMID 33183253›Full record

ArticleBMC infectious diseases2020

Incidence and risk factors of surgical site infection following colorectal surgery in China: a national cross-sectional study.

Xufei Zhang, Zhiwei Wang, Jun Chen, Peige Wang, Suming Luo, Xinjian Xu, Wei Mai, Guangyi Li, Gefei Wang, Xiuwen Wu and 1 more

Abstract readMulticenter Study
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Antimicrobial approach of abdominal post-surgical infections.World journal of gastrointestinal surgery · 2023
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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

11 authors.

Xufei ZhangResearch Institute of General Surgery, Jinling Hospital, Nanjing Medical University, Nanjing, 210002, People's Republic of China.
Zhiwei WangDepartment of Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, People's Republic of China.
Jun ChenResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, People's Republic of China.
Peige WangDepartment of Emergency Surgery, The Affiliated Hospital of Qingdao University, Qingdao, 266000, People's Republic of China.
Suming LuoDepartment of Emergency Trauma Surgery, The People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, People's Republic of China.
Xinjian XuDepartment of General Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, 830054, People's Republic of China.
Wei MaiDepartment of Gastrointestinal Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021, People's Republic of China.
Guangyi LiDepartment of Gastrointestinal Surgery, The People's Hospital of Hunan, Changsha, 410005, People's Republic of China.
Gefei WangResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, People's Republic of China.
Xiuwen WuResearch Institute of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, 210002, People's Republic of China.
Jianan RenResearch Institute of General Surgery, Jinling Hospital, Nanjing Medical University, Nanjing, 210002, People's Republic of China. jiananr@gmail.com.ORCID http://orcid.org/0000-0002-4697-4762

Funding

Distinguished Scholars Foundation of Jiangsu Province JCRCB2016006General Project of Military Logistics Research CLB19J025Innovation Project of Military Medicine 16CXZ007National Major Scientific and Technological Special Project for "Significant New Drugs Development" 2017ZX09304005-002
6 · The paper itself

Abstract

purposesSurgical site infection (SSI) after colorectal surgery is a frequent complication associated with the increase in morbidity, medical expenses, and mortality. To date, there is no nationwide large-scale database of SSI after colorectal surgery in China. The aim of this study was to determine the incidence of SSI after colorectal surgery in China and to further evaluate the related risk factors.

methodsTwo multicenter, prospective, cross-sectional studies covering 55 hospitals in China and enrolling adult patients undergoing colorectal surgery were conducted from May 1 to June 30 of 2018 and the same time of 2019. The demographic and perioperative characteristics were collected, and the main outcome was SSI within postoperative 30 days. Multivariable logistic regressions were conducted to predict risk factors of SSI after colorectal surgery.

resultsIn total, 1046 patients were enrolled and SSI occurred in 74 patients (7.1%). In the multivariate analysis with adjustments, significant factors associated with SSI were the prior diagnosis of hypertension (OR, 1.903; 95% confidence interval [CI], 1.088-3.327, P = 0.025), national nosocomial infection surveillance risk index score of 2 or 3 (OR, 3.840; 95% CI, 1.926-7.658, P < 0.001), laparoscopic or robotic surgery (OR, 0.363; 95% CI, 0.200-0.659, P < 0.001), and adhesive incise drapes (OR, 0.400; 95% CI, 0.187-0.855, P = 0.018). In addition, SSI group had remarkably increased length of postoperative stays (median, 15.0 d versus 9.0d, P < 0.001), medical expenses (median, 74,620 yuan versus 57,827 yuan, P < 0.001), and the mortality (4.1% versus 0.3%, P = 0.006), compared with those of non-SSI group.

conclusionThis study provides the newest data of SSI after colorectal surgery in China and finds some predictors of SSI. The data presented in our study can be a tool to develop optimal preventive measures and improve surgical quality in China.

Indexed as

AgedChinaColorectal SurgeryCross InfectionCross-Sectional StudiesDigestive System Surgical ProceduresFemaleFollow-Up StudiesHumansIncidenceLength of StayLogistic ModelsMaleMiddle AgedProspective StudiesRisk FactorsColorectal surgeryMulticenter studyPrevalenceRisk factorsSSI

Identifiers

PMID33183253
PMCPMC7663877

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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.