Predicting Organ Space Surgical Site Infection with a Nomogram

Luiz F. Campos-Lobato, Brian Wells, Elizabeth Wick, Kevin Pronty, Ravi Kiran, Feza Remzi, Jon D. Vogel

Research output: Contribution to journalArticle

Abstract

Purpose: We hypothesized that organ space surgical site infections (organ space SSI) are a unique type of surgical site infection and therefore are associated with a unique set of risk factors. The aim of this study was to create a predictive model for organ space SSI after small bowel, colon, or rectal operations. Methods: The 2006 American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) sample (N = 12,373) was used to identify current procedural terminology codes for small bowel, colon, and rectal laparoscopic or open surgical procedures. The following variables were used to build a predictive model of organ space SSI within 30 days post-op: age, gender, body mass index, American Society of Anesthesiologists class, smoking, diabetes, steroid use, 30 days previous radiotherapy or surgery, preoperative serum creatinine and albumin, laparoscopic surgery, wound class, perioperative transfusion, operative time, and surgical site. Patients on chronic mechanical ventilation, dialysis, wound infection, or sepsis preoperatively were excluded. Results: Our organ space SSI model achieved a concordance index of 0.65 when validated in 2007 ACS-NSQIP patients (N = 9,521). A risk calculator designed based upon our model is available at www. clinicriskcalculators. com. Conclusion: This novel and validated nomogram is useful to predict organ space SSI associated with small bowel, colon, and rectal surgical procedures. It may also be useful for risk stratification and risk modification.

Original languageEnglish (US)
Pages (from-to)1986-1992
Number of pages7
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number11
DOIs
StatePublished - 2009

Fingerprint

Surgical Wound Infection
Nomograms
Space Simulation
Colon
Quality Improvement
Current Procedural Terminology
Wound Infection
Operative Time
Artificial Respiration
Serum Albumin
Laparoscopy
Dialysis
Creatinine
Sepsis
Body Mass Index
Radiotherapy
Smoking
Steroids
Wounds and Injuries

Keywords

  • Abscess
  • Colectomy
  • Leak
  • Risk factors
  • SSI

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology
  • Medicine(all)

Cite this

Campos-Lobato, L. F., Wells, B., Wick, E., Pronty, K., Kiran, R., Remzi, F., & Vogel, J. D. (2009). Predicting Organ Space Surgical Site Infection with a Nomogram. Journal of Gastrointestinal Surgery, 13(11), 1986-1992. https://doi.org/10.1007/s11605-009-0968-6

Predicting Organ Space Surgical Site Infection with a Nomogram. / Campos-Lobato, Luiz F.; Wells, Brian; Wick, Elizabeth; Pronty, Kevin; Kiran, Ravi; Remzi, Feza; Vogel, Jon D.

In: Journal of Gastrointestinal Surgery, Vol. 13, No. 11, 2009, p. 1986-1992.

Research output: Contribution to journalArticle

Campos-Lobato, LF, Wells, B, Wick, E, Pronty, K, Kiran, R, Remzi, F & Vogel, JD 2009, 'Predicting Organ Space Surgical Site Infection with a Nomogram', Journal of Gastrointestinal Surgery, vol. 13, no. 11, pp. 1986-1992. https://doi.org/10.1007/s11605-009-0968-6
Campos-Lobato LF, Wells B, Wick E, Pronty K, Kiran R, Remzi F et al. Predicting Organ Space Surgical Site Infection with a Nomogram. Journal of Gastrointestinal Surgery. 2009;13(11):1986-1992. https://doi.org/10.1007/s11605-009-0968-6
Campos-Lobato, Luiz F. ; Wells, Brian ; Wick, Elizabeth ; Pronty, Kevin ; Kiran, Ravi ; Remzi, Feza ; Vogel, Jon D. / Predicting Organ Space Surgical Site Infection with a Nomogram. In: Journal of Gastrointestinal Surgery. 2009 ; Vol. 13, No. 11. pp. 1986-1992.
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