作者
Jay S Lee, Michael N Terjimanian, Lindsay M Tishberg, Abbas Z Alawieh, Calista M Harbaugh, Kyle H Sheetz, Sven A Holcombe, Stewart C Wang, Christopher J Sonnenday, Michael J Englesbe
发表日期
2011/8/1
期刊
Journal of the American College of Surgeons
卷号
213
期号
2
页码范围
236-244
出版商
No longer published by Elsevier
简介
BACKGROUND
Obesity is a known risk factor for surgical site infection (SSI). Our hypothesis is that morphometric measures of midline subcutaneous fat will be associated with increased risk of SSI and will predict SSI better than conventional measures of obesity.
STUDY DESIGN
We identified 655 patients who underwent midline laparotomy (2006 to 2009) using the Michigan Surgical Quality Collaborative database. Using novel, semiautomated analytic morphometric techniques, the thickness of subcutaneous fat along the linea alba was measured between T12 and L4. To adjust for variations in patient size, subcutaneous fat was normalized to the distance between the vertebrae and anterior skin. Logistic regression analyses were used to identify factors independently associated with the incidence of SSI.
RESULTS
Overall, SSIs were observed in 12.5% (n = 82) of the population. Logistic regression revealed that …
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JS Lee, MN Terjimanian, LM Tishberg, AZ Alawieh… - Journal of the American College of Surgeons, 2011