Risk Factors Associated With Infection After Spine Surgery

Xuanwu Hospital, Beijing3,419 enrolled

Overview

Surgical site infection (SSI), particularly deep SSI, is one of the most serious complications after spinal surgery. evaluating the risk of SSI and, correspondingly, prescription of prophylactic measures are extremely important to prevent SSI and avoid potentially devastating consequences. A retrospective study was conducted aiming to develop a point-based prediction model of deep surgical site infection in patients receiving open posterior instrumented thoracolumbar surgery.

Data of 3,419 patients in 4 hospitals from Jan 1, 2012 to Dec 30, 2021 were retrospectively collected and were evaluated aiming to develop a point-based prediction model of deep surgical site infection in patients receiving open posterior instrumented thoracolumbar surgery. Clinical knowledge-driven, data-driven and decision tree model was used to identify predictive variables of deep SSI. Internal validation was performed by using bootstrapping methods.

Study Type

OBSERVATIONAL

Enrollment

3,419

Conditions

Deep Surgical Site Infection Spine Surgery

Interventions

open posterior instrumented thoracolumbar surgeryPROCEDURE

Both group previously received open posterior instrumented thoracolumbar surgery in 4 centers

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

Inclusion Criteria: patients who previously received open posterior instrumented thoracolumbar surgery Exclusion Criteria: 1. were aged \< 18 years; 2. underwent surgery for the spinal infection, spine revision surgery, or cervical operation; 3. were diagnosed as superficial SSI; 4. died in hospital; 5. diagnosis of SSI was not determined; 6. had missing data more than 10% were excluded.

Locations (1)

Xuanwu Hospital, China International Neuroscience Institute, Capital Medical University

Beijing, China

Outcomes

Primary Outcomes

deep surgical site infection

deep SSI was defined as an infection occurring within 30 days after the operation involving deep soft tissues along with one of the following criterion: (1)purulent drainage from the deep incision but not from the organ/space component of the surgical site;(2) a deep incision spontaneously dehisces or is deliberately opened by a surgeon when the patient has at least one of the following signs or symptoms: fever \>38℃, localized pain, or tenderness, unless site is culture-negative;(3) an abscess or other evidence of infection involving the deep incision is found on direct examination, during reoperation, or by histopathologic or radiologic examination;(4) diagnosis of a deep incisional SSI by a surgeon or attending physician. In this study, organ space SSI was also classified as deep SSI due to the same criteria as deep SSI.

Time frame: within 30 days after the operation

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.