Seasonal Impact on Surgical-Site Infections in Body Contouring Surgery: A Retrospective Cohort Study of 602 Patients over a Period of 6 Years

Duscher, Dominik; Kiesl, David; Aitzetmüller, Matthias M.; Wenny, Raphael; Schableger, Karl; Staud, Clement; Pollhammer, Michael S.; Shamiyeh, Andreas; Huemer, Georg M.

doi:10.1097/prs.0000000000004677

Cited by 17 publications

(9 citation statements)

References 47 publications

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“…In addition, the variable of the number of procedures, which is generally accepted as an independent risk factor, could not be significantly related to a higher number of complications in this cohort. 21…”

Section: Discussionmentioning

confidence: 99%

Gluteal Augmentation with Polymethyl Methacrylate: A 10-year Cohort Study

Chacur¹,

Menezes²,

Chacur³

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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Section: Discussionmentioning

confidence: 99%

Gluteal Augmentation with Polymethyl Methacrylate: A 10-year Cohort Study

Chacur¹,

Menezes²,

Chacur³

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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“…In recent years, some studies have shown that the occurrence of postoperative complications is related to seasonal changes; for instance, the chance of postoperative incision infection in patients undergoing surgery in warmer seasons is significantly higher than that in other seasons (3,4). Another study showed that compared with winter and spring, summer and fall had significantly higher incidences of spinal surgery wound infection, which might be related to temperature and humidity (5).…”

Section: Original Articlementioning

confidence: 99%

Relationship between postoperative complications of esophageal cancer surgery and season: a retrospective study

Liu¹,

Gao²,

Xing³

et al. 2022

Ann Transl Med

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Background: Esophageal cancer in China accounts for nearly half of the global esophageal cancer cases.The relationship between the occurrence of postoperative complications of esophageal cancer surgery and seasonal changes is not clear. Our purpose is to clarify the relationship between postoperative complications of esophageal cancer and season, so as to reduce the incidence of complications.Methods: We retrospectively analyzed the medical records of patients undergoing esophageal cancer surgery in our hospital between January 2013 and December 2014. Patients were divided into the summer group (March -August) and the non-summer group (September -February) according to the seasonal climate. Pulmonary, cardiac, and other complications were recorded. Differences in postoperative complications were compared between the two groups by the chi-squared test.Results: In the 251 patients enrolled, the total postoperative complication rate was 37.8%. The occurrence of incision complications in the summer group was significantly higher than that in the non-summer group (10.1% vs. 3.5%, P=0.044). Pulmonary and cardiac complications in summer group were significantly rarer than those in the non-summer group (16.7% vs. 27.4%, P=0.039; and 8.0% vs. 16.8%, P=0.032, respectively).Conclusions: During the warm months of the year, clinicians should focus on preventing postoperative incision complications, and they should focus on preventing pulmonary and cardiac complications during the cold months.

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Section: Introductionmentioning

confidence: 99%

“…[19][20][21] A recent cohort study that investigated the seasonal impact on surgical-site infections in body contouring surgery showed that seasonal variability had a more significant impact on SSIs than age, duration of surgery, hospitalization time, BMI, and smoking. 22 Proposed theories explaining the association between warmer weather conditions and SSIs are increased colonization of pathogens like Staphylococcus aureus, increased skin-to-skin contact with a higher transmission chance, and skin disruptions (ulcers and sores), which are more common in the summer. [22][23][24] Despite the multitude 17,[25][26][27] of proposed studies that show the significance of seasonal variability as a risk factor for SSIs, many clinicians are not aware of this association.…”

Section: Introductionmentioning

confidence: 99%

“…22 Proposed theories explaining the association between warmer weather conditions and SSIs are increased colonization of pathogens like Staphylococcus aureus, increased skin-to-skin contact with a higher transmission chance, and skin disruptions (ulcers and sores), which are more common in the summer. [22][23][24] Despite the multitude 17,[25][26][27] of proposed studies that show the significance of seasonal variability as a risk factor for SSIs, many clinicians are not aware of this association. Consequently, patients are not informed of this increased risk especially for the elective planned surgical cases.…”

Section: Introductionmentioning

confidence: 99%

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Warm Weather and Surgical Site Infections: A Meta-analysis

Sahtoe¹,

Duraku²,

Hundepool³

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: Seasonal variability, in terms of warm weather, has been demonstrated to be a significant risk factor for surgical site infections (SSIs). However, this remains an underexposed risk factor for SSIs, and many clinicians are not aware of this. Therefore, a systematic review and meta-analysis has been conducted to investigate and quantify this matter. Methods: Articles were searched in Embase, Medline Ovid, Web of Science, Cochrane Central, and Google Scholar, and data were extracted from relevant studies. Meta-analysis used random effects models to estimate and compare the pooled odds ratios (OR) and corresponding confidence intervals (CIs) of surgery performed during the warmest period of the year and the colder period of the year. Results: The systematic review included 20 studies (58,599,475 patients), of which 14 studies (58,441,420 patients) were included for meta-analysis. Various types of surgical procedures across different geographic regions were included. The warmest period of the year was associated with a statistically significant increase in the risk of SSIs (OR 1.39, 95%CI: [1.34-1.45], P < 0.0001). Selection of specific types of surgical procedures (eg, orthopedic or spinal surgery) significantly altered this increased risk. Conclusions: The current meta-analysis showed that warm weather seasons are associated with a statistically significant risk increasement of 39% in developing SSIs. This significant risk factor might aid clinicians in preoperative patient information, possible surgical planning adjustment for high risk patients, and potentially specific antibiotic treatments during the warmer weather seasons that could result in decrease of SSIs.

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Seasonal Impact on Surgical-Site Infections in Body Contouring Surgery: A Retrospective Cohort Study of 602 Patients over a Period of 6 Years

Abstract: Risk, II.

Cited by 17 publications

References 47 publications

Gluteal Augmentation with Polymethyl Methacrylate: A 10-year Cohort Study

Gluteal Augmentation with Polymethyl Methacrylate: A 10-year Cohort Study

Relationship between postoperative complications of esophageal cancer surgery and season: a retrospective study

Warm Weather and Surgical Site Infections: A Meta-analysis

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