Wound surveillance with ASEPSIS in colorectal surgery

Aktaş, Aydın; Topaloğlu, Serdar; Çalık, Adnan; Arslan, Mustafa; Öncü, Mustafa; Inci, I.; Alhan, Etem; Pişkin, Burhan

doi:10.5152/ucd.2012.14

Cited by 2 publications

(1 citation statement)

References 32 publications

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“…[3] As a result of resuscitation with 5% albumin, cardiac output has been reported to reach pre-injury values in 6 hours. [19] Aktaş et al [20] showed that the preoperative albumin levels were associated with wound infection in patients undergoing colorectal surgery.…”

Section: Discussionmentioning

confidence: 99%

The relationship of the albumin level to the anaesthesia method and the effect on clinical course in patients with major burns

Çakirca¹,

Sozen²,

Bindal³

et al. 2018

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Due to a massive increase in capillary permeability during the state of shock caused by burns, albumin and intravascular fluid rapidly move to the extravascular areas. Therefore, hypoalbuminemia is seen as an early and prolonged finding in major burns. Hypoalbuminemia leads to various problems. The aim of this study was to investigate the effect of the preoperative albumin level on perioperative morbidity and mortality in patients with major burns. METHODS: Demographic data, preoperative albumin levels, surgical records, and clinical follow-up records of a total of 61 patients who underwent surgery for major burns in our hospital for the last 2 years were examined. Intraoperative complications were recorded, such as hypotension, bradycardia, low saturation, metabolic acidosis, reduced urine output, and hyperglycemia. Postoperative complications were recorded as intubation and the use of mechanical ventilator, sepsis, ARDS, acute renal failure, tracheotomy, hemorrhage, arrest, pneumonia, urinary tract infection, tissue infection, congestive heart failure, and pleural effusion. RESULTS:In patients with albumin levels measured as <2 gr/dL and >2 gr/dL, intraoperative complications were determined at the rates of 31.4% and 20.8%, respectively, postoperative complications at 60.0% and 51.5%, respectively, and mortality rates at 40% and 25. 8%, respectively (p=0.148, p=0.251, p=0.85, respectively). The cut-off point for the preoperative albumin level affecting postoperative morbidity was determined as ≥2.3 gr/dL (Area Under Curve=0.587; p<0.001; 95% Confidence Interval, 0.476-0.699; Cut-Off Albumin, ≥2.3). CONCLUSION:There is as yet no consensus on the time and dosage of the delivery of albumin in patients with major burns. Although there are studies in the literature that have shown increased morbidity and mortality rates in individuals given albumin in the intensive care, there are also reports supporting the finding that it makes a positive contribution. No useful guidelines have been obtained on the subject of hypoalbuminemia in patients with major burns. The results of this study showed that the albumin level above or below 2 gr/dL did not create any change in perioperative morbidity and mortality; however, the preoperative level above 2.3 gr/dL was the cut-off value for morbidity.

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Section: Discussionmentioning

confidence: 99%

The relationship of the albumin level to the anaesthesia method and the effect on clinical course in patients with major burns

Çakirca¹,

Sozen²,

Bindal³

et al. 2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

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Can We Define Surgical Site Infection Accurately in Colorectal Surgery?

Hedrick

Sawyer

Hennessy

et al. 2014

Surgical Infections

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This study highlights the difficulty in defining SSI in colon and rectal surgery, which oftentimes is subjective and difficult to discern from the medical record. According to these preliminary data from our institution, there is poor reliability between clinical reviewers in defining SSI on the basis of the CDC criteria, which has serious implications. The interpretation of clinical trials may be jeopardized if we cannot define SSI accurately. Furthermore, according to current CDC definitions and infection tracking strategies, these data suggest that the institutional incidence of SSI may not be a reliable measure by which to compare institutions. Better methods for defining SSI should be implemented if these data are made publicly available and tied to performance measures.

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Wound surveillance with ASEPSIS in colorectal surgery

Cited by 2 publications

References 32 publications

The relationship of the albumin level to the anaesthesia method and the effect on clinical course in patients with major burns

The relationship of the albumin level to the anaesthesia method and the effect on clinical course in patients with major burns

Can We Define Surgical Site Infection Accurately in Colorectal Surgery?

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