术后负压伤口治疗与所有下肢截肢手术部位感染的减少有关。
Postoperative negative pressure wound therapy is associated with decreased surgical site infections in all lower extremity amputations.
作者信息
Gantz Owen B, Rynecki Nicole D, Para Ashok, Levidy Michael, Beebe Kathleen S
机构信息
Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Rutgers University, Newark, NJ, USA.
Department of Orthopaedic Surgery, New York University Langone Medical Center, New York, NY, USA.
出版信息
J Orthop. 2020 Sep 8;21:507-511. doi: 10.1016/j.jor.2020.09.005. eCollection 2020 Sep-Oct.
Abstract
INTRODUCTION
We hypothesize that Negative Pressure Wound Therapy (NPWT) is associated with a lower incidence of surgical site infection (SSI) in lower extremity amputations (LEAs), a potentially devastating complication.
METHODS
NSQIP database from 2011 to 2018 was queried to identify all-level LEAs. Cases using NPWT were identified. One-to-one nearest-neighbor propensity score matching was performed using a binary logistic regression on NPWT status controlling for patient comorbidities.
RESULTS
NPWT was used in 133 of 5237 total LEAs (2.54%). Compared to propensity score-matched controls, they had significantly fewer SSIs (1.50% vs. 8.27%).
CONCLUSIONS
NPWT was associated with lower incidence of SSI.
摘要
引言
我们假设负压伤口治疗（NPWT）与下肢截肢术（LEA）手术部位感染（SSI）的较低发生率相关，手术部位感染是一种潜在的毁灭性并发症。
方法
查询2011年至2018年的NSQIP数据库以识别所有级别的下肢截肢术。确定使用NPWT的病例。使用二元逻辑回归对NPWT状态进行一对一最近邻倾向评分匹配，同时控制患者的合并症。
结果
在总共5237例下肢截肢术中，133例（2.54%）使用了NPWT。与倾向评分匹配的对照组相比，他们的手术部位感染明显更少（1.50%对8.27%）。
结论
NPWT与较低的手术部位感染发生率相关。
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