Department of Orthopedics, The Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei, P. R. China.
Medicine (Baltimore). 2022 Dec 30;101(52):e32429. doi: 10.1097/MD.0000000000032429.
No significant progress has been made in the study of orthopedic surgical site infection (SSI) after different orthopedic surgery, and the analysis and prevention of risk factors for orthopedic SSI urgently need to be solved. A total of 154 patients underwent orthopedic surgery from April 2018 to December 2020. General information such as gender, age, marriage, diagnosis, surgical site, and anesthesia method was recorded. Statistical methods included Pearson chi-square test, univariate and multivariate logistic regression analyses, and receiver operating characteristic (ROC) curves. Based on Pearson's chi-square test, sex (P = .005), age (P = .027), marriage (P = .000), diagnosis (P = .034), and surgical site (P = .000) were significantly associated with SSI after orthopedic surgery. However, in the multiple linear regression analysis, only the surgical site (P = .035) was significantly associated with SSI after orthopedic surgery. In terms of multivariate logistic regression level, surgical site (odds ratio [OR] = 1.568, P = .039) was significantly associated with SSI. ROC curves were constructed to determine the effect of the surgical site on SSI after different orthopedic surgery (area under the curve [AUC] = 0.577, 95% CI = 0.487-0.0.666). In summary, the surgical site is an independent risk factor for SSI after orthopedic surgery, and "trauma" is more likely to develop SSI than spine, arthrosis, and others.
在不同骨科手术后,骨科手术部位感染(SSI)的研究没有取得显著进展,迫切需要分析和预防骨科 SSI 的危险因素。共有 154 例患者于 2018 年 4 月至 2020 年 12 月接受骨科手术。记录了性别、年龄、婚姻、诊断、手术部位和麻醉方法等一般信息。统计方法包括 Pearson 卡方检验、单因素和多因素 logistic 回归分析和受试者工作特征(ROC)曲线。基于 Pearson 卡方检验,性别(P=0.005)、年龄(P=0.027)、婚姻(P=0.000)、诊断(P=0.034)和手术部位(P=0.000)与骨科手术后 SSI 显著相关。然而,在多因素线性回归分析中,只有手术部位(P=0.035)与骨科手术后 SSI 显著相关。在多因素 logistic 回归水平上,手术部位(比值比[OR]=1.568,P=0.039)与 SSI 显著相关。构建 ROC 曲线以确定手术部位对不同骨科手术后 SSI 的影响(曲线下面积[AUC]=0.577,95%CI=0.487-0.0.666)。综上所述,手术部位是骨科手术后 SSI 的独立危险因素,“创伤”比脊柱、骨关节炎等更容易发生 SSI。