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01-03-2013 | Original Article

Nutritional risk index as an independent predictive factor for the development of surgical site infection after pancreaticoduodenectomy

Authors: Hiroji Shinkawa, Shigekazu Takemura, Takahiro Uenishi, Masayuki Sakae, Kazunori Ohata, Yorihisa Urata, Kazuhisa Kaneda, Akinori Nozawa, Shoji Kubo

Published in: Surgery Today | Issue 3/2013

Abstract

Purpose

Malnutrition has been considered a risk factor for the development of a surgical site infection (SSI). The aim of this study was to determine the relationship between preoperative nutritional screening scores and the development of SSI after pancreaticoduodenectomy.

Methods

We examined 64 patients who had undergone pancreaticoduodenectomy. Their clinical data, nutritional risk index (NRI), and nutritional risk screening 2002 (NRS-2002) score were recorded. SSIs were diagnosed according to the definitions of wound infection established by the Center for Disease Control and Prevention and were confirmed by a microbiological examination. Data were analyzed using the Fisher exact probability method and a multivariate logistic regression analysis.

Results

SSIs developed in 21 patients (33 %). Eleven patients had wound infections, and 14 patients had an intra-abdominal abscess. A univariate analysis of perioperative factors revealed that a pancreatic fistula, the NRS-2002, and the NRI were significantly associated with the development of SSI (p < 0.05). The multivariate logistic regression analysis revealed that a pancreatic fistula and the NRI were independent risk factors for SSI. By analyzing the pre- and intra-operative factors after excluding the 11 patients with pancreatic fistulas, the NRI was still an independent risk factor for SSI.

Conclusion

The present study showed the NRI to be an independent factor for predicting the risk of SSI after pancreaticoduodenectomy.

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Title: Nutritional risk index as an independent predictive factor for the development of surgical site infection after pancreaticoduodenectomy
Authors: Hiroji Shinkawa
Shigekazu Takemura
Takahiro Uenishi
Masayuki Sakae
Kazunori Ohata
Yorihisa Urata
Kazuhisa Kaneda
Akinori Nozawa
Shoji Kubo
Publication date: 01-03-2013
Publisher: Springer Japan
Published in: Surgery Today / Issue 3/2013
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0350-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Nutritional risk index as an independent predictive factor for the development of surgical site infection after pancreaticoduodenectomy

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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