RELATIONSHIP BETWEEN POSTOPERATIVE INFECTIOUS COMPLICATIONS AND LENGTH OF HOSPITAL STAY WITH DURATION OF SURGERIES

Main Article Content

Asif Imran
Zarka Sarwar
Farhat rehman
Saad Ali Shah
Aurangzeb khan
Abbas Ali Raza

Keywords

Postoperative infections, Surgical duration, Hospital stay, Gender disparity, Age-related factors

Abstract

Background: Improving patient outcomes in the ever-changing healthcare environment requires an awareness of the complex relationships between the length of hospital stay, the number of procedures performed, and postoperative infection problems. This paper explores a thorough investigation conducted at the MMC Hospital in Mardan, with a sample size of 100 patients (50 men and 50 women) who had surgery between January 2020 and January 2021.


 


Objectives: For improved surgical treatment insights, look into the association between postoperative infections, length of surgery, and size of hospital stay in 100 patients (50 males and 50 females) at MMC Hospital, Mardan (Jan 2020 - Jan 2021).


 


Study Design: A Retrospective Study


 


Duration and place of study: From January 2020 to January 2021, MMC Hospital in Mardan carried out a retrospective study


 


Methods: 50 male and 50 female patients' worth of data were examined. Essential insights into the dynamics of surgical outcomes were revealed by carefully documenting the length of the surgery, any postoperative issues, and how they affected the length of hospital stay.


 


Results: According to the research, male complication rates were 25%, and female complication rates were 65%. Complication rates were similar for individuals under 40 and those between 40 and 60, at 30%, and somewhat lower for those over 60, at 25%. The length of the surgery and the hospital stay did not affect the incidence of complications.


 


Conclusion: The study conducted at MMC Hospital in Mardan provided a critical new understanding of the connections between hospital stays, length of surgery, and postoperative infections. The results showed a gender difference in the frequencies of complications, with men reporting a more extraordinary occurrence. Age was shown to be a significant influence, with patients older than 60 showing a higher risk. These findings highlight the need for individualized postoperative care strategies that consider age and demographic variables. By taking into account these subtleties, focused treatments may be developed, which improve patient outcomes and streamline medical procedures inside and outside MMC Hospital's surgical department.

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References

1. Khan NA, Quan H, Bugar JM, Lemaire JB, Brant R, Ghali WA. Association of postoperative complications with hospital costs and length of stay in a tertiary care centre. Journal of General Internal Medicine. 2006 Feb;21:177-80.
2. Cheng H, Chen BP, Soleas IM, Ferko NC, Cameron CG, Hinoul P. Prolonged operative duration increases the risk of surgical site infections: a systematic review. Surgical infections. 2017 Aug 1;18(6):722-35.
3. Farid SG, Aldouri A, Morris-Stiff G, Khan AZ, Toogood GJ, Lodge JP, Prasad KR. Correlation between postoperative infective complications and long-term outcomes after hepatic resection for colorectal liver metastasis. Annals of surgery. 2010 Jan 1;251(1):91-100.
4. Vogel TR, Dombrovskiy VY, Carson JL, Haser PB, Lowry SF, Graham AM. Infectious complications after elective vascular surgical procedures. Journal of vascular surgery. 2010 Jan 1;51(1):122-30.
5. Kerin Povšič M, Ihan A, Beovič B. Postoperative infection is an independent risk factor for worse long-term survival after colorectal cancer surgery. Surgical Infections. 2016 Dec 1;17(6):700-12.
6. Ramos M, Khalpey Z, Lipsitz S, Steinberg J, Panizales MT, Zinner M, Rogers SO. Relationship of perioperative hyperglycemia and postoperative infections in patients who undergo general and vascular surgery. Annals of surgery. 2008 Oct 1;248(4):585-91.
7. Vriesendorp TM, Morelis QJ, Devries JH, Legemate DA, Hoekstra JB. Early postoperative glucose levels are an independent risk factor for infection after peripheral vascular surgery. A retrospective study. European journal of vascular and endovascular surgery. 2004 Nov 1;28(5):520-5.
8. Seymour DG, Vaz FG. A prospective study of elderly general surgical patients: II. Postoperative complications. Age and Ageing. 1989 Sep 1;18(5):316-26.
9. Ravi B, Jenkinson R, O'Heireamhoin S, Austin PC, Akhtar S, Leroux TS, Paterson M, Redelmeier DA. Surgical duration is associated with an increased risk of periprosthetic infection following total knee arthroplasty: a population-based retrospective cohort study. EClinical Medicine. 2019 Nov 1;16:74-80.
10. Ribeiro JC, Santos CB, Bellusse GC, Rezende VD, Galvão CM. Occurrence and risk factors for surgical site infection in orthopaedic surgery. Acta Paulista de Enfermagem. 2013;26:353-9.
11. Leandro-Merhi VA, de Aquino JL. Determinants of malnutrition and postoperative complications in hospitalized surgical patients. Journal of health, population, and nutrition. 2014 Sep;32(3):400.
12. Rosenberger LH, Politano AD, Sawyer RG. The surgical care improvement project and prevention of postoperative infection, including surgical site infection. Surgical infections. 2011 Jun 1;12(3):163-8.
13. Hughes MJ, Harrison E, Paterson-Brown S. Postoperative antibiotics after appendectomy and postoperative abscess development: a retrospective analysis. Surgical infections. 2013 Feb 1;14(1):56-61.
14. Herwaldt LA, Cullen JJ, Scholz D, French P, Zimmerman MB, Pfaller MA, Wenzel RP, Perl TM. A prospective study of outcomes, healthcare resource utilization, and costs associated with postoperative nosocomial infections. Infection Control & Hospital Epidemiology. 2006 Dec;27(12):1291-8.
15. Tominaga H, Setoguchi T, Ishidou Y, Nagano S, Yamamoto T, Komiya S. Risk factors for surgical site infection and urinary tract infection after spine surgery. European Spine Journal. 2016 Dec;25:3908-15.
16. Lan N, Stocchi L, Li Y, Shen B. Perioperative blood transfusion is associated with postoperative infectious complications in patients with Crohn’s disease. Gastroenterology report. 2018 May;6(2):114-21.
17. Koek MB, Wille JC, Isken MR, Voss A, Van Benthem BH. Post-discharge surveillance (PDS) for surgical site infections: a good method is more important than a long duration. Eurosurveillance. 2015 Feb 26;20(8):21042.