Abstract
Background: Regardless of reports on the prevalence of hypovitaminosis D and seasonal effects in the general population and significant worsening of many outcomes there is a scarcity of studies focusing on surgical patients. We, therefore, designed a study to assess the association and difference in surgical-wound infections between patients having colorectal surgery in winter compared with patients having surgery in summer months. Methods: Patients were divided into winter and summer surgical procedures depending on their date of surgery. The relationship between seasons (and Vitamin D) and primary outcome of wound infections using multivariable logistic regression was assessed. Results: Out of 2919 patients, 241 (7.7 %) experience surgical site infection. The observed incidence of any surgical site infection postoperatively was 6.8 %, 9.9 %, 7.3 %, and 8.2 % for patients having surgery in spring, summer, fall, and winter, respectively. Furthermore, vitamin D concentration was not associated with incidence of surgical site infection (Odds Ratio (OR): 0.51(0.01, 27) for a one-unit increase in vitamin D concentration; p = 0.74). Conclusion: Our analysis suggests that perioperative vitamin D concentration is not associated with surgical site infections in colorectal surgical patients, likely because the outcomes are overwhelmingly determined by other baseline and surgical factors.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 341-345 |
| Number of pages | 5 |
| Journal | European Surgery - Acta Chirurgica Austriaca |
| Volume | 47 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 1 2015 |
| Externally published | Yes |
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Keywords
- Colorectal surgery
- Seasons
- Surgical-wound infection
- Vitamin D
ASJC Scopus subject areas
- Surgery
Cite this
Season and vitamin D status do not affect probability for surgical site infection after colorectal surgery. / Turan, O. A.; Babazade, Rovnat; Eshraghi, Y.; You, J.; Turan, A.; Remzi, F.
In: European Surgery - Acta Chirurgica Austriaca, Vol. 47, No. 6, 01.12.2015, p. 341-345.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Season and vitamin D status do not affect probability for surgical site infection after colorectal surgery
AU - Turan, O. A.
AU - Babazade, Rovnat
AU - Eshraghi, Y.
AU - You, J.
AU - Turan, A.
AU - Remzi, F.
PY - 2015/12/1
Y1 - 2015/12/1
N2 - Background: Regardless of reports on the prevalence of hypovitaminosis D and seasonal effects in the general population and significant worsening of many outcomes there is a scarcity of studies focusing on surgical patients. We, therefore, designed a study to assess the association and difference in surgical-wound infections between patients having colorectal surgery in winter compared with patients having surgery in summer months. Methods: Patients were divided into winter and summer surgical procedures depending on their date of surgery. The relationship between seasons (and Vitamin D) and primary outcome of wound infections using multivariable logistic regression was assessed. Results: Out of 2919 patients, 241 (7.7 %) experience surgical site infection. The observed incidence of any surgical site infection postoperatively was 6.8 %, 9.9 %, 7.3 %, and 8.2 % for patients having surgery in spring, summer, fall, and winter, respectively. Furthermore, vitamin D concentration was not associated with incidence of surgical site infection (Odds Ratio (OR): 0.51(0.01, 27) for a one-unit increase in vitamin D concentration; p = 0.74). Conclusion: Our analysis suggests that perioperative vitamin D concentration is not associated with surgical site infections in colorectal surgical patients, likely because the outcomes are overwhelmingly determined by other baseline and surgical factors.
AB - Background: Regardless of reports on the prevalence of hypovitaminosis D and seasonal effects in the general population and significant worsening of many outcomes there is a scarcity of studies focusing on surgical patients. We, therefore, designed a study to assess the association and difference in surgical-wound infections between patients having colorectal surgery in winter compared with patients having surgery in summer months. Methods: Patients were divided into winter and summer surgical procedures depending on their date of surgery. The relationship between seasons (and Vitamin D) and primary outcome of wound infections using multivariable logistic regression was assessed. Results: Out of 2919 patients, 241 (7.7 %) experience surgical site infection. The observed incidence of any surgical site infection postoperatively was 6.8 %, 9.9 %, 7.3 %, and 8.2 % for patients having surgery in spring, summer, fall, and winter, respectively. Furthermore, vitamin D concentration was not associated with incidence of surgical site infection (Odds Ratio (OR): 0.51(0.01, 27) for a one-unit increase in vitamin D concentration; p = 0.74). Conclusion: Our analysis suggests that perioperative vitamin D concentration is not associated with surgical site infections in colorectal surgical patients, likely because the outcomes are overwhelmingly determined by other baseline and surgical factors.
KW - Colorectal surgery
KW - Seasons
KW - Surgical-wound infection
KW - Vitamin D
UR - http://www.scopus.com/inward/record.url?scp=84951906229&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84951906229&partnerID=8YFLogxK
U2 - 10.1007/s10353-015-0360-6
DO - 10.1007/s10353-015-0360-6
M3 - Article
VL - 47
SP - 341
EP - 345
JO - Acta Chirurgica Austriaca
JF - Acta Chirurgica Austriaca
SN - 0001-544X
IS - 6
ER -