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- Title
Factors associated with complex surgical wounds in breast and abdomen: a case-control observational study.
- Authors
Otoni Spira, Josimare Aparecida; Borges, Eline Lima; Barbosa Silva, Patrícia Aparecida; Silva Abreu, Mery Natali; Martins Guedes, Antônio Carlos; Ferreira Pires-Júnior, José
- Abstract
Objective: to identify factors associated with complex surgical wounds in the breasts and abdomen in outpatients. Method: observational case-control study involving 327 patients, distributed into 160 cases (complex surgical wound) and 167 controls (simple surgical wound). Data were extracted from the medical records and a binary logistic regression model was used for analysis, considering a significance level of 5%. Results: the factors associated with greater chance of occurrence of complex surgical wound were 18 to 59 years of age (p = 0.003), schooling < 8 years (p = 0.049), radiotherapy (p < 0.001), hysterectomy (p = 0.003), glycemia (≤ 99 mg/dL) and arterial hypertension (p = 0.033), while quadrantectomy (p = 0.025) served as a protective factor. Conclusion: radiotherapy was the most significant factor for surgical wound complications. Glycemic alteration was an unexpected result and shows the need for further studies related to this topic.
- Subjects
BRAZIL; ABDOMINAL surgery; BREAST surgery; SURGICAL complication risk factors; AGE distribution; CHI-squared test; CONFIDENCE intervals; FISHER exact test; MULTIVARIATE analysis; SCIENTIFIC observation; PATIENTS; LOGISTIC regression analysis; DISEASE incidence; CASE-control method; SURGICAL site; DATA analysis software; DESCRIPTIVE statistics; ODDS ratio
- Publication
Revista Latino-Americana de Enfermagem (RLAE), 2018, Vol 26, p1
- ISSN
1518-8345
- Publication type
Article
- DOI
10.1590/1518-8345.2274.3052