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dc.contributor.authorSkeie, Elien_US
dc.contributor.authorKoch, Anne Metteen_US
dc.contributor.authorHarthug, Stigen_US
dc.contributor.authorFosse, Unnien_US
dc.contributor.authorSygnestveit, Karien_US
dc.contributor.authorNilsen, Roy Miodinien_US
dc.contributor.authorTangvik, Randi Julieen_US
dc.date.accessioned2019-04-16T13:23:42Z
dc.date.available2019-04-16T13:23:42Z
dc.date.issued2018-05-15
dc.PublishedSkeie E, Koch AM, Harthug S, Fosse, Sygnestveit K, Nilsen RM, Tangvik RJ. A positive association between nutritional risk and the incidence of surgical site infections: A hospital-based register study. PLoS ONE. 2018;13:e0197344eng
dc.identifier.issn1932-6203
dc.identifier.urihttps://hdl.handle.net/1956/19372
dc.description.abstractSurgical site infections (SSI) are amongst the most common health care-associated infections and have adverse effects for patient health and for hospital resources. Although surgery guidelines recognize poor nutritional status to be a risk factor for SSI, they do not tell how to identify this condition. The screening tool Nutritional Risk Screening 2002 is commonly used at hospitals to identify patients at nutritional risk. We investigated the association between nutritional risk and the incidence of SSI among 1194 surgical patients at Haukeland University Hospital (Bergen, Norway). This current study combines data from two mandatory hospital-based registers: a) the incidence of SSI within 30 days after surgery, and b) the point-prevalence of patients at nutritional risk. Patients with more than 30 days between surgery and nutritional risk screening were excluded. Associations were assessed using logistic regression, and the adjusted odds ratio included age (continuous), gender (male/female), type of surgery (acute/elective) and score from The American Society of Anesthesiologists Physical Status Classification System. There was a significant higher incidence of SSI among patients at nutritional risk (11.8%), as compared to those who were not (7.0%) (p = 0.047). Moreover, the incidence of SSI was positively associated with the prevalence of nutritional risk in both simple (OR 1.76 (95% CI: 1.04, 2.98)) and adjusted (OR 1.81 (95% CI: 1.04, 3.16)) models. Answering “yes” to the screening questions regarding reduced dietary intake and weight loss was significantly associated with the incidence of SSI (respectively OR 2.66 (95% CI: 1.59, 4.45) and OR 2.15 (95% CI: 1.23, 3.76)). In conclusion, we demonstrate SSI to occur more often among patients at nutritional risk as compared to those who are not at nutritional risk. Future studies should investigate interventions to prevent both SSI and nutritional risk among surgical patients.en_US
dc.language.isoengeng
dc.publisherPLOSeng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.titleA positive association between nutritional risk and the incidence of surgical site infections: A hospital-based register studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2018-07-31T13:14:08Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2018 The Authors
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0197344
dc.identifier.cristin1592667
dc.source.journalPLoS ONE
dc.identifier.citationPLoS ONE. 2018, 13, e0197344.


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