Factors associated with complex surgical wounds in breast and abdomen

a case-control observational study

Authors

  • Josimare Aparecida Otoni Spira Universidade Federal de Minas Gerais, Escola de Enfermagem https://orcid.org/0000-0002-6577-0394
  • Eline Lima Borges Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Patrícia Aparecida Barbosa Silva Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Mery Natali Silva Abreu Universidade Federal de Minas Gerais, Escola de Enfermagem
  • Antônio Carlos Martins Guedes Universidade Federal de Minas Gerais, Escola de Medicina
  • José Ferreira Pires-Júnior Universidade Federal de Minas Gerais, Escola de Enfermagem

DOI:

https://doi.org/10.1590/1518-8345.2274.3052

Keywords:

Risk Factors, Protective Factors, Postoperative Period, Surgical Wound Dehiscence, Abdomen, Breast

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.

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Published

2019-03-22

Issue

Vol. 26 (2018)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Factors associated with complex surgical wounds in breast and abdomen: a case-control observational study. (2019). Revista Latino-Americana De Enfermagem, 26, e3052. https://doi.org/10.1590/1518-8345.2274.3052