Tuesday, May 17 HealthDay News)-obese patients are a significantly increased risk of surgical site infections after a partial or full removal of the colon, finds a new study.
They contain 7.020 patients, at the age of 18 to 64, which had either partial or total Colectomy for colorectal cancer, diverticulitis or inflammatory bowel disease between 2002 and 2008. There were 1,243 obese patients.
The overall rate of surgical site infections was 10.3 per cent, but was the rate in obese patients (14.5 percent) as higher in non-obese patients (9.5 percent). Adjusted for a number of factors the researchers calculated that obese patients were 60 percent more surgical site infections than non-obese patients develop.
The average cost of Colectomy for all patients was $16,399, but about $295 for non-obese patients more than was the average cost for obese patients.
The researchers also found that surgical site the costs greatly increased infections. The average total cost for patients who develop surgical site infections was $31,933, compared with $14,608 for patients without infection.
Patients with surgical site infections had more average hospital stays (9.5 days vs. 8.1 days) and much higher rates of hospital readmission (27.8% compared with 6.8%).
"We conclude that patients colorectal surgery, the development of SSIs [surgical site infections], of which many are obese, health care, tax" wrote Dr. Elizabeth C. Wick, from the Johns Hopkins School of medicine in Baltimore and colleagues.
Incentive programs that should consider reward to keep surgeons for control and the improvement of patient outcomes are overweight higher risk of infection, according to the authors.
The study appears in the may issue of archives of surgery.
More information
The University of Chicago Medical Center has more about Colectomy.
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