scholarly journals Risk Factors and Level of Acute Post-Operative Pain in Surgical Patients During the First 48 Hours after Surgery

2014 ◽  
Vol 16 (3) ◽  
pp. 226-234 ◽  
Author(s):  
Yoonshin Lee ◽  
Jaesoon Son ◽  
Haesang Yoon
Keyword(s):  
Risk Factors ◽  
Surgical Patients ◽  
Post Operative Pain

Risk factors related to surgical site infections among surgical patients in developing world: a systematic review

2020 ◽  
pp. 1984-1992
Author(s):  
Faihan Alotaibi ◽  
Faisal Alnemari ◽  
Alwaleed Alsufyani ◽  
Aisha Al-sanea ◽  
Abeer Al-Nashri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Developing World ◽  
Surgical Site Infections ◽  
Surgical Patients

Evaluation of Nursing Intervention on Post-operative Pain Among Surgical Patients in Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife Osun State

2018 ◽  
Vol 8 (11) ◽  
Author(s):  
Olajide Tayo Emmanuel ◽  
Adetunji Oluseye Adetayo ◽  
Ope-Babadele Oluwatosin Oyindamola ◽  
Ojo Eunice Abimbola ◽  
Salawu Rasidi Akinade
Keyword(s):  
Teaching Hospital ◽  
Nursing Intervention ◽  
University Teaching ◽  
Surgical Patients ◽  
Post Operative Pain

scholarly journals Occurrence, associated risk factors, and treatment of surgical site infections in Pakistan

2020 ◽  
Vol 18 ◽  
pp. 205873922096054
Author(s):  
Faiz Ullah Khan ◽  
Yu Fang ◽  
Zakir Khan ◽  
Farman Ullah Khan ◽  
Zafar Iqbal Malik ◽  
...  
Keyword(s):  
Risk Factors ◽  
Transurethral Resection ◽  
Surgical Site Infections ◽  
Exploratory Laparotomy ◽  
Cross Sectional Study ◽  
Surgical Patients ◽  
Related Factors ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Associated Risk Factors

Globally, surgical site infections are one of the common infections which lead to a large amount of mortality and morbidity in postsurgical care. The risk for surgical site infection is multidimensional which includes mainly; patient, surgery, and hospital-related factors. This study is aimed to determine the burden of SSIs along with contributed risk factors. A prospective observational cross-sectional study was conducted in one of the largest public-sector hospitals in Pakistan. A total of 412 patients were recruited in the study with full consent and monitored for 30 days after surgery with direct and indirect surveillance. Overall, in seven different surgical procedures the incidence (29.8%) rate of SSI was observed; in appendectomy ( n = 17, 4.1%), exploratory laparotomy ( n = 51, 12.6%), laparoscopic cholecystectomy ( n = 12, 2.90%), mesh repair ( n = 17, 4.01%), thyroidectomy (5, 1.2%), transurethral resection of the prostate ( n = 11, 2.6%), and transurethral resection of the bladder (10, 2.4%). The average SSI rate in every single procedure was about 18 (4.27%) per surgical procedure out of 123 (29.85%) SSI cases. Types of SSI identified were superficial, deep incisional and organ/space ( n = 76, 18.4%, n = 23, 5.5%, and n = 24, 5.7%). Incidence of SSIs during admission, at readmission, and post-surveillance cases were ( n = 50, 12.1%, n = 25, 6.0% and n = 48, 11.6%). Associated risk factors found contributed to the incidence of SSI ( p < 0.05). Pre-operative ( n = 348, 84.5%) and 6 (1.5%) surgical patients did not received the post-operative antibiotics. The P. aeruginosa ( n = 15, 12.1%) and S. aureus (13, 10.5%). Cefoperazone and sulbactam were the most prescribed antibiotics. Associated risk factors and treatment outcomes of surgical patients have a direct association with the incidence of SSI. Hospital-based antimicrobial stewardship, implementation of surgical guidelines, patient care, and education are needed to develop at wards level in hospitals.

Risk factors of catheter-associated urinary tract infections in paediatric surgical patients

2013 ◽  
Vol 17 (1) ◽  
pp. 7-12
Author(s):  
Özlem Boybeyi ◽  
İbrahim Karnak ◽  
Arbay Özden Ciftci ◽  
Feridun Cahit Tanyel ◽  
Mehmet Emin Şenocak
Keyword(s):  
Risk Factors ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Surgical Patients ◽  
Tract Infections

Double-Blind Placebo Controlled Oral Analgesic Comparison of Butorphanol and Pentazocine in Patients with Moderate to Severe Post-Operative Pain

1973 ◽  
Vol 1 (2) ◽  
pp. 422-428
Author(s):  
Robert E S Young
Keyword(s):  
The Other ◽  
Dose Effect ◽  
Surgical Patients ◽  
Double Blind ◽  
Double Blind Placebo ◽  
Oral Analgesic ◽  
Post Operative Pain ◽  
Maximum Pain ◽  
Better Than ◽  
Observation Period

A double-blind, randomized trial was conducted in 120 post-surgical patients to evaluate the oral analgesic activity of butorphanol tartrate (4 mg and 8 mg) and pentazocine HCl (50 mg) as compared to placebo. Both doses of butorphanol as well as pentazocine proved to be significantly (p <0.05) more effective than placebo. Butorphanol 4 mg and pentazocine 50 mg were never significantly different from each other, while butorphanol 8 mg was significantly better than both butorphanol 4 mg as well as pentazocine 50 mg in several instances, demonstrating a significant dose effect relationship for butorphanol. All of the active treatments provided maximum pain relief within 1 to 2 hours and were effective over 4 hours. In contrast to the other treatments, none of the 8 mg butorphanol patients required remedication during the 4-hour observation period. Generally, the incidence of side-effects appeared low.

scholarly journals A prospective cohort study of older colorectal cancer surgical patients: an association of post-operative clinical outcome with sarcopenia, frailty, and nutritional status [Protocol] (Preprint)

2019 ◽  
Author(s):  
Nia Humphry
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Nutritional Status ◽  
Significant Proportion ◽  
The Elderly ◽  
Operative Risk ◽  
Surgical Patients ◽  
Clinical Frailty Scale ◽  
Colorectal Cancer Surgery ◽  
Colorectal Cancer Resection

UNSTRUCTURED Older patients account for a significant proportion of patients undergoing colorectal cancer surgery, and are vulnerable to a number of pre-operative risk factors that are not often present in younger patients. Three pre-operative risk factors more prevalent in the elderly are frailty, sarcopenia, and malnutrition. Whilst each of these has been studied in isolation, there is little information on the interplay between them in older surgical patients. One particular area of increasing interest is the use of urine metabolomics for objective evaluation of dietary profiles and malnutrition. Herein we describe the design, cohort, and standard operating procedures of a planned prospective study of older surgical patients undergoing colorectal cancer resection across multiple institutions in the United Kingdom. These procedures include serial frailty evaluations (Clinical Frailty Scale and Groningen Frailty Indicator), functional assessments (with hand grip strength and 4-metre walk test), muscle mass evaluations using computerized tomography morphometric analysis and evaluation of nutritional status using analysis of urinary dietary biomarkers. As these are all areas of common derangement in the elderly surgical population, prospectively studying them in concert will allow for analysis of their interplay as well as the development of predictive models for those at risk for commonly tracked surgical complications and outcomes.

Thromboprophylaxis and haematomas

2018 ◽  
pp. 23-26
Author(s):  
Umraz Khan ◽  
Graeme Perks ◽  
Rhidian Morgan-Jones ◽  
Peter James ◽  
Colin Esler ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Joint Infection ◽  
Joint Arthroplasty ◽  
Surgical Patients ◽  
Vein Thrombosis ◽  
Prosthetic Joint ◽  
Deep Vein ◽  
Haematoma Formation ◽  
Prolonged Surgery

This chapter discusses thromboprophylaxis and haematomas within periprosthetic joint infection. The issue of venous thromboembolism is important for all surgical patients and, as such, those undergoing arthroplasty must undergo a careful and accurate risk assessment. Prolonged surgery and delayed postoperative mobilization are risk factors and are common to most major joint arthroplasty. Use of prophylactic agents to prevent thrombosis must be balanced with the avoidance of haematoma formation as the latter contributes to a risk of prosthetic joint infection. Should deep vein thrombosis occur then swift methods of diagnosis and treatment must be in place.

Risk Factors for Postoperative Urinary Tract Infection and Urinary Retention in Patients Undergoing Surgery for Colorectal Cancer

2012 ◽  
Vol 78 (10) ◽  
pp. 1100-1104 ◽  
Author(s):  
Celeste Y. Kang ◽  
Obaid O. Chaudhry ◽  
Wissam J. Halabi ◽  
Vinh Nguyen ◽  
Joseph C. Carmichael ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Risk Factors ◽  
Urinary Tract Infection ◽  
Logistic Regression ◽  
Urinary Tract ◽  
Tract Infection ◽  
Hospital Mortality ◽  
Urinary Retention ◽  
Surgical Patients ◽  
Independent Risk Factors

The aim of this study was to analyze risk factors for postoperative urinary tract infection (UTI) and urinary retention (UR) in patients with colorectal cancer. Using Nationwide Inpatient Sample 2006–2009, a retrospective analysis of surgical patients with colorectal cancer was conducted. Patients were stratified into groups, with or without UTI/UR. The LASSO algorithm for logistic regression identified independent risk factors. A total of 93,931 surgical patients with colorectal cancer were identified. The incidences of UTI and UR were 5.91 and 2.52 per cent, respectively. Overall in-hospital mortality was 2.68 per cent. The UTI group demonstrated significantly higher in-hospital mortality rates compared with those without. Both UTI and UR groups were associated with prolonged hospital stay and increased hospital charge. Multivariate logistic regression analysis revealed age older than 60 years, females, anemia, congestive heart failure, coagulopathy, diabetes with chronic complications, fluid and electrolyte, paralysis, pulmonary circulation disorders, renal failure, and weight loss were independent risk factors of UTI. Age older than 60 years, male gender, rectal and rectosigmoid cancers, and postoperative anastomotic leakage and ileus were independent risk factors for UR. Postoperative UTI increases in-house mortality. Postoperative UTI/UR in patients with colorectal cancer increases length of stay and hospital charges. Knowledge of these specific risk factors for UTI and UR is needed to counsel patients and prevent these complications in this high-risk population.

Nutrition Status and Risk Factors Associated With Length of Hospital Stay for Surgical Patients

2010 ◽  
Vol 35 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Vânia Aparecida Leandro-Merhi ◽  
José Luiz Braga de Aquino ◽  
José Francisco Sales Chagas
Keyword(s):  
Risk Factors ◽  
Hospital Stay ◽  
Length Of Hospital Stay ◽  
Surgical Patients ◽  
Nutrition Status ◽  
Factors Associated
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