Oral Diseases (2015) 21, 178–184 doi:10.1111/odi.12232 © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd All rights reserved www.wiley.com
ORIGINAL ARTICLE
Postoperative hypoalbuminemia as a risk factor for surgical site infection after oral cancer surgery J-I Lee1, M Kwon1, J-L Roh1, JW Choi2, S-H Choi1, SY Nam1, SY Kim1,3 1
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul; 2Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul; 3Biomedical Research Institute, Korea Institute of Science and Technology, Seoul, Korea
OBJECTIVES: Postoperative surgical site infection (SSI) is a frequent postoperative complication in patients with oral cancer and significantly affects patient recovery and medical expenses. The aim of this study was to examine the predictors of SSI in patients undergoing major surgery for oral or oropharyngeal squamous cell carcinoma (OSCC) and to determine the relationship between perioperative albumin and the development of SSI. SUBJECTS AND METHODS: In 337 consecutive patients who underwent clean-contaminated surgery for OSCC, serum albumin, glucose, and hemoglobin levels were perioperatively measured. Differences between the groups were examined using Fisher’s exact test, Mann–Whitney U-test, and multiple logistic regression analysis. RESULTS: Surgical site infection was detected in 88 (26.1%) patients with median time to development of 10 (2–25) days. Multiple logistic regression analysis showed that only postoperative serum albumin < 2.5 g dl 1 was an independent variable predictive of SSI (P = 0.003). The duration of hospital stay was negatively correlated with postoperative albumin (R2 = –0.302, P < 0.001). CONCLUSION: Early postoperative hypoalbuminemia
ORIGINAL ARTICLE
Postoperative hypoalbuminemia as a risk factor for surgical site infection after oral cancer surgery J-I Lee1, M Kwon1, J-L Roh1, JW Choi2, S-H Choi1, SY Nam1, SY Kim1,3 1
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul; 2Department of Plastic and Reconstructive Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul; 3Biomedical Research Institute, Korea Institute of Science and Technology, Seoul, Korea
OBJECTIVES: Postoperative surgical site infection (SSI) is a frequent postoperative complication in patients with oral cancer and significantly affects patient recovery and medical expenses. The aim of this study was to examine the predictors of SSI in patients undergoing major surgery for oral or oropharyngeal squamous cell carcinoma (OSCC) and to determine the relationship between perioperative albumin and the development of SSI. SUBJECTS AND METHODS: In 337 consecutive patients who underwent clean-contaminated surgery for OSCC, serum albumin, glucose, and hemoglobin levels were perioperatively measured. Differences between the groups were examined using Fisher’s exact test, Mann–Whitney U-test, and multiple logistic regression analysis. RESULTS: Surgical site infection was detected in 88 (26.1%) patients with median time to development of 10 (2–25) days. Multiple logistic regression analysis showed that only postoperative serum albumin < 2.5 g dl 1 was an independent variable predictive of SSI (P = 0.003). The duration of hospital stay was negatively correlated with postoperative albumin (R2 = –0.302, P < 0.001). CONCLUSION: Early postoperative hypoalbuminemia
