Factors associated with complex surgical wounds in breast and abdomen: a case-control observational study

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.

Bibliographic Details

Main Authors:	Spira,Josimare Aparecida Otoni, Borges,Eline Lima, Silva,Patrícia Aparecida Barbosa, Abreu,Mery Natali Silva, Guedes,Antônio Carlos Martins, Pires-Júnior,José Ferreira
Format:	Digital revista
Language:	English
Published:	Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2018
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692018000100360
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