Preventing Surgical Site Infection in Older Patients after
Spine Surgery
Application and Efficacy of Nutrition Support Team
Shunji Matsunaga, Hiroaki Koga, Miyaguchi Fumihiro
Imakiire General Hospital, Kagoshima , Japan
Setsuro Komiya
Dept.of Orthop. Surg. Kagoshima University Kagoshima, Japan
EuroSpine 2010
2010/9/15 Vienna
Incidence on Japanese Spine Surgery
Surgical Site Infection (SSI)
The incidence of SSI in elderly patient ?
0.5 %~ 14 %
Purpose
To investigate of incidence of SSI
in elderly patients with spine
surgery
To clarify the efficacy of nutrition
support team therapy for SSI
prevention
Subjects for Analysis
927 patients who underwent
spine surgery in our hospital
from 2000~2008
> 65 yrs: 424 patients
< 65 yrs: 503 patients
=
The rate of elderly (>65 yrs) patients with spine surgery%
0
10
20
30
40
50
60
2000 2001 2002
2003 2004 2005 2006 2007 2008
Male
Female
Total
Yrs
=
Incidence of SSI
Total
Total patients 35/927 ( 3.8 %) 8 ( 0.9 %)
>65Yrs 19/424 ( 4.5 %) 6 ( 1.4 %)
<65Yrs 5/503 ( 1.0 %) 2 ( 0.4 %)
Deep SSI
=
The relationship with serum protein and SSI
0
1
2
3
4
5
6
7
8
Male Female
>6.5 /g dl<6.5 /g dl
* < 0.05
*
*
SSI (%)
=
Introduce nutrition support team (NST) for spine surgery in elderly patients
Daily oral health care
Correction of poor nutrition status by transfusion
From 2006
Pre and Post-operative Management
After
Before
Oral Health Care by NST
Effect of NST on preventing SSI for elderly
Yrs
(% )SSI
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
2000 2001 2002 2003 2004 2005 2006 2007 2008
Introduce of NST
Conclusion
NST management
should be introduced
for SSI prevention in
elderly patients with
spine surgery.
Disclosure Information
We hereby prove that neither I
nor any co-authors of the Work
or our family members have any
financial relationship with any
commercial entity that has an
interest in the subject matter or
materials discussed in the Work.
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