Risk factors for surgical site infection in advanced neuromodulation pain procedures: A retrospective study

Eliana Ege; Daniel Briggi; Saba Javed; Albert Huh; Billy K. Huh

doi:10.2217/pmt-2023-0051

Risk factors for surgical site infection in advanced neuromodulation pain procedures: A retrospective study

Eliana Ege, Daniel Briggi, Saba Javed, Albert Huh, Billy K. Huh

Pain Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Aim: To assess the effects of diabetes mellitus (DM) and related variables on surgical site infection (SSI) risk in neuromodulation. Methods: This retrospective study followed patients who underwent neuromodulation procedures for at least 9 months to identify postoperative infections. Demographics, clinical characteristics and surgical outcomes were compared. Results: Of 195 cases included, 5 (2.6%) resulted in SSIs. Median HbA1c was significantly higher for the cases with SSIs (8.2 vs 5.6%; p = 0.0044). The rate of SSI was significantly higher among patients with DM (17.9 vs 0%; p = 0.0005), HbA1c≥7% (37.5 vs 0%; p = 0.0009), and perioperative glucose ≥200 mg/dl (40 vs 2.3%; p = 0.0101). Conclusion: DM, elevated HbA1c and perioperative hyperglycemia may all contribute to increased risk of SSIs with neuromodulation procedures.

Original language	English (US)
Pages (from-to)	397-404
Number of pages	8
Journal	Pain management
Volume	13
Issue number	7
DOIs	https://doi.org/10.2217/pmt-2023-0051
State	Published - Jul 1 2023

Keywords

chronic pain
diabetes
dorsal root ganglion stimulation
infection
intrathecal drug delivery
neuromodulation
pain management
peripheral nerve stimulation
risk
spinal cord stimulation

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

Access to Document

10.2217/pmt-2023-0051

Cite this

@article{cc18a3508119467fa611ef2452dc362f,

title = "Risk factors for surgical site infection in advanced neuromodulation pain procedures: A retrospective study",

abstract = "Aim: To assess the effects of diabetes mellitus (DM) and related variables on surgical site infection (SSI) risk in neuromodulation. Methods: This retrospective study followed patients who underwent neuromodulation procedures for at least 9 months to identify postoperative infections. Demographics, clinical characteristics and surgical outcomes were compared. Results: Of 195 cases included, 5 (2.6%) resulted in SSIs. Median HbA1c was significantly higher for the cases with SSIs (8.2 vs 5.6%; p = 0.0044). The rate of SSI was significantly higher among patients with DM (17.9 vs 0%; p = 0.0005), HbA1c≥7% (37.5 vs 0%; p = 0.0009), and perioperative glucose ≥200 mg/dl (40 vs 2.3%; p = 0.0101). Conclusion: DM, elevated HbA1c and perioperative hyperglycemia may all contribute to increased risk of SSIs with neuromodulation procedures.",

keywords = "chronic pain, diabetes, dorsal root ganglion stimulation, infection, intrathecal drug delivery, neuromodulation, pain management, peripheral nerve stimulation, risk, spinal cord stimulation",

author = "Eliana Ege and Daniel Briggi and Saba Javed and Albert Huh and Huh, {Billy K.}",

note = "Publisher Copyright: {\textcopyright} 2023 Future Medicine Ltd.",

year = "2023",

month = jul,

day = "1",

doi = "10.2217/pmt-2023-0051",

language = "English (US)",

volume = "13",

pages = "397--404",

journal = "Pain management",

issn = "1758-1869",

publisher = "CORE Medical Journals",

number = "7",

}

TY - JOUR

T1 - Risk factors for surgical site infection in advanced neuromodulation pain procedures

T2 - A retrospective study

AU - Ege, Eliana

AU - Briggi, Daniel

AU - Javed, Saba

AU - Huh, Albert

AU - Huh, Billy K.

PY - 2023/7/1

Y1 - 2023/7/1

N2 - Aim: To assess the effects of diabetes mellitus (DM) and related variables on surgical site infection (SSI) risk in neuromodulation. Methods: This retrospective study followed patients who underwent neuromodulation procedures for at least 9 months to identify postoperative infections. Demographics, clinical characteristics and surgical outcomes were compared. Results: Of 195 cases included, 5 (2.6%) resulted in SSIs. Median HbA1c was significantly higher for the cases with SSIs (8.2 vs 5.6%; p = 0.0044). The rate of SSI was significantly higher among patients with DM (17.9 vs 0%; p = 0.0005), HbA1c≥7% (37.5 vs 0%; p = 0.0009), and perioperative glucose ≥200 mg/dl (40 vs 2.3%; p = 0.0101). Conclusion: DM, elevated HbA1c and perioperative hyperglycemia may all contribute to increased risk of SSIs with neuromodulation procedures.

AB - Aim: To assess the effects of diabetes mellitus (DM) and related variables on surgical site infection (SSI) risk in neuromodulation. Methods: This retrospective study followed patients who underwent neuromodulation procedures for at least 9 months to identify postoperative infections. Demographics, clinical characteristics and surgical outcomes were compared. Results: Of 195 cases included, 5 (2.6%) resulted in SSIs. Median HbA1c was significantly higher for the cases with SSIs (8.2 vs 5.6%; p = 0.0044). The rate of SSI was significantly higher among patients with DM (17.9 vs 0%; p = 0.0005), HbA1c≥7% (37.5 vs 0%; p = 0.0009), and perioperative glucose ≥200 mg/dl (40 vs 2.3%; p = 0.0101). Conclusion: DM, elevated HbA1c and perioperative hyperglycemia may all contribute to increased risk of SSIs with neuromodulation procedures.

KW - chronic pain

KW - diabetes

KW - dorsal root ganglion stimulation

KW - infection

KW - intrathecal drug delivery

KW - neuromodulation

KW - pain management

KW - peripheral nerve stimulation

KW - risk

KW - spinal cord stimulation

UR - http://www.scopus.com/inward/record.url?scp=85173259900&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85173259900&partnerID=8YFLogxK

U2 - 10.2217/pmt-2023-0051

DO - 10.2217/pmt-2023-0051

M3 - Article

C2 - 37503743

AN - SCOPUS:85173259900

SN - 1758-1869

VL - 13

SP - 397

EP - 404

JO - Pain management

JF - Pain management

IS - 7

ER -

Risk factors for surgical site infection in advanced neuromodulation pain procedures: A retrospective study

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this