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Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections

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Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections. / Bomberg, H; Albert, N; Schmitt, K; Gräber, S; Kessler, P; Steinfeldt, T; Hering, W; Gottschalk, A; Standl, T; Stork, J; Meißner, W; Teßmann, R; Geiger, P; Koch, T; Spies, C D; Volk, T; Kubulus, C.

In: ACTA ANAESTH SCAND, Vol. 59, No. 8, 09.2015, p. 1038-48.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Bomberg, H, Albert, N, Schmitt, K, Gräber, S, Kessler, P, Steinfeldt, T, Hering, W, Gottschalk, A, Standl, T, Stork, J, Meißner, W, Teßmann, R, Geiger, P, Koch, T, Spies, CD, Volk, T & Kubulus, C 2015, 'Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections', ACTA ANAESTH SCAND, vol. 59, no. 8, pp. 1038-48. https://doi.org/10.1111/aas.12548

APA

Bomberg, H., Albert, N., Schmitt, K., Gräber, S., Kessler, P., Steinfeldt, T., Hering, W., Gottschalk, A., Standl, T., Stork, J., Meißner, W., Teßmann, R., Geiger, P., Koch, T., Spies, C. D., Volk, T., & Kubulus, C. (2015). Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections. ACTA ANAESTH SCAND, 59(8), 1038-48. https://doi.org/10.1111/aas.12548

Vancouver

Bomberg H, Albert N, Schmitt K, Gräber S, Kessler P, Steinfeldt T et al. Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections. ACTA ANAESTH SCAND. 2015 Sep;59(8):1038-48. https://doi.org/10.1111/aas.12548

Bibtex

@article{d9d3989652824661a2e265cf6ff5234e,
title = "Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections",
abstract = "BACKGROUND: Obesity is believed to increase the risk of surgical site infections and possibly increase the risk of catheter-related infections in regional anesthesia. We, therefore, analyzed the influence of obesity on catheter-related infections defined within a national registry for regional anesthesia.METHODS: The German Network for Regional Anesthesia database with 25 participating clinical centers was analyzed between 2007 and 2012. Exactly, 28,249 cases (13,239 peripheral nerve and 15,010 neuraxial blocks) of patients ≥ 14 years were grouped in I: underweight (BMI 13.2-18.49 kg/m(2) , n = 597), II: normal weight (BMI 18.5-24.9 kg/m(2) , n = 9272), III: overweight (BMI 25.0-29.9 kg/m(2) , n = 10,632), and IV: obese (BMI 30.0-70.3 kg/m(2) , n = 7,744). The analysis focused on peripheral and neuraxial catheter-related infections. Differences between the groups were tested with non-parametric ANOVA and chi-square (P < 0.05). Binary logistic regression was used to compare obese, overweight, or underweight patients with normal weight patients. Odds ratios (OR and 95% confidence interval) were calculated and adjusted for potential confounders.RESULTS: Confounders with significant influence on the risk for catheter-related infections were gender, age, ASA score, diabetes, preoperative infection, multiple skin puncture, and prolonged catheter use. The incidence (normal weight: 2.1%, obese: 3.6%; P < 0.001) and the risk of peripheral catheter-related infection was increased in obese compared to normal weight patients [adjusted OR: 1.69 (1.25-2.28); P < 0.001]. In neuraxial sites, the incidence of catheter-related infections differed significantly between normal weight and obese patients (normal weight: 3.2%, obese: 2.3%; P = 0.01), whereas the risk was comparable [adjusted OR: 0.95 (0.71-1.28); P = 0.92].CONCLUSION: This retrospective cohort study suggests that obesity is an independent risk factor for peripheral, but not neuraxial, catheter-related infections.",
keywords = "Age Distribution, Analysis of Variance, Anesthesia, Conduction, Catheter-Related Infections, Cohort Studies, Comorbidity, Female, Germany, Humans, Incidence, Male, Middle Aged, Obesity, Odds Ratio, Registries, Retrospective Studies, Risk Factors, Sex Distribution, Time Factors, Journal Article, Research Support, Non-U.S. Gov't",
author = "H Bomberg and N Albert and K Schmitt and S Gr{\"a}ber and P Kessler and T Steinfeldt and W Hering and A Gottschalk and T Standl and J Stork and W Mei{\ss}ner and R Te{\ss}mann and P Geiger and T Koch and Spies, {C D} and T Volk and C Kubulus",
note = "{\textcopyright} 2015 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.",
year = "2015",
month = sep,
doi = "10.1111/aas.12548",
language = "English",
volume = "59",
pages = "1038--48",
journal = "ACTA ANAESTH SCAND",
issn = "0001-5172",
publisher = "Blackwell Munksgaard",
number = "8",

}

RIS

TY - JOUR

T1 - Obesity in regional anesthesia--a risk factor for peripheral catheter-related infections

AU - Bomberg, H

AU - Albert, N

AU - Schmitt, K

AU - Gräber, S

AU - Kessler, P

AU - Steinfeldt, T

AU - Hering, W

AU - Gottschalk, A

AU - Standl, T

AU - Stork, J

AU - Meißner, W

AU - Teßmann, R

AU - Geiger, P

AU - Koch, T

AU - Spies, C D

AU - Volk, T

AU - Kubulus, C

N1 - © 2015 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

PY - 2015/9

Y1 - 2015/9

N2 - BACKGROUND: Obesity is believed to increase the risk of surgical site infections and possibly increase the risk of catheter-related infections in regional anesthesia. We, therefore, analyzed the influence of obesity on catheter-related infections defined within a national registry for regional anesthesia.METHODS: The German Network for Regional Anesthesia database with 25 participating clinical centers was analyzed between 2007 and 2012. Exactly, 28,249 cases (13,239 peripheral nerve and 15,010 neuraxial blocks) of patients ≥ 14 years were grouped in I: underweight (BMI 13.2-18.49 kg/m(2) , n = 597), II: normal weight (BMI 18.5-24.9 kg/m(2) , n = 9272), III: overweight (BMI 25.0-29.9 kg/m(2) , n = 10,632), and IV: obese (BMI 30.0-70.3 kg/m(2) , n = 7,744). The analysis focused on peripheral and neuraxial catheter-related infections. Differences between the groups were tested with non-parametric ANOVA and chi-square (P < 0.05). Binary logistic regression was used to compare obese, overweight, or underweight patients with normal weight patients. Odds ratios (OR and 95% confidence interval) were calculated and adjusted for potential confounders.RESULTS: Confounders with significant influence on the risk for catheter-related infections were gender, age, ASA score, diabetes, preoperative infection, multiple skin puncture, and prolonged catheter use. The incidence (normal weight: 2.1%, obese: 3.6%; P < 0.001) and the risk of peripheral catheter-related infection was increased in obese compared to normal weight patients [adjusted OR: 1.69 (1.25-2.28); P < 0.001]. In neuraxial sites, the incidence of catheter-related infections differed significantly between normal weight and obese patients (normal weight: 3.2%, obese: 2.3%; P = 0.01), whereas the risk was comparable [adjusted OR: 0.95 (0.71-1.28); P = 0.92].CONCLUSION: This retrospective cohort study suggests that obesity is an independent risk factor for peripheral, but not neuraxial, catheter-related infections.

AB - BACKGROUND: Obesity is believed to increase the risk of surgical site infections and possibly increase the risk of catheter-related infections in regional anesthesia. We, therefore, analyzed the influence of obesity on catheter-related infections defined within a national registry for regional anesthesia.METHODS: The German Network for Regional Anesthesia database with 25 participating clinical centers was analyzed between 2007 and 2012. Exactly, 28,249 cases (13,239 peripheral nerve and 15,010 neuraxial blocks) of patients ≥ 14 years were grouped in I: underweight (BMI 13.2-18.49 kg/m(2) , n = 597), II: normal weight (BMI 18.5-24.9 kg/m(2) , n = 9272), III: overweight (BMI 25.0-29.9 kg/m(2) , n = 10,632), and IV: obese (BMI 30.0-70.3 kg/m(2) , n = 7,744). The analysis focused on peripheral and neuraxial catheter-related infections. Differences between the groups were tested with non-parametric ANOVA and chi-square (P < 0.05). Binary logistic regression was used to compare obese, overweight, or underweight patients with normal weight patients. Odds ratios (OR and 95% confidence interval) were calculated and adjusted for potential confounders.RESULTS: Confounders with significant influence on the risk for catheter-related infections were gender, age, ASA score, diabetes, preoperative infection, multiple skin puncture, and prolonged catheter use. The incidence (normal weight: 2.1%, obese: 3.6%; P < 0.001) and the risk of peripheral catheter-related infection was increased in obese compared to normal weight patients [adjusted OR: 1.69 (1.25-2.28); P < 0.001]. In neuraxial sites, the incidence of catheter-related infections differed significantly between normal weight and obese patients (normal weight: 3.2%, obese: 2.3%; P = 0.01), whereas the risk was comparable [adjusted OR: 0.95 (0.71-1.28); P = 0.92].CONCLUSION: This retrospective cohort study suggests that obesity is an independent risk factor for peripheral, but not neuraxial, catheter-related infections.

KW - Age Distribution

KW - Analysis of Variance

KW - Anesthesia, Conduction

KW - Catheter-Related Infections

KW - Cohort Studies

KW - Comorbidity

KW - Female

KW - Germany

KW - Humans

KW - Incidence

KW - Male

KW - Middle Aged

KW - Obesity

KW - Odds Ratio

KW - Registries

KW - Retrospective Studies

KW - Risk Factors

KW - Sex Distribution

KW - Time Factors

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1111/aas.12548

DO - 10.1111/aas.12548

M3 - SCORING: Journal article

C2 - 26040788

VL - 59

SP - 1038

EP - 1048

JO - ACTA ANAESTH SCAND

JF - ACTA ANAESTH SCAND

SN - 0001-5172

IS - 8

ER -