The Southwestern Surgical CongressOutcomes from treatment of necrotizing soft-tissue infections: results from the National Surgical Quality Improvement Program database
Section snippets
Basic data collection
This study was a retrospective review of the NSQIP database for the years 2005 to 2008. The Institutional Review Board of the University of Utah Health Center approved this review. As a center contributing to NSQIP, we were granted access to the database. Data queried from NSQIP is returned in a patient user file format. To maintain the highest level of data quality, only cases included in the analysis of observed to expected outcomes (observed/expected analysis) are included in the patient
Results
For the 4 years reviewed, the NSQIP database contained 635,164 cases. Of these, 688 cases were found with primary ICD-9 codes for NSTI. The NSTI cases comprised .108% of all NSQIP patients during this period. With the help of SPSS, 6,880 control cases were randomly chosen from patients in all other ICD-9 groups (CON).
Characteristics of the NSTI and control patients are provided in Table 2. In this and subsequent tables, the dataset for variables was complete (ie, a value was found in the
Comments
NSTIs remain an uncommon clinical condition. To quote a recent review, “they are frequent enough that general and specialty physicians will have to be involved with the management of at least one patient … during their practice, but are infrequent enough that familiarity with the disease will seldom be achieved.”10 Because these patients are usually critically ill and require complex surgical care, they are often referred to academic and tertiary medical centers, so it is likely that patients
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2022, International Journal of Surgery Case ReportsCitation Excerpt :Current mortality rates range from 6 % to 33 %; however they have decreased overtime [2]. National registries such as the National Surgical Quality Improvement Program (NSQIP) quote a 12 % mortality rate [3]. The mainstay of treatment remains the same: early recognition, aggressive intravenous (IV) antibiotic treatment, and most importantly—early surgical debridement.
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Supported by grant number 5UL1 RR025764 from the NIH National Center for Research Resources.