Matches in SemOpenAlex for { <https://semopenalex.org/work/W2998207068> ?p ?o ?g. }
Showing items 1 to 76 of
76
with 100 items per page.
- W2998207068 endingPage "S733" @default.
- W2998207068 startingPage "S732" @default.
- W2998207068 abstract "To compare rates of postoperative wound complications among women with Class III obesity (BMI ≥ 40) undergoing cesarean delivery (CD) with skin closure either by subcuticular sutures vs surgical staples. Patients were randomly assigned to skin closure by staples or subcuticular suture at the time of CD. Randomization was stratified for scheduled or unscheduled/labored CD and for the two study sites. The primary outcome was the rate of any documented wound complication during the first six weeks postpartum. Covariates considered were gestational age at delivery, number of prior CDs, diabetes diagnosis, labor, preoperative antibiotic use, preoperative vaginal prep, and tobacco use. To further evaluate the surgical outcome in this population, we also considered location of incision and incision to delivery interval. Sample size was calculated based on published literature and estimating a rate of wound complications at 6 weeks of follow-up at 20% with staples and 10% with sutures. For a power of 0.80 with a two-tailed of 0.05, an N of 199 per group was required. Nearing the planned interim analysis, enrollment in the study was concluded administratively due to extended duration. From September 2015 through May 2019, 232 women were randomized at two University hospitals, 120 to staples and 111 to sutures. Fewer wound complications were noted in the surgical staples group when compared to the subcuticular suture group (24.4 vs. 34.1%), although this difference was not found to be statistically significant (RR 0.72, 95% CI 0.43-1.18, p=0.185). In multiple logistic regression, the two significant independent predictors of the outcome were BMI (OR 2.35, 95% CI 1.16-4.76) and unscheduled CD (OR 1.11, 95% CI 1.06-1.18). Among obese women with BMI ≥ 40 undergoing CD, wound complication rates in the first 6 weeks postpartum are not significantly different when comparing skin closure using either surgical staples or subcuticular suture. The results of our study demonstrate that either technique is acceptable, allowing physician and patient preferences to be considered." @default.
- W2998207068 created "2020-01-10" @default.
- W2998207068 creator A5008493696 @default.
- W2998207068 creator A5015289064 @default.
- W2998207068 creator A5052407553 @default.
- W2998207068 creator A5057658810 @default.
- W2998207068 creator A5057889057 @default.
- W2998207068 creator A5068626841 @default.
- W2998207068 date "2020-01-01" @default.
- W2998207068 modified "2023-10-18" @default.
- W2998207068 title "1190: Suture vs. staples for cesarean skin closure in class III obesity: A randomized controlled trial" @default.
- W2998207068 doi "https://doi.org/10.1016/j.ajog.2019.11.1202" @default.
- W2998207068 hasPublicationYear "2020" @default.
- W2998207068 type Work @default.
- W2998207068 sameAs 2998207068 @default.
- W2998207068 citedByCount "1" @default.
- W2998207068 countsByYear W29982070682022 @default.
- W2998207068 crossrefType "journal-article" @default.
- W2998207068 hasAuthorship W2998207068A5008493696 @default.
- W2998207068 hasAuthorship W2998207068A5015289064 @default.
- W2998207068 hasAuthorship W2998207068A5052407553 @default.
- W2998207068 hasAuthorship W2998207068A5057658810 @default.
- W2998207068 hasAuthorship W2998207068A5057889057 @default.
- W2998207068 hasAuthorship W2998207068A5068626841 @default.
- W2998207068 hasBestOaLocation W29982070681 @default.
- W2998207068 hasConcept C126322002 @default.
- W2998207068 hasConcept C141071460 @default.
- W2998207068 hasConcept C168563851 @default.
- W2998207068 hasConcept C204243189 @default.
- W2998207068 hasConcept C2777327002 @default.
- W2998207068 hasConcept C2778376644 @default.
- W2998207068 hasConcept C2779234561 @default.
- W2998207068 hasConcept C2908647359 @default.
- W2998207068 hasConcept C42219234 @default.
- W2998207068 hasConcept C44249647 @default.
- W2998207068 hasConcept C54355233 @default.
- W2998207068 hasConcept C61943457 @default.
- W2998207068 hasConcept C71924100 @default.
- W2998207068 hasConcept C86803240 @default.
- W2998207068 hasConcept C99454951 @default.
- W2998207068 hasConceptScore W2998207068C126322002 @default.
- W2998207068 hasConceptScore W2998207068C141071460 @default.
- W2998207068 hasConceptScore W2998207068C168563851 @default.
- W2998207068 hasConceptScore W2998207068C204243189 @default.
- W2998207068 hasConceptScore W2998207068C2777327002 @default.
- W2998207068 hasConceptScore W2998207068C2778376644 @default.
- W2998207068 hasConceptScore W2998207068C2779234561 @default.
- W2998207068 hasConceptScore W2998207068C2908647359 @default.
- W2998207068 hasConceptScore W2998207068C42219234 @default.
- W2998207068 hasConceptScore W2998207068C44249647 @default.
- W2998207068 hasConceptScore W2998207068C54355233 @default.
- W2998207068 hasConceptScore W2998207068C61943457 @default.
- W2998207068 hasConceptScore W2998207068C71924100 @default.
- W2998207068 hasConceptScore W2998207068C86803240 @default.
- W2998207068 hasConceptScore W2998207068C99454951 @default.
- W2998207068 hasIssue "1" @default.
- W2998207068 hasLocation W29982070681 @default.
- W2998207068 hasOpenAccess W2998207068 @default.
- W2998207068 hasPrimaryLocation W29982070681 @default.
- W2998207068 hasRelatedWork W1977442648 @default.
- W2998207068 hasRelatedWork W2066760788 @default.
- W2998207068 hasRelatedWork W2088544186 @default.
- W2998207068 hasRelatedWork W2135411798 @default.
- W2998207068 hasRelatedWork W2360655753 @default.
- W2998207068 hasRelatedWork W2411181526 @default.
- W2998207068 hasRelatedWork W2912322849 @default.
- W2998207068 hasRelatedWork W3108482733 @default.
- W2998207068 hasRelatedWork W4292379256 @default.
- W2998207068 hasRelatedWork W4301489211 @default.
- W2998207068 hasVolume "222" @default.
- W2998207068 isParatext "false" @default.
- W2998207068 isRetracted "false" @default.
- W2998207068 magId "2998207068" @default.
- W2998207068 workType "article" @default.