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Objective: To identify the occurrence and analyze the associated factors of complicated surgical wound in cancer patients. Method: observational, cross sectional, descriptive and correlational study, part of a large study that sought to evaluate the occurrence of skin lesions in patients in intensive care units and hospitalization of a private non-profit oncology hospital in São Paulo, Brazil. All adult patients admitted to both units were invited to participate in the study from November 23 to December 1, 2015. Socio-demographic and clinical data were collected along with physical examination of the skin. The associations between the dependent variable (presence of injury) and the independent variables were obtained by chi-square test and by odds ratio calculation with 95% confidence interval. A logistic regression (stepwise forward) with ROC curve was used, the ratio between area under the curve and accuracy being 0.768 (very good). Results: The sample consisted of 341 patients with mean age of 59.2 years, 58.1% of whom were men, 46.9% were white, and 53.4% were married. Among all the lesions analyzed, the occurrence of complicated surgical wound was 3.2%. Senil purpura, use of diapers, and infection were clinical variables that obtained significant statistical differences (p = 0.044, 0.001 and <0.001, respectively). The most frequent types of complications were 40% dehiscence, infection 26.7% and fistula 20% that were present in the abdomen 40%, head 26.7% and neck 13.3%. In the logistic regression, the presence of infection (p <0.005, OR 68.8, CI 95% 11.4-414.4) and diaper use (p = 0.013, OR 6.8, CI 95% 1.5-31.2) were the variables associated with the appearance of complicated surgical wounds. Conclusions: The occurrence of complicated surgical wound was 3.2% and its occurrence was associated with senile purpura, diaper use and infection.
Keywords: Complicated Surgical Wound, Injuries, Cancer Patient, Occurrence, Perioperative Nursing, Stomal Therapy Nursing.