Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases
ABSTRACT OBJECTIVE: To analyze infections of the surgical site among patients undergoing clean-wound surgery for correction of femoral fractures. METHODS: This was a historical cohort study developed in a large-sized hospital in Belo Horizonte. Data covering the period from July 2007 to July 2009...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2015-12-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000600638&lng=en&tlng=en |
| _version_ | 1797335368473772032 |
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| author | Hoberdan Oliveira Pereira Edna Maria Rezende Bráulio Roberto Gonçalves Marinho Couto |
| author_facet | Hoberdan Oliveira Pereira Edna Maria Rezende Bráulio Roberto Gonçalves Marinho Couto |
| author_sort | Hoberdan Oliveira Pereira |
| collection | DOAJ |
| description | ABSTRACT OBJECTIVE: To analyze infections of the surgical site among patients undergoing clean-wound surgery for correction of femoral fractures. METHODS: This was a historical cohort study developed in a large-sized hospital in Belo Horizonte. Data covering the period from July 2007 to July 2009 were gathered from the records in electronic medical files, relating to the characteristics of the patients, surgical procedures and surgical infections. The risk factors for infection were identified by means of statistical tests on bilateral hypotheses, taking the significance level to be 5%. Continuous variables were evaluated using Student'sttest. Categorical variables were evaluated using the chi-square test, or Fisher's exact test, when necessary. For each factor under analysis, a point estimate and the 95% confidence interval for the relative risk were obtained. In the final stage of the study, multivariate logistic regression analysis was performed. RESULTS: 432 patients who underwent clean-wound surgery for correcting femoral fractures were included in this study. The rate of incidence of surgical site infections was 4.9% and the risk factors identified were the presence of stroke (odds ratio, OR = 5.0) and length of preoperative hospital stay greater than four days (OR = 3.3). CONCLUSION: To prevent surgical site infections in operations for treating femoral fractures, measures involving assessment of patients' clinical conditions by a multiprofessional team, reduction of the length of preoperative hospital stay and prevention of complications resulting from infections will be necessary. |
| first_indexed | 2024-03-08T08:36:08Z |
| format | Article |
| id | doaj.art-26eead6026524bb7b1796dca7c2143c2 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T08:36:08Z |
| publishDate | 2015-12-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-26eead6026524bb7b1796dca7c2143c22024-02-02T01:04:00ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782015-12-0150663864610.1016/j.rboe.2015.09.006S0102-36162015000600638Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture casesHoberdan Oliveira PereiraEdna Maria RezendeBráulio Roberto Gonçalves Marinho CoutoABSTRACT OBJECTIVE: To analyze infections of the surgical site among patients undergoing clean-wound surgery for correction of femoral fractures. METHODS: This was a historical cohort study developed in a large-sized hospital in Belo Horizonte. Data covering the period from July 2007 to July 2009 were gathered from the records in electronic medical files, relating to the characteristics of the patients, surgical procedures and surgical infections. The risk factors for infection were identified by means of statistical tests on bilateral hypotheses, taking the significance level to be 5%. Continuous variables were evaluated using Student'sttest. Categorical variables were evaluated using the chi-square test, or Fisher's exact test, when necessary. For each factor under analysis, a point estimate and the 95% confidence interval for the relative risk were obtained. In the final stage of the study, multivariate logistic regression analysis was performed. RESULTS: 432 patients who underwent clean-wound surgery for correcting femoral fractures were included in this study. The rate of incidence of surgical site infections was 4.9% and the risk factors identified were the presence of stroke (odds ratio, OR = 5.0) and length of preoperative hospital stay greater than four days (OR = 3.3). CONCLUSION: To prevent surgical site infections in operations for treating femoral fractures, measures involving assessment of patients' clinical conditions by a multiprofessional team, reduction of the length of preoperative hospital stay and prevention of complications resulting from infections will be necessary.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000600638&lng=en&tlng=enInfecção da ferida operatóriaFraturas do fêmurFatores de risco |
| spellingShingle | Hoberdan Oliveira Pereira Edna Maria Rezende Bráulio Roberto Gonçalves Marinho Couto Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases Revista Brasileira de Ortopedia Infecção da ferida operatória Fraturas do fêmur Fatores de risco |
| title | Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases |
| title_full | Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases |
| title_fullStr | Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases |
| title_full_unstemmed | Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases |
| title_short | Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases |
| title_sort | length of preoperative hospital stay a risk factor for reducing surgical infection in femoral fracture cases |
| topic | Infecção da ferida operatória Fraturas do fêmur Fatores de risco |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000600638&lng=en&tlng=en |
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