Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery
Introduction: The surgical site infection risk index (SSIRI) includes three risk factors for surgical site infection (SSI): potential for surgical contamination, duration of surgery, and patient’s ASA score. A patient having a preoperative American Society of Anesthesiologists (ASA) score of III, IV...
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| Format: | Article |
| Language: | English |
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Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)
2017-07-01
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| Series: | Clinical and Biomedical Research |
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| Online Access: | http://seer.ufrgs.br/hcpa/article/view/71288 |
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| author | Débora Marie da Silva Bonmann Carem Gorniak Lovatto Caroline Deutschendorf |
| author_facet | Débora Marie da Silva Bonmann Carem Gorniak Lovatto Caroline Deutschendorf |
| author_sort | Débora Marie da Silva Bonmann |
| collection | DOAJ |
| description | Introduction: The surgical site infection risk index (SSIRI) includes three risk factors for surgical site infection (SSI): potential for surgical contamination, duration of surgery, and patient’s ASA score. A patient having a preoperative American Society of Anesthesiologists (ASA) score of III, IV or IV; a surgery classified as either contaminated or dirty-infected; an operation with duration of surgery more than T hours, where T depends on the surgical procedure being performed are considered in risk of SSI. The SSIRI can be used as a method of postoperative surveillance. The aim of this study is to analyze the applicability of the SSIRI to patients undergoing cardiac, neurologic and orthopedic surgery.
Methods: A retrospective cohort study including patients undergoing cardiac, neurological and orthopedic surgeries considered major, from January to December 2014, evaluated through review of medical charts of patients admitted to a university hospital in southern Brazil. Values of p <0.05 were considered significant.
Results: A total of 761 patients were included in the study; of these, 122 (16%) developed SSI. The SSIRI did not demonstrate statistical significance to distinguish the patients most likely to develop SSI between the four levels of the ASA score. Black and brown patients, patients who underwent intraoperative blood transfusion, and patients who underwent surgical reintervention were more susceptible to SSI.
Conclusions: The SSIRI could not be used as a method of postoperative surveillance for patients in the present study. The other risk factors found may serve as a guide to articulate SSI prevention strategies and, thus, minimize chances of development of serious infections.
Keywords: Postoperative complications; infection; risk index |
| first_indexed | 2024-12-19T20:00:56Z |
| format | Article |
| id | doaj.art-e17456db9e66491093fc71d36bc9becd |
| institution | Directory Open Access Journal |
| issn | 0101-5575 2357-9730 |
| language | English |
| last_indexed | 2024-12-19T20:00:56Z |
| publishDate | 2017-07-01 |
| publisher | Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) |
| record_format | Article |
| series | Clinical and Biomedical Research |
| spelling | doaj.art-e17456db9e66491093fc71d36bc9becd2022-12-21T20:07:41ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research0101-55752357-97302017-07-0137233548Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgeryDébora Marie da Silva Bonmann0Carem Gorniak Lovatto1Caroline Deutschendorf2Residência Integrada Multiprofissional em Saúde do Hospital de Clínicas de Porto AlegreHospital de Clínicas de Porto AlegreHospital de Clínicas de Porto AlegreIntroduction: The surgical site infection risk index (SSIRI) includes three risk factors for surgical site infection (SSI): potential for surgical contamination, duration of surgery, and patient’s ASA score. A patient having a preoperative American Society of Anesthesiologists (ASA) score of III, IV or IV; a surgery classified as either contaminated or dirty-infected; an operation with duration of surgery more than T hours, where T depends on the surgical procedure being performed are considered in risk of SSI. The SSIRI can be used as a method of postoperative surveillance. The aim of this study is to analyze the applicability of the SSIRI to patients undergoing cardiac, neurologic and orthopedic surgery. Methods: A retrospective cohort study including patients undergoing cardiac, neurological and orthopedic surgeries considered major, from January to December 2014, evaluated through review of medical charts of patients admitted to a university hospital in southern Brazil. Values of p <0.05 were considered significant. Results: A total of 761 patients were included in the study; of these, 122 (16%) developed SSI. The SSIRI did not demonstrate statistical significance to distinguish the patients most likely to develop SSI between the four levels of the ASA score. Black and brown patients, patients who underwent intraoperative blood transfusion, and patients who underwent surgical reintervention were more susceptible to SSI. Conclusions: The SSIRI could not be used as a method of postoperative surveillance for patients in the present study. The other risk factors found may serve as a guide to articulate SSI prevention strategies and, thus, minimize chances of development of serious infections. Keywords: Postoperative complications; infection; risk indexhttp://seer.ufrgs.br/hcpa/article/view/71288Postoperative complicationsinfectionrisk index |
| spellingShingle | Débora Marie da Silva Bonmann Carem Gorniak Lovatto Caroline Deutschendorf Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery Clinical and Biomedical Research Postoperative complications infection risk index |
| title | Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery |
| title_full | Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery |
| title_fullStr | Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery |
| title_full_unstemmed | Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery |
| title_short | Applicability of the surgical site infection risk index to patients undergoing cardiac, neurologic and orthopedic surgery |
| title_sort | applicability of the surgical site infection risk index to patients undergoing cardiac neurologic and orthopedic surgery |
| topic | Postoperative complications infection risk index |
| url | http://seer.ufrgs.br/hcpa/article/view/71288 |
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