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Effect of a surgical care bundle on the incidence of surgical site infection in colorectal surgery: a quasi-experimental intervention
Zarain-Obrador, Leire; Alonso-García, Marcos; Gil-Yonte, Pablo; Hijas-Gómez, Ana I.; Rodríguez-Villar, Diego; Martínez-Amores, Brezo; Gil-de-Miguel, Ángel; Ruiz-Tovar, Jaime; Rodríguez-Caravaca, Gil; Durán-Poveda, Manuel.
Afiliação
  • Zarain-Obrador, Leire; Rey Juan Carlos Hospital. Department of Surgery. Madrid. ES
  • Alonso-García, Marcos; Alcorcón Foundation University Hospital. Department of Preventive Medicine. Madrid. ES
  • Gil-Yonte, Pablo; Alcorcón Foundation University Hospital. Department of Surgery. Madrid. ES
  • Hijas-Gómez, Ana I.; Carlos III Institute of Health. Health Technology Assessment Agency (AETS). Madrid. ES
  • Rodríguez-Villar, Diego; Rey Juan Carlos University. Department of Medical Specialties and Public Health. Madrid. ES
  • Martínez-Amores, Brezo; Rey Juan Carlos University. Department of Medical Specialties and Public Health. Madrid. ES
  • Gil-de-Miguel, Ángel; Rey Juan Carlos University. Department of Medical Specialties and Public Health. Madrid. ES
  • Ruiz-Tovar, Jaime; Rey Juan Carlos Hospital. Department of Surgery. Madrid. ES
  • Rodríguez-Caravaca, Gil; Alcorcón Foundation University Hospital. Department of Preventive Medicine. Madrid. ES
  • Durán-Poveda, Manuel; Rey Juan Carlos Hospital. Department of Surgery. Madrid. ES
Rev. invest. clín ; Rev. invest. clín;73(4): 251-258, Jul.-Aug. 2021. tab, graf
Article em En | LILACS | ID: biblio-1347572
Biblioteca responsável: BR1.1
ABSTRACT

Background:

Surgical site infections (SSI) have an important impact on morbidity and mortality.

Objective:

This study, therefore, sought to assess the effect of a surgical care bundle on the incidence of SSI in colorectal surgery.

Methods:

We conducted a quasi-experimental intervention study with reference to the introduction of a surgical care bundle in 2011. Our study population, made up of patients who underwent colorectal surgery, was divided into the following two periods 2007-2011 (pre-intervention) and 2012-2017 (post-intervention). The intervention's effect on SSI incidence was analyzed using adjusted odds ratios (OR).

Results:

A total of 1,727 patients were included in the study. SSI incidence was 13.0% before versus 11.6% after implementation of the care bundle (OR 0.88, 95% confidence interval 0.66-1.17, p = 0.37). Multivariate analysis showed that cancer, chronic obstructive pulmonary disease, neutropenia, and emergency surgery were independently associated with SSI. In contrast, laparoscopic surgery proved to be a protective factor against SSI.

Conclusions:

Care bundles have proven to be very important in reducing SSI incidence since the measures that constitute these protocols are mutually reinforcing. In our study, the implementation of a care bundle reduced SSI incidence from 13% to 11.6%, though the reduction was not statistically significant.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Infecção da Ferida Cirúrgica / Cirurgia Colorretal / Pacotes de Assistência ao Paciente Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Rev. invest. clín Assunto da revista: MEDICINA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Espanha País de publicação: México
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Infecção da Ferida Cirúrgica / Cirurgia Colorretal / Pacotes de Assistência ao Paciente Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: En Revista: Rev. invest. clín Assunto da revista: MEDICINA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Espanha País de publicação: México