Effect of a surgical care bundle on the incidence of surgical site infection in colorectal surgery: a quasi-experimental intervention
Rev. invest. clín
;
73(4): 251-258, Jul.-Aug. 2021. tab, graf
Article
in English
| LILACS
| ID: biblio-1347572
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.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Surgical Wound Infection
/
Colorectal Surgery
/
Patient Care Bundles
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Rev. invest. clín
Journal subject:
Medicine
Year:
2021
Type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Alcorcón Foundation University Hospital/ES
/
Carlos III Institute of Health/ES
/
Rey Juan Carlos Hospital/ES
/
Rey Juan Carlos University/ES
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