Is the Surgical Site Infection Rate after Ventral/ Incisional Hernia Repair Higher in a Facility Not Participating in a National Surgical Quality Improvement Program?
The specific weight of each of these risk factors are inconsistent in individual studies.1 The largest studies of VIHR SSIs query large databases using National Surgical Quality Improvement Programs (NSQIPs)2, 3 and report SSI rates lower than large single-center studies.4 Given these discrepancies,...
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| Veröffentlicht in: | The American surgeon 2016-03, Vol.82 (3), p.289-290 |
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| creator | Ballard, David H. Samra, Navdeep S. Pennywell, David J. Griffen, F. Dean |
| description | The specific weight of each of these risk factors are inconsistent in individual studies.1 The largest studies of VIHR SSIs query large databases using National Surgical Quality Improvement Programs (NSQIPs)2, 3 and report SSI rates lower than large single-center studies.4 Given these discrepancies, the purpose of our study was to measure and identify risk factors for SSIs after VIHR at a single institution not participating in a NSQIP. A study of 25,172 VIHR cases from the American College of Surgeons NSQIP database found that open surgical approaches, BMI > 30, smoking status, and longer operation times were all significant predictors of postoperative SSI.3 Similarly, a study of 1505 VIHR cases from the Veterans Affairs NSQIP found that smoking, prolonged operative length, and chronic steroid use were significant predictors of SSI.2 More important than the large denominators, reporting benchmark practices is key to helping non- NSQIP institutions improve care. |
| doi_str_mv | 10.1177/000313481608200325 |
| format | Article |
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A study of 25,172 VIHR cases from the American College of Surgeons NSQIP database found that open surgical approaches, BMI > 30, smoking status, and longer operation times were all significant predictors of postoperative SSI.3 Similarly, a study of 1505 VIHR cases from the Veterans Affairs NSQIP found that smoking, prolonged operative length, and chronic steroid use were significant predictors of SSI.2 More important than the large denominators, reporting benchmark practices is key to helping non- NSQIP institutions improve care.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481608200325</identifier><identifier>PMID: 27099068</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Aged ; Cardiovascular disease ; Female ; Health Facilities ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy - adverse effects ; Humans ; Incisional Hernia - surgery ; Laparoscopy ; Male ; Middle Aged ; Obesity ; Quality Improvement ; Retrospective Studies ; Risk Factors ; Studies ; Surgical Wound Infection - epidemiology ; Young Adult</subject><ispartof>The American surgeon, 2016-03, Vol.82 (3), p.289-290</ispartof><rights>2016 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Mar 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-722b9bdcae2de0ead7cfb22d29a8fcaf8b4ba4b63adea60bef48c95fe54a0c533</citedby><cites>FETCH-LOGICAL-c415t-722b9bdcae2de0ead7cfb22d29a8fcaf8b4ba4b63adea60bef48c95fe54a0c533</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313481608200325$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313481608200325$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27099068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ballard, David H.</creatorcontrib><creatorcontrib>Samra, Navdeep S.</creatorcontrib><creatorcontrib>Pennywell, David J.</creatorcontrib><creatorcontrib>Griffen, F. Dean</creatorcontrib><title>Is the Surgical Site Infection Rate after Ventral/ Incisional Hernia Repair Higher in a Facility Not Participating in a National Surgical Quality Improvement Program?</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>The specific weight of each of these risk factors are inconsistent in individual studies.1 The largest studies of VIHR SSIs query large databases using National Surgical Quality Improvement Programs (NSQIPs)2, 3 and report SSI rates lower than large single-center studies.4 Given these discrepancies, the purpose of our study was to measure and identify risk factors for SSIs after VIHR at a single institution not participating in a NSQIP. 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Dean</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is the Surgical Site Infection Rate after Ventral/ Incisional Hernia Repair Higher in a Facility Not Participating in a National Surgical Quality Improvement Program?</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2016-03</date><risdate>2016</risdate><volume>82</volume><issue>3</issue><spage>289</spage><epage>290</epage><pages>289-290</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>The specific weight of each of these risk factors are inconsistent in individual studies.1 The largest studies of VIHR SSIs query large databases using National Surgical Quality Improvement Programs (NSQIPs)2, 3 and report SSI rates lower than large single-center studies.4 Given these discrepancies, the purpose of our study was to measure and identify risk factors for SSIs after VIHR at a single institution not participating in a NSQIP. A study of 25,172 VIHR cases from the American College of Surgeons NSQIP database found that open surgical approaches, BMI > 30, smoking status, and longer operation times were all significant predictors of postoperative SSI.3 Similarly, a study of 1505 VIHR cases from the Veterans Affairs NSQIP found that smoking, prolonged operative length, and chronic steroid use were significant predictors of SSI.2 More important than the large denominators, reporting benchmark practices is key to helping non- NSQIP institutions improve care.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>27099068</pmid><doi>10.1177/000313481608200325</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The American surgeon, 2016-03, Vol.82 (3), p.289-290 |
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| subjects | Adult Aged Cardiovascular disease Female Health Facilities Hernia, Ventral - surgery Hernias Herniorrhaphy - adverse effects Humans Incisional Hernia - surgery Laparoscopy Male Middle Aged Obesity Quality Improvement Retrospective Studies Risk Factors Studies Surgical Wound Infection - epidemiology Young Adult |
| title | Is the Surgical Site Infection Rate after Ventral/ Incisional Hernia Repair Higher in a Facility Not Participating in a National Surgical Quality Improvement Program? |
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