The influence of operating room temperature and humidity on surgical site infection: A multisite ACS-NSQIP analysis
Literature evaluating intraoperative temperature/humidity and risk of surgical site infection (SSI) is lacking. All operations at three centers reported to the ACS-NSQIP were reviewed (2016–2020); ambient intraoperative temperature (⁰F) and relative humidity (RH) were recorded in 15-min intervals. T...
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| Veröffentlicht in: | The American journal of surgery 2023-12, Vol.226 (6), p.840-844 |
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| container_title | The American journal of surgery |
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| creator | Hammond, Jacob B. Madura, Grace M. Chang, Yu-Hui H. Lim, Elisabeth S. Habermann, Elizabeth Cima, Robert Colibaseanu, Dorin Siebeneck, Eric T. Etzioni, David A. |
| description | Literature evaluating intraoperative temperature/humidity and risk of surgical site infection (SSI) is lacking.
All operations at three centers reported to the ACS-NSQIP were reviewed (2016–2020); ambient intraoperative temperature (⁰F) and relative humidity (RH) were recorded in 15-min intervals. The primary endpoint was superficial SSI, which was evaluated with multi-level logistic regression.
14,519 operations were analyzed with 179 SSIs (1.2%). The lower/upper 10th percentiles for temperature and RH were 64.4/71.4 °F and 33.5/55.5% respectively. Low or high temperature carried no significant increased risk for SSI (Low ⁰F OR = 0.95, 95% CI 0.51–1.77, P = 0.86; High ⁰F OR = 1.13, 95% CI = 0.69–1.86, P = 0.63). This was also true for low and high RH (Low RH OR = 0.96, 95% CI 0.58–1.61, p = 0.88; High RH OR = 0.61, 95% CI = 0.33–1.14, P = 0.12). Analysis of combined temperature/humidity showed no increased risk for SSI.
Significant deviations in intraoperative temperature/humidity are not associated with increased risk of SSI.
•Large deviations in OR temperature do not increase risk of SSI.•Large deviations in OR humidity do not increase risk of SSI.•Efforts to decrease risk of SSI should focus on other modifiable factors. |
| doi_str_mv | 10.1016/j.amjsurg.2023.06.039 |
| format | Article |
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All operations at three centers reported to the ACS-NSQIP were reviewed (2016–2020); ambient intraoperative temperature (⁰F) and relative humidity (RH) were recorded in 15-min intervals. The primary endpoint was superficial SSI, which was evaluated with multi-level logistic regression.
14,519 operations were analyzed with 179 SSIs (1.2%). The lower/upper 10th percentiles for temperature and RH were 64.4/71.4 °F and 33.5/55.5% respectively. Low or high temperature carried no significant increased risk for SSI (Low ⁰F OR = 0.95, 95% CI 0.51–1.77, P = 0.86; High ⁰F OR = 1.13, 95% CI = 0.69–1.86, P = 0.63). This was also true for low and high RH (Low RH OR = 0.96, 95% CI 0.58–1.61, p = 0.88; High RH OR = 0.61, 95% CI = 0.33–1.14, P = 0.12). Analysis of combined temperature/humidity showed no increased risk for SSI.
Significant deviations in intraoperative temperature/humidity are not associated with increased risk of SSI.
•Large deviations in OR temperature do not increase risk of SSI.•Large deviations in OR humidity do not increase risk of SSI.•Efforts to decrease risk of SSI should focus on other modifiable factors.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2023.06.039</identifier><identifier>PMID: 37482475</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Clinical outcomes ; Cost control ; Diabetes ; Health care expenditures ; Health risks ; High temperature ; Humidity ; Infectious diseases ; Patients ; Postoperative period ; Regression analysis ; Relative humidity ; Risk ; Room temperature ; Surgeons ; Surgery ; Surgical site infections</subject><ispartof>The American journal of surgery, 2023-12, Vol.226 (6), p.840-844</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><rights>2023. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-497a07c9ed66718102f9d1e3c280112641508d67092e094f505d8e399982ebb53</citedby><cites>FETCH-LOGICAL-c393t-497a07c9ed66718102f9d1e3c280112641508d67092e094f505d8e399982ebb53</cites><orcidid>0000-0001-9224-1255</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961023003136$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37482475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hammond, Jacob B.</creatorcontrib><creatorcontrib>Madura, Grace M.</creatorcontrib><creatorcontrib>Chang, Yu-Hui H.</creatorcontrib><creatorcontrib>Lim, Elisabeth S.</creatorcontrib><creatorcontrib>Habermann, Elizabeth</creatorcontrib><creatorcontrib>Cima, Robert</creatorcontrib><creatorcontrib>Colibaseanu, Dorin</creatorcontrib><creatorcontrib>Siebeneck, Eric T.</creatorcontrib><creatorcontrib>Etzioni, David A.</creatorcontrib><title>The influence of operating room temperature and humidity on surgical site infection: A multisite ACS-NSQIP analysis</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Literature evaluating intraoperative temperature/humidity and risk of surgical site infection (SSI) is lacking.
All operations at three centers reported to the ACS-NSQIP were reviewed (2016–2020); ambient intraoperative temperature (⁰F) and relative humidity (RH) were recorded in 15-min intervals. The primary endpoint was superficial SSI, which was evaluated with multi-level logistic regression.
14,519 operations were analyzed with 179 SSIs (1.2%). The lower/upper 10th percentiles for temperature and RH were 64.4/71.4 °F and 33.5/55.5% respectively. Low or high temperature carried no significant increased risk for SSI (Low ⁰F OR = 0.95, 95% CI 0.51–1.77, P = 0.86; High ⁰F OR = 1.13, 95% CI = 0.69–1.86, P = 0.63). This was also true for low and high RH (Low RH OR = 0.96, 95% CI 0.58–1.61, p = 0.88; High RH OR = 0.61, 95% CI = 0.33–1.14, P = 0.12). Analysis of combined temperature/humidity showed no increased risk for SSI.
Significant deviations in intraoperative temperature/humidity are not associated with increased risk of SSI.
•Large deviations in OR temperature do not increase risk of SSI.•Large deviations in OR humidity do not increase risk of SSI.•Efforts to decrease risk of SSI should focus on other modifiable factors.</description><subject>Clinical outcomes</subject><subject>Cost control</subject><subject>Diabetes</subject><subject>Health care expenditures</subject><subject>Health risks</subject><subject>High temperature</subject><subject>Humidity</subject><subject>Infectious diseases</subject><subject>Patients</subject><subject>Postoperative period</subject><subject>Regression analysis</subject><subject>Relative humidity</subject><subject>Risk</subject><subject>Room temperature</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical site infections</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkUtv1DAUhS0EotPCTwBZYsMmqR-JH2zQaASlUkWLWtaWJ75pHSXxYCdI8-9xZgYWbLqyfPWdc-x7EHpHSUkJFZddaYcuzfGxZITxkoiScP0CraiSuqBK8ZdoRQhhhRaUnKHzlLp8pbTir9EZl5VilaxXKD08AfZj288wNoBDi8MOop38-IhjCAOeYDgM5gjYjg4_zYN3ftrjMOIl3je2x8lPBxdoJh_GT3iNh7mf_GG83twX3-9_XN9lue33yac36FVr-wRvT-cF-vn1y8PmW3Fze3W9Wd8UDdd8KiotLZGNBieEpIoS1mpHgTdM5X8wUdGaKCck0QyIrtqa1E4B11orBtttzS_Qx6PvLoZfM6TJDD410Pd2hDAnw1RFK8KYXNAP_6FdmGN-70JpJiTLYZmqj1QTQ0oRWrOLfrBxbygxSyumM6dWzNKKIcLkVrLu_cl93g7g_qn-1pCBz0cA8jp-e4gmNX4pxPmYd2pc8M9E_AGXP599</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Hammond, Jacob B.</creator><creator>Madura, Grace M.</creator><creator>Chang, Yu-Hui H.</creator><creator>Lim, Elisabeth S.</creator><creator>Habermann, Elizabeth</creator><creator>Cima, Robert</creator><creator>Colibaseanu, Dorin</creator><creator>Siebeneck, Eric T.</creator><creator>Etzioni, David A.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9224-1255</orcidid></search><sort><creationdate>20231201</creationdate><title>The influence of operating room temperature and humidity on surgical site infection: A multisite ACS-NSQIP analysis</title><author>Hammond, Jacob B. ; Madura, Grace M. ; Chang, Yu-Hui H. ; Lim, Elisabeth S. ; Habermann, Elizabeth ; Cima, Robert ; Colibaseanu, Dorin ; Siebeneck, Eric T. ; Etzioni, David A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-497a07c9ed66718102f9d1e3c280112641508d67092e094f505d8e399982ebb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical outcomes</topic><topic>Cost control</topic><topic>Diabetes</topic><topic>Health care expenditures</topic><topic>Health risks</topic><topic>High temperature</topic><topic>Humidity</topic><topic>Infectious diseases</topic><topic>Patients</topic><topic>Postoperative period</topic><topic>Regression analysis</topic><topic>Relative humidity</topic><topic>Risk</topic><topic>Room temperature</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical site infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hammond, Jacob B.</creatorcontrib><creatorcontrib>Madura, Grace M.</creatorcontrib><creatorcontrib>Chang, Yu-Hui H.</creatorcontrib><creatorcontrib>Lim, Elisabeth S.</creatorcontrib><creatorcontrib>Habermann, Elizabeth</creatorcontrib><creatorcontrib>Cima, Robert</creatorcontrib><creatorcontrib>Colibaseanu, Dorin</creatorcontrib><creatorcontrib>Siebeneck, Eric T.</creatorcontrib><creatorcontrib>Etzioni, David A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hammond, Jacob B.</au><au>Madura, Grace M.</au><au>Chang, Yu-Hui H.</au><au>Lim, Elisabeth S.</au><au>Habermann, Elizabeth</au><au>Cima, Robert</au><au>Colibaseanu, Dorin</au><au>Siebeneck, Eric T.</au><au>Etzioni, David A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of operating room temperature and humidity on surgical site infection: A multisite ACS-NSQIP analysis</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2023-12-01</date><risdate>2023</risdate><volume>226</volume><issue>6</issue><spage>840</spage><epage>844</epage><pages>840-844</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Literature evaluating intraoperative temperature/humidity and risk of surgical site infection (SSI) is lacking.
All operations at three centers reported to the ACS-NSQIP were reviewed (2016–2020); ambient intraoperative temperature (⁰F) and relative humidity (RH) were recorded in 15-min intervals. The primary endpoint was superficial SSI, which was evaluated with multi-level logistic regression.
14,519 operations were analyzed with 179 SSIs (1.2%). The lower/upper 10th percentiles for temperature and RH were 64.4/71.4 °F and 33.5/55.5% respectively. Low or high temperature carried no significant increased risk for SSI (Low ⁰F OR = 0.95, 95% CI 0.51–1.77, P = 0.86; High ⁰F OR = 1.13, 95% CI = 0.69–1.86, P = 0.63). This was also true for low and high RH (Low RH OR = 0.96, 95% CI 0.58–1.61, p = 0.88; High RH OR = 0.61, 95% CI = 0.33–1.14, P = 0.12). Analysis of combined temperature/humidity showed no increased risk for SSI.
Significant deviations in intraoperative temperature/humidity are not associated with increased risk of SSI.
•Large deviations in OR temperature do not increase risk of SSI.•Large deviations in OR humidity do not increase risk of SSI.•Efforts to decrease risk of SSI should focus on other modifiable factors.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37482475</pmid><doi>10.1016/j.amjsurg.2023.06.039</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-9224-1255</orcidid></addata></record> |
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| source | Elsevier ScienceDirect Journals |
| subjects | Clinical outcomes Cost control Diabetes Health care expenditures Health risks High temperature Humidity Infectious diseases Patients Postoperative period Regression analysis Relative humidity Risk Room temperature Surgeons Surgery Surgical site infections |
| title | The influence of operating room temperature and humidity on surgical site infection: A multisite ACS-NSQIP analysis |
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