An Assessment Scale for Patients with Postoperative Superficial Incisional Surgical Site Infection: a Cross-Sectional Study
Superficial incisional surgical site infection (SSI) is a common postoperative complication in surgical patients. The aim of this study was to assess the predictive power of an assessment scale for identifying patients at risk of superficial incisional SSI. A cross-sectional survey was conducted at...
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| Veröffentlicht in: | Indian journal of surgery 2018-06, Vol.80 (3), p.259-268 |
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| creator | Anwar, Medhat Mohamed Reizian, Alice Edward El Kholy, Aneesa Mohammad El Sayed, Iman Hafez, Marwa Khalil |
| description | Superficial incisional surgical site infection (SSI) is a common postoperative complication in surgical patients. The aim of this study was to assess the predictive power of an assessment scale for identifying patients at risk of superficial incisional SSI. A cross-sectional survey was conducted at the Department of Surgery at the Medical Research Institute Hospital, Alexandria University. A sample of 150 adult patients aged from 18 to 65 years, who undergoing general surgeries that had clean sutured surgical wounds, was randomly selected. Forty-six patients (30.7%) had SSI. The total score can significantly discriminate between positive and negative superficial incisional SSI patients with diagnostic accuracy of AUC (SE) = 0.66 (0.048). Each score more than the cutoff point (11.5) will increase the risk of surgical site infection development by 2.5 times (OR (95% CI) = 2.5 (1.26–3.1)). The developed assessment scale can discriminate between patients who are at risk of superficial incisional SSI and those who are not. It can be used as a preliminary screening tool for subsequent investigation for the presence of infection. |
| doi_str_mv | 10.1007/s12262-016-1566-y |
| format | Article |
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The aim of this study was to assess the predictive power of an assessment scale for identifying patients at risk of superficial incisional SSI. A cross-sectional survey was conducted at the Department of Surgery at the Medical Research Institute Hospital, Alexandria University. A sample of 150 adult patients aged from 18 to 65 years, who undergoing general surgeries that had clean sutured surgical wounds, was randomly selected. Forty-six patients (30.7%) had SSI. The total score can significantly discriminate between positive and negative superficial incisional SSI patients with diagnostic accuracy of AUC (SE) = 0.66 (0.048). Each score more than the cutoff point (11.5) will increase the risk of surgical site infection development by 2.5 times (OR (95% CI) = 2.5 (1.26–3.1)). The developed assessment scale can discriminate between patients who are at risk of superficial incisional SSI and those who are not. It can be used as a preliminary screening tool for subsequent investigation for the presence of infection.</description><identifier>ISSN: 0972-2068</identifier><identifier>EISSN: 0973-9793</identifier><identifier>DOI: 10.1007/s12262-016-1566-y</identifier><identifier>PMID: 29973757</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Cardiac Surgery ; Care and treatment ; Cross-sectional studies ; Disease control ; Health aspects ; Hospitals ; Infection ; Medical research ; Medicine ; Medicine & Public Health ; Neurosurgery ; Nosocomial infections ; Nursing ; Original ; Original Article ; Patients ; Pediatric Surgery ; Personal health ; Plastic Surgery ; Postoperative period ; Research centers ; Risk factors ; Studies ; Surgery ; Surgical site infections ; Surveillance ; Surveys ; Thoracic Surgery</subject><ispartof>Indian journal of surgery, 2018-06, Vol.80 (3), p.259-268</ispartof><rights>Association of Surgeons of India 2016</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Indian Journal of Surgery is a copyright of Springer, (2016). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c537t-bd6ca368381f29f91c1bd65a1ae7c815d456eaa078cb4c91eaf9b1295c030f03</citedby><cites>FETCH-LOGICAL-c537t-bd6ca368381f29f91c1bd65a1ae7c815d456eaa078cb4c91eaf9b1295c030f03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014960/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014960/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29973757$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Anwar, Medhat Mohamed</creatorcontrib><creatorcontrib>Reizian, Alice Edward</creatorcontrib><creatorcontrib>El Kholy, Aneesa Mohammad</creatorcontrib><creatorcontrib>El Sayed, Iman</creatorcontrib><creatorcontrib>Hafez, Marwa Khalil</creatorcontrib><title>An Assessment Scale for Patients with Postoperative Superficial Incisional Surgical Site Infection: a Cross-Sectional Study</title><title>Indian journal of surgery</title><addtitle>Indian J Surg</addtitle><addtitle>Indian J Surg</addtitle><description>Superficial incisional surgical site infection (SSI) is a common postoperative complication in surgical patients. The aim of this study was to assess the predictive power of an assessment scale for identifying patients at risk of superficial incisional SSI. A cross-sectional survey was conducted at the Department of Surgery at the Medical Research Institute Hospital, Alexandria University. A sample of 150 adult patients aged from 18 to 65 years, who undergoing general surgeries that had clean sutured surgical wounds, was randomly selected. Forty-six patients (30.7%) had SSI. The total score can significantly discriminate between positive and negative superficial incisional SSI patients with diagnostic accuracy of AUC (SE) = 0.66 (0.048). Each score more than the cutoff point (11.5) will increase the risk of surgical site infection development by 2.5 times (OR (95% CI) = 2.5 (1.26–3.1)). The developed assessment scale can discriminate between patients who are at risk of superficial incisional SSI and those who are not. It can be used as a preliminary screening tool for subsequent investigation for the presence of infection.</description><subject>Cardiac Surgery</subject><subject>Care and treatment</subject><subject>Cross-sectional studies</subject><subject>Disease control</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Infection</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Nosocomial infections</subject><subject>Nursing</subject><subject>Original</subject><subject>Original Article</subject><subject>Patients</subject><subject>Pediatric Surgery</subject><subject>Personal health</subject><subject>Plastic Surgery</subject><subject>Postoperative period</subject><subject>Research centers</subject><subject>Risk factors</subject><subject>Studies</subject><subject>Surgery</subject><subject>Surgical site infections</subject><subject>Surveillance</subject><subject>Surveys</subject><subject>Thoracic Surgery</subject><issn>0972-2068</issn><issn>0973-9793</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kk1r3DAQhk1padK0P6CXIuilF6f6sGSrh8Ky9CMQaGBzF1p5tFGwra1kJyz98x3XadKUFh88vPPMK2Z4i-I1o6eM0vp9ZpwrXlKmSiaVKg9PimOqa1HqWounv2pecqqao-JFzteU8koJ8bw44hqpWtbHxY_VQFY5Q849DCPZONsB8TGRCzsGVDK5DeMVuYh5jHtIKN4A2UxY-uCC7cjZ4EIOccByM6VdcHMRRsCGBzdi5wOxZJ1izuVmEWZinNrDy-KZt12GV3f_k-Ly86fL9dfy_NuXs_XqvHRS1GO5bZWzQjWiYZ5rr5ljKEnLLNSuYbKtpAJrad24beU0A-v1lnEtHRXUU3FSfFxs99O2h9bhVsl2Zp9Cb9PBRBvM484Qrswu3hhFWaXVbPDuziDF7xPk0fQhO-g6O0CcssELV3VDpWCIvv0LvY5Two1nSja8Eg0VD9QOr23C4CO-62ZTs5JVRZlQlUTq9B8Ufi30wcUBfED90QBbBtx87QT-fkdGzRwYswTGYGDMHBhzwJk3fx7nfuJ3QhDgC5CxNewgPWz0f9ef6znNAQ</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Anwar, Medhat Mohamed</creator><creator>Reizian, Alice Edward</creator><creator>El Kholy, Aneesa Mohammad</creator><creator>El Sayed, Iman</creator><creator>Hafez, Marwa Khalil</creator><general>Springer India</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>04Q</scope><scope>04T</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</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>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>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180601</creationdate><title>An Assessment Scale for Patients with Postoperative Superficial Incisional Surgical Site Infection: a Cross-Sectional Study</title><author>Anwar, Medhat Mohamed ; Reizian, Alice Edward ; El Kholy, Aneesa Mohammad ; El Sayed, Iman ; Hafez, Marwa Khalil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c537t-bd6ca368381f29f91c1bd65a1ae7c815d456eaa078cb4c91eaf9b1295c030f03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Cardiac Surgery</topic><topic>Care and treatment</topic><topic>Cross-sectional studies</topic><topic>Disease control</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Infection</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Nosocomial infections</topic><topic>Nursing</topic><topic>Original</topic><topic>Original Article</topic><topic>Patients</topic><topic>Pediatric Surgery</topic><topic>Personal health</topic><topic>Plastic Surgery</topic><topic>Postoperative period</topic><topic>Research centers</topic><topic>Risk factors</topic><topic>Studies</topic><topic>Surgery</topic><topic>Surgical site infections</topic><topic>Surveillance</topic><topic>Surveys</topic><topic>Thoracic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Anwar, Medhat Mohamed</creatorcontrib><creatorcontrib>Reizian, Alice Edward</creatorcontrib><creatorcontrib>El Kholy, Aneesa Mohammad</creatorcontrib><creatorcontrib>El Sayed, Iman</creatorcontrib><creatorcontrib>Hafez, Marwa Khalil</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>India Database</collection><collection>India Database: Health & Medicine</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</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>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>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Indian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Anwar, Medhat Mohamed</au><au>Reizian, Alice Edward</au><au>El Kholy, Aneesa Mohammad</au><au>El Sayed, Iman</au><au>Hafez, Marwa Khalil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Assessment Scale for Patients with Postoperative Superficial Incisional Surgical Site Infection: a Cross-Sectional Study</atitle><jtitle>Indian journal of surgery</jtitle><stitle>Indian J Surg</stitle><addtitle>Indian J Surg</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>80</volume><issue>3</issue><spage>259</spage><epage>268</epage><pages>259-268</pages><issn>0972-2068</issn><eissn>0973-9793</eissn><abstract>Superficial incisional surgical site infection (SSI) is a common postoperative complication in surgical patients. The aim of this study was to assess the predictive power of an assessment scale for identifying patients at risk of superficial incisional SSI. A cross-sectional survey was conducted at the Department of Surgery at the Medical Research Institute Hospital, Alexandria University. A sample of 150 adult patients aged from 18 to 65 years, who undergoing general surgeries that had clean sutured surgical wounds, was randomly selected. Forty-six patients (30.7%) had SSI. The total score can significantly discriminate between positive and negative superficial incisional SSI patients with diagnostic accuracy of AUC (SE) = 0.66 (0.048). Each score more than the cutoff point (11.5) will increase the risk of surgical site infection development by 2.5 times (OR (95% CI) = 2.5 (1.26–3.1)). The developed assessment scale can discriminate between patients who are at risk of superficial incisional SSI and those who are not. It can be used as a preliminary screening tool for subsequent investigation for the presence of infection.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>29973757</pmid><doi>10.1007/s12262-016-1566-y</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Indian journal of surgery, 2018-06, Vol.80 (3), p.259-268 |
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| source | Springer Nature - Complete Springer Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Cardiac Surgery Care and treatment Cross-sectional studies Disease control Health aspects Hospitals Infection Medical research Medicine Medicine & Public Health Neurosurgery Nosocomial infections Nursing Original Original Article Patients Pediatric Surgery Personal health Plastic Surgery Postoperative period Research centers Risk factors Studies Surgery Surgical site infections Surveillance Surveys Thoracic Surgery |
| title | An Assessment Scale for Patients with Postoperative Superficial Incisional Surgical Site Infection: a Cross-Sectional Study |
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