Academic Journal
Groin wound infection after vascular exposure (GIVE) multicentre cohort study
| العنوان: | Groin wound infection after vascular exposure (GIVE) multicentre cohort study |
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| المؤلفون: | Groin wound Infection after Vascular Exposure Study Group, Shalhoub, J |
| المصدر: | 175 ; 164 |
| بيانات النشر: | Wiley |
| سنة النشر: | 2020 |
| المجموعة: | Imperial College London: Spiral |
| مصطلحات موضوعية: | Science & Technology, Life Sciences & Biomedicine, Dermatology, Surgery, vascular, SURGICAL-SITE INFECTION, RISK-FACTORS, MANAGEMENT, PREDICTORS, IMPACT, Groin wound Infection after Vascular Exposure (GIVE) Study Group, Dermatology & Venereal Diseases, 1103 Clinical Sciences, 1110 Nursing |
| الوصف: | Background: Surgical site infections (SSIs) of groin wounds are a common and potentially preventable cause of morbidity, mortality and healthcare costs in vascular surgery. Our aim was to define the contemporaneous rate of groin SSIs, determine clinical sequelae, and identify risk factors for SSI. Method: An international multicentre prospective observational cohort study of consecutive patients undergoing groin incision for femoral vessel access in vascular surgery was undertaken over 3 months, follow up was 90 days. The primary outcome was incidence of groin wound SSI. Results: 1337 groin incisions (1039 patients) from 37 centres were included. 115 groin incisions (8.6%) developed SSI, of which 62 (4.6%) were superficial. Patients who developed an SSI had a significantly longer length of hospital stay (6 vs 5 days, p=0.005), a significantly higher rate of post-operative acute kidney injury (19.6% vs 11.7%, p=0.018), with no significant difference in 90-day mortality. Female sex, Body Mass Index≥30kg/m2, ischaemic heart disease, aqueous betadine skin preparation, bypass/patch use (vein, xenograft or prosthetic) and increased operative time were independent predictors of SSI. Conclusion: Groin infections which are clinically apparent to the treating vascular unit are frequent and their development carries significant clinical sequelae. Risk factors include modifiable and non-modifiable variables. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1742-4801 |
| Relation: | International Wound Journal; http://hdl.handle.net/10044/1/83810 |
| DOI: | 10.1111/iwj.13508 |
| الاتاحة: | http://hdl.handle.net/10044/1/83810 https://doi.org/10.1111/iwj.13508 |
| Rights: | © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. ; http://creativecommons.org/licenses/by-nc/4.0/ |
| رقم الانضمام: | edsbas.2C5DC2A0 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 17424801 |
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| DOI: | 10.1111/iwj.13508 |