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Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study
Background and Aims: This multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (SWI) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections. Methods: The study cohort compr...
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| Published in: | Scandinavian journal of surgery 2010-01, Vol.99 (3), p.167-172 |
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| container_end_page | 172 |
| container_issue | 3 |
| container_start_page | 167 |
| container_title | Scandinavian journal of surgery |
| container_volume | 99 |
| creator | Turtiainen, J. Saimanen, E. Partio, T. Kärkkäinen, J. Kiviniemi, V. Mäkinen, K. Hakala, T. |
| description | Background and Aims:
This multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (SWI) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections.
Methods:
The study cohort comprised of 184 consecutive patients. Postoperative complications were recorded. The additional costs attributable to SWI were calculated.
Results:
Eighty-four (46%) patients had critical ischaemia, 81 (45%) patients underwent infrainguinal bypass surgery and 64 (35%) received vascular prosthesis or prosthetic patch. Forty-nine (27%) patients developed SWI. Staphylococcus aureus was the leading pathogen cultured from the wound. Forty-seven of the 49 infected wounds responded to and healed with the treatment. SWI was the cause of one major amputation.
Independent predictors for SWI were infrainguinal surgery (OR 7.2, 95% Cl 2.92–17.65, p < 0.001), obesity (OR 6.1, 95% Cl 2.44–15.16, p < 0.001) and arteriography injection site within the operative area (OR 2.5, 95% Cl 1.13–5.48, p = 0.02). The average cost attributable to SWI was 3320 €.
Conclusion:
The incidence of SWI after vascular surgery is high. The risk factors for SWI are infrainguinal surgery, obesity and arteriography injection site within the operative area. SWI increases morbidity and costs of operative treatment. |
| doi_str_mv | 10.1177/145749691009900312 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_AFRWT</sourceid><recordid>TN_cdi_proquest_miscellaneous_762470100</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_145749691009900312</sage_id><sourcerecordid>762470100</sourcerecordid><originalsourceid>FETCH-LOGICAL-c342t-d66b931ffc9bc5e9f118d2b7815f4299e4cb929631c1a936f70115666903547c3</originalsourceid><addsrcrecordid>eNp9kE1LAzEURYMottT-ARcyO1ejeUkmadxJ8QsqFerHSoZMJilTpjM1mRT6783Q6kYwm5fFuZf3DkLngK8AhLgGlgkmuQSMpcSYAjlCQxBSpoJwcRz_EUh7YoDG3q9wfEwSScgpGhDAjEmaDdHnIrhlpVWdfLShKZOnxhrdVW3jE2U745J35XWolUt60LjdTfLiWr_poa1JnkPdVdo0PTkvvHFb1Ydj3aIL5e4MnVhVezM-zBF6u797nT6ms_nD0_R2lmrKSJeWnBeSgrVaFjoz0gJMSlKICWSWESkN00VcnVPQoCTlVmCAjHMuMc2Y0HSELve9G9d-BeO7fF15bepaNaYNPhecsJiJmkaI7Ekdr_DO2HzjqrVyuxxw3ovN_4qNoYtDfSjWpvyN_GiMwPUe8Gpp8lUbXFTg_6v8BlKPgGc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>762470100</pqid></control><display><type>article</type><title>Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study</title><source>SAGE Open Access</source><creator>Turtiainen, J. ; Saimanen, E. ; Partio, T. ; Kärkkäinen, J. ; Kiviniemi, V. ; Mäkinen, K. ; Hakala, T.</creator><creatorcontrib>Turtiainen, J. ; Saimanen, E. ; Partio, T. ; Kärkkäinen, J. ; Kiviniemi, V. ; Mäkinen, K. ; Hakala, T.</creatorcontrib><description>Background and Aims:
This multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (SWI) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections.
Methods:
The study cohort comprised of 184 consecutive patients. Postoperative complications were recorded. The additional costs attributable to SWI were calculated.
Results:
Eighty-four (46%) patients had critical ischaemia, 81 (45%) patients underwent infrainguinal bypass surgery and 64 (35%) received vascular prosthesis or prosthetic patch. Forty-nine (27%) patients developed SWI. Staphylococcus aureus was the leading pathogen cultured from the wound. Forty-seven of the 49 infected wounds responded to and healed with the treatment. SWI was the cause of one major amputation.
Independent predictors for SWI were infrainguinal surgery (OR 7.2, 95% Cl 2.92–17.65, p < 0.001), obesity (OR 6.1, 95% Cl 2.44–15.16, p < 0.001) and arteriography injection site within the operative area (OR 2.5, 95% Cl 1.13–5.48, p = 0.02). The average cost attributable to SWI was 3320 €.
Conclusion:
The incidence of SWI after vascular surgery is high. The risk factors for SWI are infrainguinal surgery, obesity and arteriography injection site within the operative area. SWI increases morbidity and costs of operative treatment.</description><identifier>ISSN: 1457-4969</identifier><identifier>EISSN: 1799-7267</identifier><identifier>DOI: 10.1177/145749691009900312</identifier><identifier>PMID: 21044935</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Antibiotic Prophylaxis ; Aorta, Abdominal - surgery ; Aortic Diseases - economics ; Aortic Diseases - surgery ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - economics ; Comorbidity ; Cost of Illness ; Female ; Finland ; Graft Occlusion, Vascular - surgery ; Hospital Costs ; Hospitalization - economics ; Humans ; Ischemia - surgery ; Leg - blood supply ; Male ; Middle Aged ; Obesity - epidemiology ; Prospective Studies ; Risk Factors ; Surgical Wound Infection - economics ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - prevention & control ; Vascular Surgical Procedures - adverse effects ; Vascular Surgical Procedures - economics</subject><ispartof>Scandinavian journal of surgery, 2010-01, Vol.99 (3), p.167-172</ispartof><rights>2010 Finnish Society of Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-d66b931ffc9bc5e9f118d2b7815f4299e4cb929631c1a936f70115666903547c3</citedby><cites>FETCH-LOGICAL-c342t-d66b931ffc9bc5e9f118d2b7815f4299e4cb929631c1a936f70115666903547c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/145749691009900312$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/145749691009900312$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21966,27853,27924,27925,44945,45333</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/145749691009900312?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21044935$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turtiainen, J.</creatorcontrib><creatorcontrib>Saimanen, E.</creatorcontrib><creatorcontrib>Partio, T.</creatorcontrib><creatorcontrib>Kärkkäinen, J.</creatorcontrib><creatorcontrib>Kiviniemi, V.</creatorcontrib><creatorcontrib>Mäkinen, K.</creatorcontrib><creatorcontrib>Hakala, T.</creatorcontrib><title>Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study</title><title>Scandinavian journal of surgery</title><addtitle>Scand J Surg</addtitle><description>Background and Aims:
This multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (SWI) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections.
Methods:
The study cohort comprised of 184 consecutive patients. Postoperative complications were recorded. The additional costs attributable to SWI were calculated.
Results:
Eighty-four (46%) patients had critical ischaemia, 81 (45%) patients underwent infrainguinal bypass surgery and 64 (35%) received vascular prosthesis or prosthetic patch. Forty-nine (27%) patients developed SWI. Staphylococcus aureus was the leading pathogen cultured from the wound. Forty-seven of the 49 infected wounds responded to and healed with the treatment. SWI was the cause of one major amputation.
Independent predictors for SWI were infrainguinal surgery (OR 7.2, 95% Cl 2.92–17.65, p < 0.001), obesity (OR 6.1, 95% Cl 2.44–15.16, p < 0.001) and arteriography injection site within the operative area (OR 2.5, 95% Cl 1.13–5.48, p = 0.02). The average cost attributable to SWI was 3320 €.
Conclusion:
The incidence of SWI after vascular surgery is high. The risk factors for SWI are infrainguinal surgery, obesity and arteriography injection site within the operative area. SWI increases morbidity and costs of operative treatment.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibiotic Prophylaxis</subject><subject>Aorta, Abdominal - surgery</subject><subject>Aortic Diseases - economics</subject><subject>Aortic Diseases - surgery</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - economics</subject><subject>Comorbidity</subject><subject>Cost of Illness</subject><subject>Female</subject><subject>Finland</subject><subject>Graft Occlusion, Vascular - surgery</subject><subject>Hospital Costs</subject><subject>Hospitalization - economics</subject><subject>Humans</subject><subject>Ischemia - surgery</subject><subject>Leg - blood supply</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - epidemiology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Surgical Wound Infection - economics</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - prevention & control</subject><subject>Vascular Surgical Procedures - adverse effects</subject><subject>Vascular Surgical Procedures - economics</subject><issn>1457-4969</issn><issn>1799-7267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEURYMottT-ARcyO1ejeUkmadxJ8QsqFerHSoZMJilTpjM1mRT6783Q6kYwm5fFuZf3DkLngK8AhLgGlgkmuQSMpcSYAjlCQxBSpoJwcRz_EUh7YoDG3q9wfEwSScgpGhDAjEmaDdHnIrhlpVWdfLShKZOnxhrdVW3jE2U745J35XWolUt60LjdTfLiWr_poa1JnkPdVdo0PTkvvHFb1Ydj3aIL5e4MnVhVezM-zBF6u797nT6ms_nD0_R2lmrKSJeWnBeSgrVaFjoz0gJMSlKICWSWESkN00VcnVPQoCTlVmCAjHMuMc2Y0HSELve9G9d-BeO7fF15bepaNaYNPhecsJiJmkaI7Ekdr_DO2HzjqrVyuxxw3ovN_4qNoYtDfSjWpvyN_GiMwPUe8Gpp8lUbXFTg_6v8BlKPgGc</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Turtiainen, J.</creator><creator>Saimanen, E.</creator><creator>Partio, T.</creator><creator>Kärkkäinen, J.</creator><creator>Kiviniemi, V.</creator><creator>Mäkinen, K.</creator><creator>Hakala, T.</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100101</creationdate><title>Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study</title><author>Turtiainen, J. ; Saimanen, E. ; Partio, T. ; Kärkkäinen, J. ; Kiviniemi, V. ; Mäkinen, K. ; Hakala, T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-d66b931ffc9bc5e9f118d2b7815f4299e4cb929631c1a936f70115666903547c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antibiotic Prophylaxis</topic><topic>Aorta, Abdominal - surgery</topic><topic>Aortic Diseases - economics</topic><topic>Aortic Diseases - surgery</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - economics</topic><topic>Comorbidity</topic><topic>Cost of Illness</topic><topic>Female</topic><topic>Finland</topic><topic>Graft Occlusion, Vascular - surgery</topic><topic>Hospital Costs</topic><topic>Hospitalization - economics</topic><topic>Humans</topic><topic>Ischemia - surgery</topic><topic>Leg - blood supply</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - epidemiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Surgical Wound Infection - economics</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - prevention & control</topic><topic>Vascular Surgical Procedures - adverse effects</topic><topic>Vascular Surgical Procedures - economics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turtiainen, J.</creatorcontrib><creatorcontrib>Saimanen, E.</creatorcontrib><creatorcontrib>Partio, T.</creatorcontrib><creatorcontrib>Kärkkäinen, J.</creatorcontrib><creatorcontrib>Kiviniemi, V.</creatorcontrib><creatorcontrib>Mäkinen, K.</creatorcontrib><creatorcontrib>Hakala, T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Turtiainen, J.</au><au>Saimanen, E.</au><au>Partio, T.</au><au>Kärkkäinen, J.</au><au>Kiviniemi, V.</au><au>Mäkinen, K.</au><au>Hakala, T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study</atitle><jtitle>Scandinavian journal of surgery</jtitle><addtitle>Scand J Surg</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>99</volume><issue>3</issue><spage>167</spage><epage>172</epage><pages>167-172</pages><issn>1457-4969</issn><eissn>1799-7267</eissn><abstract>Background and Aims:
This multicenter prospective observational study defined the incidence and risk factors of surgical wound infections (SWI) after infrarenal aortic and lower limb vascular surgery procedures and evaluated the severity and costs of these infections.
Methods:
The study cohort comprised of 184 consecutive patients. Postoperative complications were recorded. The additional costs attributable to SWI were calculated.
Results:
Eighty-four (46%) patients had critical ischaemia, 81 (45%) patients underwent infrainguinal bypass surgery and 64 (35%) received vascular prosthesis or prosthetic patch. Forty-nine (27%) patients developed SWI. Staphylococcus aureus was the leading pathogen cultured from the wound. Forty-seven of the 49 infected wounds responded to and healed with the treatment. SWI was the cause of one major amputation.
Independent predictors for SWI were infrainguinal surgery (OR 7.2, 95% Cl 2.92–17.65, p < 0.001), obesity (OR 6.1, 95% Cl 2.44–15.16, p < 0.001) and arteriography injection site within the operative area (OR 2.5, 95% Cl 1.13–5.48, p = 0.02). The average cost attributable to SWI was 3320 €.
Conclusion:
The incidence of SWI after vascular surgery is high. The risk factors for SWI are infrainguinal surgery, obesity and arteriography injection site within the operative area. SWI increases morbidity and costs of operative treatment.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21044935</pmid><doi>10.1177/145749691009900312</doi><tpages>6</tpages></addata></record> |
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| ispartof | Scandinavian journal of surgery, 2010-01, Vol.99 (3), p.167-172 |
| issn | 1457-4969 1799-7267 |
| language | eng |
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| source | SAGE Open Access |
| subjects | Aged Aged, 80 and over Antibiotic Prophylaxis Aorta, Abdominal - surgery Aortic Diseases - economics Aortic Diseases - surgery Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - economics Comorbidity Cost of Illness Female Finland Graft Occlusion, Vascular - surgery Hospital Costs Hospitalization - economics Humans Ischemia - surgery Leg - blood supply Male Middle Aged Obesity - epidemiology Prospective Studies Risk Factors Surgical Wound Infection - economics Surgical Wound Infection - epidemiology Surgical Wound Infection - prevention & control Vascular Surgical Procedures - adverse effects Vascular Surgical Procedures - economics |
| title | Surgical Wound Infections after Vascular Surgery: Prospective Multicenter Observational Study |
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