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July 5, 2018World Journal of Surgery

Associations of Hospital Length of Stay with Surgical Site Infections

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Key result

Preoperative hospital admission ≥1 day before surgery was not independently associated with 30-day surgical site infection compared to same-day admission (adjusted OR 1.38; 95% CI 0.99-1.93; p=0.061).

Why the study?

Does preoperative length of stay increase the risk of 30-day surgical site infections in surgical patients?

Population

4596 general, orthopedic trauma and vascular surgery patients at two tertiary referral centers in Switzerland

Comparison

Preoperative hospital admission or preoperative… vs Same-day surgery or hospital admission outside…

Design

Cohort

Follow-up

30-day

Authors

EMEdin MujagićUniversity of BaselWMWalter R. MartiKantonsspital AarauMCMichael CoslovskyUniversity Hospital of Basel

Discussion

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Implication

Pre- and postoperative LOS may signal higher SSI risk warranting vigilance; leaves open whether shortening stays reduces infections.

Study Design

Type

Cohort (n=4,596)

Multicenter

Yes

Structured PICO

Does preoperative length of stay increase the risk of 30-day surgical site infections in surgical patients?

P
Population
4,596 general, orthopedic trauma, and vascular surgery patients evaluated for 30-day surgical site infection rates.
E
Exposure
Preoperative hospital admission (at least 1 day before surgery) or preoperative ICU admission
C
Comparator
Same-day surgery or hospital admission outside of an ICU
O
Outcome
30-day surgical site infection (SSI) rate

Main Result

Odds Ratio: 1.38 (95% CI 0.99–1.93)

p-value: p=0.061

Preoperative length of stay is not independently associated with an increased risk of surgical site infections after adjusting for confounders.

Cite This Study

Mujagić et al. (2018) conducted a cohort in Surgical patients (n=4,596). Preoperative hospital admission ≥1 day before surgery vs. Same-day surgery admission was evaluated on 30-day surgical site infection rate (OR 1.38, 95% CI 0.99-1.93, p=0.061). Preoperative hospital admission ≥1 day before surgery was not independently associated with 30-day surgical site infection compared to same-day admission (adjusted OR 1.38; 95% CI 0.99-1.93; p=0.061).

synapsesocial.com/papers/6a632d883eb69703d1b6fd27https://doi.org/10.1007/s00268-018-4733-4
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