A systematic review of surgical site infections following day surgery: a frequentist and a Bayesian meta-analysis of prevalence

Pivot, Diane; Hoch, G.; Astruc, K.; Lepelletier, Didier; Lefebvre, A.; Lucet, Jean‐Christophe; Beaussier, Marc; Philippe, H.-J.; Vons, C.; Triboulet, Jean; Grandbastien, Bruno; Glélé, Ludwig Serge Aho

doi:10.1016/j.jhin.2018.07.035

Cited by 11 publications

(5 citation statements)

References 97 publications

(63 reference statements)

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“…According to the study by Green et al, the most common reasons for admission were unexpected surgical complexity, pain, postoperative nausea and vomiting and late finish [38]. Regarding surgical site infection after surgery through same-day surgery, epidemiological studies conclude that the rate is low [39][40][41][42][43]. Also, not a single surgical site infection was recorded in our study.…”

Section: Discussionmentioning

confidence: 42%

Risk Factors Leading to Overnight Stays in Pediatric Surgical Outpatients

Bašković,

Markanović,

Ivanović

et al. 2024

Children

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Background: Same-day surgery implies patient discharge on the same day after the surgery. The main aim of the research was to determine which predisposing factors lead to children treated with same-day surgery not being able to be discharged on the same day. Methods: For the purposes of this research, the electronic records of patients in the hospital information system were reviewed retrospectively. The search included patients who were surgically treated through the Day Surgery Unit at the Children’s Hospital Zagreb with various diagnoses from 1 January 2021 to 31 December 2023. The target group consisted of patients who could not be discharged on the same day (n = 68), while for the purposes of the control group (n = 68), patients were randomly selected, comparable by age and gender, who were discharged from the hospital on the same day in accordance with the principles of same-day surgery. Results: In relation to the parameters of interest between the groups, statistically significant differences were observed in the type of general anesthesia (p = 0.027), the use of analgesics (p = 0.016), the time of entering the operating room (p = 0.000), the time of leaving the operating room (p < 0.0001) and the duration of surgery (76.81 ± 37.21 min vs. 46.51 ± 22.46 min., p < 0.0001). When explanatory variables were included in the regression model, they explained 38% of the variability in the dependent variable. Only the variable “duration of surgery” provided significant information to explain the variability in the dependent variable (p = 0.004). Conclusions: Although the duration of surgery was imposed as the main predictor of hospitalization after same-day surgery, and considering the extremely small number of studies on the mentioned topic, especially in the pediatric population, further, preferably multicenter research on the mentioned topic is needed.

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Section: Discussionmentioning

confidence: 42%

Risk Factors Leading to Overnight Stays in Pediatric Surgical Outpatients

Bašković,

Markanović,

Ivanović

et al. 2024

Children

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“…Reports have shown that operative time and hospital stay time are positively correlated with SSI [30,31] . Diane Pivot's results revealed that the overall SSI prevalence for day surgery was approximately 1.36% and was probably lower than the prevalence of SSI in conventional surgery [32] . In our study, through comprehensive preparation and optimization of the operation procedure (reverse resection order of E-N/SSM), the operation process was smoother, the levels of operation were clearer, and the operation time was obviously shortened compared with other studies [20,33,34] .…”

Section: Discussionmentioning

confidence: 95%

Single-axillary-incision Endoscopic Nipple/Skin-sparing Mastectomy With Immediate Implant-based Breast Reconstruction of Day Surgery: Preliminary Results, Complications and Patient-reported Outcome From Preliminary 68 Procedures

Feng

Xie

Zhou

et al. 2022

Preprint

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Background and Aims The aim of this study is to present a day surgery protocol that minimizes resource utilization to enable hospitals to increase inpatient capacity and maximize treatment efficiency for breast cancer patients undergoing endoscopic nipple/skin-sparing mastectomy(E-N/SSM) with breast reconstruction through a single invisible axillary incision. Methods We retrospectively reviewed 60 consecutive patients(68 breasts) who underwent day surgery of E-N/SSM with implant-based reconstruction from July 2020 to November 2021 in West China Hospital. Postoperative complications, cost-effectiveness, and oncological safety were retrospectively analysed in patients. The SCAR-Q, BREAST-Q reconstruction module and photography were used to evaluate the breast satisfaction and quality of life(QoL). Results Sixty patients(68 breasts)with a mean age of 41.8±9.7 years were examined, with a median follow-up time of 6.5 months. Overall, the major complication rate and minor complication rate was 0% and 10.29%(7/68), respectively. Mean operation time was 123.94±24.26min(Surgeon A) and 180.64±16.68min (Surgeon B and C). The mean score of appearance scale of SCAR-Q was 60.9±12.7 at 3 months after operation. Breast satisfaction scores at 3 and 6 months after operation were significantly better than those before operation and at 1 month after operation (P<0.05); QoL scores (except for Physical Well-being: chest) at 6 months after operation were significantly better than those before operation(P<0.05). No local recurrence or distant metastasis developed. Conclusions Day surgery of E-N/SSM with immediate endoscopic breast reconstruction is safe and feasible in practice.

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“…There are a number of publications about the strengths and disadvantages of each method [18][19][20][21][22][23][24][25][26]. We refer the interested reader to these references.…”

Section: Inferential Statisticsmentioning

confidence: 99%

How to: Statistics decrypted – a comprehensive review and smartphone-assisted five-step approach for good statistical practice

Guglielmetti,

Faber-Castell,

Fink

et al. 2024

Preprint

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Background Statistic scripts are often made by mathematicians and cryptic for clinicians or non-mathematician scientists. Nevertheless, almost all research projects necessitate the application of some statistical tests or at least an understanding thereof. The present review aims on giving an overview of the most common statistical terms and concepts. It further ensures good statistical practice by providing a five-step approach guiding the reader to the correct statistical test. Methods and Results First, different types of variables and measurements to describe a data set with means of descriptive statistics are introduced. The basic thoughts and tools of interferential statistics are presented, and different types of bias are discussed. Then in the final paragraph, the most commonly used statistical tests are described. A smartphone app accessable via QR code finally guides the reader in five steps to the correct statistical test, depending on the data used in order to avoid commonly performed mistakes. Conclusions. The five-step approach sets a new minimal standard for good statistical practice.

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A systematic review of surgical site infections following day surgery: a frequentist and a Bayesian meta-analysis of prevalence

Cited by 11 publications

References 97 publications

Risk Factors Leading to Overnight Stays in Pediatric Surgical Outpatients

Risk Factors Leading to Overnight Stays in Pediatric Surgical Outpatients

Single-axillary-incision Endoscopic Nipple/Skin-sparing Mastectomy With Immediate Implant-based Breast Reconstruction of Day Surgery: Preliminary Results, Complications and Patient-reported Outcome From Preliminary 68 Procedures

How to: Statistics decrypted – a comprehensive review and smartphone-assisted five-step approach for good statistical practice

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