Patient-Directed Active Surgical Incisions Surveillance May Lead to Further Surgical Site Infection Reduction

Dellinger, E. Patchen

doi:10.1089/sur.2019.163

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…In clinical practice, medical staff examine surgical incisions and worry about infection in the early days after surgery. However, patientdirected active surgical incision self-monitoring may help to further SSI reduction [23]. Hence, this nding would be a signi cant advance for SSI management that integrates reliable patients' surgical incision surveillance into the clinical work ow.…”

Section: Discussionmentioning

confidence: 99%

Incidence and predictors of surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single-center study

Zhang

Zhao

et al. 2020

Preprint

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Background: There remain limited data on the epidemiological characteristics and related predictors of surgical site infection (SSI) after open reduction and internal fixation (ORIF) for distal femur fractures (DFFs). We designed this single-centre prospective study to explore and forecast these clinical problems. Methods：From October 2014 to December 2018, 364 patients with DFFs were treated with ORIF and followed for complete data within one year. Receiver operating characteristic (ROC) analyses, univariate Chi-square analyses, and multiple logistic regression analyses were used to screen the adjusted predictors of SSI. Results: The incidence of SSI was 6.0% (22/364): 2.4% (9/364) for superficial SSIs and 3.6% (13/364) for deep SSIs. Staphylococcus aureus (methicillin-resistant S. aureus in 2 cases) was the most common pathogenic bacteria (36.8%，7/19). In multivariate analysis, parameters independently associated with SSI were: Open fracture (OR: 7.3, p = 0.003), drain use (OR: 4.1, p = 0.037), and incision cleanliness (OR: 3.5, p = 0.002). An albumin/globulin (A/G) level ≥ 1.35 (OR: 0.2, p = 0.042) was an adjusted protective factor for SSI. Conclusions: The SSI after ORIF affected approximately one in 15 patients with DFFs. The open fracture, drain use, high grade of intraoperative incision cleanliness, and preoperative A/G levels lower than 1.35 were significantly related to increasing the risk of post-operative SSI after DFFs. We recommended that more attentions should be paid to these risk factors during hospitalization.Trial registration: NO 2014-015-1, October /15/2014, prospectively registered.We registered our trial prospectively in October 15, 2014 before the first participant was enrolled. This study protocol was conducted according to the Declaration of Helsinki and approved by the Institutional Review Board. The ethics committee approved the Surgical Site Infection in Orthopaedic Surgery (NO 2014-015-1). Data used in this study were obtained from the patients who underwent orthopaedic surgeries between October 2014 to December 2018.

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Section: Discussionmentioning

confidence: 99%

Incidence and predictors of surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single-center study

Zhang

Zhao

et al. 2020

Preprint

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“…In clinical practice, medical staff examine surgical incisions and worry about infection in the early days after surgery. However, patient-directed active surgical incision self-monitoring may help to further SSI reduction [24]. Hence, this finding would be a significant advance for SSI management that integrates reliable patients' surgical incision surveillance into the clinical workflow.…”

Section: Days)mentioning

confidence: 96%

Incidence and predictors of surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single-center study

Zhang

Zhao

et al. 2020

Preprint

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Background: There remain limited data on the epidemiological characteristics and related predictors of surgical site infection (SSI) after open reduction and internal fixation (ORIF) for distal femur fractures. We designed this single-centre prospective study to explore and resolve these clinical problems.Methods：From October 2014 to December 2018, 364 patients with distal femur fractures were treated with ORIF and followed for complete data within one year. Receiver operating characteristic (ROC) analyses, univariate Chi-square analyses, and multiple logistic regression analyses were used to screen the adjusted predictors of SSI.Results: The incidence of SSI was 6% (22/364): 2.4% for superficial SSIs and 3.6% for deep SSIs. Staphylococcus aureus (methicillin-resistant S. aureus in 2 cases) was the most common pathogenic bacteria (7, 36.8%). In multivariate analysis, parameters independently associated with SSI were: Open fracture (OR: 7.27, p = 0.003), drain use (OR: 4.11, p = 0.037), and incision cleanliness (OR: 3.53, p = 0.002). An albumin/globulin (A/G) level ≥ 1.35 (OR: 0.23, p = 0.042) was an adjusted protective factor for SSI. Conclusions: The SSI after ORIF affected approximately one in 15 patients with distal femur fractures. We recommend that maintaining A/G levels higher than 1.35 is introduced during hospitalization and elaborative evaluation of drain use is conducted for reducing the risk of post-operative SSI. Trial registration: NO 2014-015-1, October 15, 2014. We registered our trial prospectively in October 15, 2014 before the first participant was enrolled. This study protocol was conducted according to the Declaration of Helsinki and approved by the Institutional Review Board. The ethics committee approved the Surgical Site Infection in Orthopaedic Surgery (NO 2014-015-1). Data used in this study were obtained from the patients who underwent orthopaedic surgeries between October 2014 to December 2018. Keywords : predictor, surgical site infection, distal femoral fracture, internal fixation surgery

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“…The miniaturization of sensors, advances in wireless technologies, and artificial intelligence have facilitated data acquisition, transfer, and analysis, allowing patients to track parameters as diverse as cardiac arrhythmia (7), surgical wound healing (8), mole mapping (9), sleep (10) and mood (10). Patients are serially tracking changes in their health, the adequacy of their treatment, their compliance with treatment, biometric physiological parameters, and mental health.…”

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confidence: 99%

Electronic Patient-Generated Health Data for Healthcare

Mars

Scott

2022

Digital Health

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Gathering and sharing by individuals of their health-related data to enhance their medical care or personal wellness are popular and growing rapidly. As a relatively new field, nomenclature is variable, but this is termed patient-generated health data, person-generated health data, or simply PGHD. This chapter introduces the concept of PGHD. Essential nomenclature is provided, and a model of the purpose, flow, and use of PGHD is presented and discussed. Benefits and challenges are noted, and legal, regulatory, and ethical issues are briefly outlined. Although benefits of PGHD are perceived or inherently believed, the available empirical evidence for improved and collaborative healthcare monitoring and management is slight. Also, there are many challenges. Note to the Reader: This chapter is part of the book Digital Health (ISBN: 978-0-6453320-1-8), scheduled for publication in March 2022. The book is being published by Exon Publications,

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Patient-Directed Active Surgical Incisions Surveillance May Lead to Further Surgical Site Infection Reduction

Cited by 4 publications

References 45 publications

Incidence and predictors of surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single-center study

Incidence and predictors of surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single-center study

Incidence and predictors of surgical site infection after distal femur fractures treated by open reduction and internal fixation: a prospective single-center study

Electronic Patient-Generated Health Data for Healthcare

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