| Revista: | Revista de investigación clínica |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000453028 |
| ISSN: | 0034-8376 |
| Autores: | Zarain Obrador, Leire1 Alonso García, Marcos2 Gil Yonte, Pablo4 Hijas Gómez, Ana I5 Rodríguez Villar, Diego3 Martínez Amores, Brezo3 Gil de Miguel, Ángel3 Ruiz Tovar, Jaime1 Rodríguez Caravaca, Gil2 Durán Poveda, Manuel1 |
| Instituciones: | 1Hospital Rey Juan Carlos, Departamento de Cirugía, Móstoles, Madrid. España 2Fundación Hospital Universitario de Alcorcón, Departamento de Medicina Preventiva, Madrid. España 3Universidad Rey Juan Carlos, Departamento de Especialidades Médicas y Salud Pública, Madrid. España 4Fundación Hospital Universitario de Alcorcón, Departamento de Cirugía, Móstoles, Madrid. España 5Instituto de Salud Carlos III, Agencia de Evaluación de Tecnologías Sanitarias, Madrid. España |
| Año: | 2021 |
| Periodo: | Jul-Ago |
| Volumen: | 73 |
| Número: | 4 |
| Paginación: | 251-258 |
| País: | México |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental, aplicado |
| Resumen en inglés | Surgical site infections (SSI) have an important impact on morbidity and mortality. Objective: This study, therefore, sought to assess the effect of a surgical care bundle on the incidence of SSI in colorectal surgery. Methods: We conducted a quasi-experimental intervention study with reference to the introduction of a surgical care bundle in 2011. Our study population, made up of patients who underwent colorectal surgery, was divided into the following two periods: 2007-2011 (pre-intervention) and 2012-2017 (post-intervention). The intervention’s effect on SSI incidence was analyzed using adjusted odds ratios (OR). Results: A total of 1,727 patients were included in the study. SSI incidence was 13.0% before versus 11.6% after implementation of the care bundle (OR: 0.88, 95% confidence interval: 0.66-1.17, p = 0.37). Multivariate analysis showed that cancer, chronic obstructive pulmonary disease, neutropenia, and emergency surgery were independently associated with SSI. In contrast, laparoscopic surgery proved to be a protective factor against SSI. Conclusions: Care bundles have proven to be very important in reducing SSI incidence since the measures that constitute these protocols are mutually reinforcing. In our study, the implementation of a care bundle reduced SSI incidence from 13% to 11.6%, though the reduction was not statistically significant |
| Disciplinas: | Medicina |
| Palabras clave: | Gastroenterología, Cirugía, Microbiología, Infecciones quirúrgicas, Cirugía colorrectal, Prevención de infecciones |
| Keyword: | Gastroenterology, Surgery, Microbiology, Surgical infections, Colorectal surgery, Infections prevention |
| Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |
