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Revista de investigación clínica
versão On-line ISSN 2564-8896versão impressa ISSN 0034-8376
Resumo
ZARAIN-OBRADOR, Leire et al. Effect of a Surgical Care Bundle on the Incidence of Surgical Site Infection in Colorectal Surgery: A Quasi-Experimental Intervention. Rev. invest. clín. [online]. 2021, vol.73, n.4, pp.251-258. Epub 23-Ago-2021. ISSN 2564-8896. https://doi.org/10.24875/ric.21000067.
Background:
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.
Palavras-chave : Surgical site infection; Incidence; Care bundle; Colorectal surgery.