Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries

Badia, Josep M.; Casey, Anna; Petrosillo, Nicola; Hudson, Pollyanna; Mitchell, Stephen; Crosby, Cynthia T.

doi:10.1016/j.jhin.2017.03.004

Cited by 590 publications

(499 citation statements)

References 41 publications

(101 reference statements)

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“…Wound infections are common postoperative complications after hospital discharge. They not only significantly decrease a person's quality of life (Badia et al, 2017) but also account for 22.1% of unplanned hospital readmissions in the USA (Kassin et al, 2012), resulting in an increase in financial burden and healthcare costs (Badia et al, 2017). Lack of knowledge and skill can contribute to a person's readiness to change wound dressings safely and effectively after hospital discharge, thus affecting their self-care ability (Fearns, Heller-Murphy, Kelly, & Harbour, 2017).…”

Section: Introductionmentioning

confidence: 99%

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate the effectiveness of a mobile health (mHealth) application, based on self‐regulation theory, on patients’ knowledge of wound care, skills in changing dressings and anxiety. Design A prospective randomized controlled trial. Methods Seventy patients (or family members) at a 1,500‐bed university hospital in Taiwan were randomized into an experimental (N = 35) or control group (N = 35) from March to December 2016. The experimental group used a mHealth application for wound care; the control group received verbal instructions and a booklet. Instruments to collect data were a wound care knowledge scale, wound care skills scale, State‐Trait Anxiety Inventory, and a digital heart variability device. Data were collected at baseline, after three additional demonstrations and before discharge. The generalized estimating equation was used for statistical analysis. Results The experimental group showed significantly higher levels of wound care knowledge, improved wound care skills, lower levels of state anxiety, and lower heart rate variability than the control group after baseline data collection. Conclusions Results support hat a mHealth application may be effective in health education. Clinicians can use the results to promote patients’ wound care knowledge, enhance their wound care skills, and reduce anxiety related to dressing changes. Impact Lack of wound care knowledge and skills can affect the willingness and ability to perform effective wound dressing changes, producing anxiety and having an impact on a patient's self‐care after hospital discharge. mHealth applications (apps) have the potential to deliver health information in targeted and tailored ways that strengthen the self‐management of diseases. mHealth app can increase wound care knowledge, improve care skills, and reduce anxiety related to wound care. mHealth app effectively supports self‐monitoring of the wound healing process, self‐judgement of the wound condition, and self‐reaction of wound care accuracy. mHealth app provides step‐by‐step visual tutorials on wound care that allow patients and family caregivers to take pictures of the wounds and monitor the wound healing process. mHealth app for wound care knowledge is an effective and individualized method for learning. Clinical Trial: This study was registered by U.S. National Library of Medicine, ClinicalTrials.gov (ID: NCT03683303).

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Section: Introductionmentioning

confidence: 99%

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

View full text Add to dashboard Cite

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“…(2,5) Surgical site infection is one of the major risks related to patient safety in the health services of Brazil and, among all the HAIs, it occupies the third position, comprising 14 to 16% of those infections identifi ed in hospitalized patients. (1,4) Each SSI episode prolongs the mean time of hospitalization by 7 -11 days; the mortality risk is 2 -11 times greater when comparing patients with and without infection; the cost is extremely onerous, varying according to the type of procedure; and, (5,6) has a negative impact in the quality of life of the patients and on the institution's image. (5,6) Approximately 50 -60% of SSI are preventable by means of evidence-based strategies.…”

Section: Introductionmentioning

confidence: 99%

“…(1,4) Each SSI episode prolongs the mean time of hospitalization by 7 -11 days; the mortality risk is 2 -11 times greater when comparing patients with and without infection; the cost is extremely onerous, varying according to the type of procedure; and, (5,6) has a negative impact in the quality of life of the patients and on the institution's image. (5,6) Approximately 50 -60% of SSI are preventable by means of evidence-based strategies. (3) Surgeries are classifi ed as, according to the potential for contamination of the site handled: clean, potentially contaminated, contaminated, and infected wounds.…”

Section: Introductionmentioning

confidence: 99%

Comparação das taxas de infecção cirúrgica após implantação do checklist de segurança

et al. 2018

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Objective: To compare surgical site infection rates in clean surgery before and after implementation of the checklist proposed by the World Health Organization. Methods: Observational, descriptive, retrospective correlational study performed in a general hospital. Sample consisting of 15,319 records of clean surgeries monitored by the hospital Infection Prevention and Control Service, in the trauma, orthopedics, cardiovascular, plastic, general, and urology specialties. Before implementing the checklist, 5,481 records were evaluated; 9,838 records were reviewed after. Analysis was performed with SPSS 22.0 software and application of the Pearson's chi-square test, considering p <0.05. Results:The overall infection rate in clean surgery was 4.17% in the pre-implementation period of the checklist and 1.10% post-implementation (p<0.05), with statistically signifi cant reductions in spine, aneurysm and bypass, abdominoplasty, mammoplasty, herniorrhaphy and prostatectomy surgeries. Conclusion: A signifi cant reduction was identifi ed in the rate of surgical site infection in clean surgeries when comparing the pre-and postimplementation periods of the checklist proposed by the World Health Organization. ResumoObjetivo: Comparar taxas de infecção de sítio cirúrgico em cirurgia limpa antes e após implantação do checklist proposto pela Organização Mundial de Saúde. Métodos: Estudo observacional, descritivo, retrospectivo do tipo correlacional, realizado em um hospital geral. Amostra constituída por 15.319 registros de cirurgias limpas das especialidades traumato-ortopedia, cardiovascular, plástica, geral e urologia monitoradas pelo Serviço de Controle de Infecção Hospitalar. Antes da implantação do checklist foram avaliados 5.481 registros e após 9.838. Análise realizada com Software SPSS 22.0 e aplicação do teste qui-quadrado de Pearson, considerando-se signifi cativo p<0,05. Resultados: A taxa geral de infecção em cirurgia limpa foi 4.17% no período pré-implantação do checklist e 1.10% pós (p<0.05), com redução estatisticamente signifi cativa nas cirurgias de coluna, aneurisma e by-pass, abdominoplastia, mamoplastia, herniorrafi a e prostatectomia. Conclusão: Observou-se redução signifi cativa da taxa de infecção de sítio cirúrgico nas cirurgias limpas quando comparados os períodos pré e pós-implantação do checklist proposto pela Organização Mundial de Saúde. ResumenObjetivo: Comparar tasas de infección de sitio quirúrgico en cirugía limpia antes y después de implantación del checklist propuesto por Organización Mundial de la Salud. Métodos: Estudio observacional, descriptivo, retrospectivo, tipo correlacional, realizado en hospital general. Muestra de 15.319 registros de cirugías limpias de traumatología-ortopedia, cardiovascular, plástica, general y urología, monitoreadas por Servicio de Control de Infección Hospitalaria. Antes de implantarse el checklist fueron evaluados 5.481 registros, y 9.838 después. Análisis realizado aplicando Software SPSS 22.0 y test de Chi-cuadrado, considerándose signifi catividad d...

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“…SSIs are associated with a prolonged postoperative morbidity, which is a substantial additional healthcare cost, making this complication a concern for all surgical teams 14 15. Some studies done in Brazil, Sweden, China and the USA report SSI prevalence rates of 7.2%, 5.9%, 6.2% and 2.9%, respectively, after appendectomy 16.…”

Section: Introductionmentioning

confidence: 99%

Global prevalence and incidence of surgical site infections after appendectomy: a systematic review and meta-analysis protocol

et al. 2018

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IntroductionAcute appendicitis is a surgical emergency and the most frequent aetiology of acute surgical abdominal pain in developed countries. Universally, its widely approved treatment is appendectomy. Like all surgical procedures, appendectomy can be associated with many complications among which are surgical site infections (SSIs).Despite the increasing number of appendectomies done around the world and the associated morbidities related to SSI after appendectomy, there is still scarcity of data concerning the global epidemiology of SSI after appendectomy. The current review aims at providing a summary of the published data on epidemiology of SSI after appendectomy.Methods and designWe will include randomised controlled trials, cohort studies, case–control and cross-sectional studies. Electronic databases including Embase, MEDLINE and ISI Web of Science (Science Citation Index) will be searched for relevant abstracts of studies published between 1 January 2000 and 30 December 2017, without language restriction. The review will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. After screening of abstracts, study selection, data extraction and assessment of risk of bias, we shall assess the studies individually for clinical and statistical heterogeneity. Appropriate meta-analytic techniques will then be used to pool studies judged to be clinically homogenous. Visual inspection of funnel plots and Egger’s test will be used to detect publication bias. Results will be presented by country and continent.Ethics and disseminationSince primary data are not collected in this study, ethical approval is not required. This review is expected to provide relevant data to help in quantifying the global burden of SSI after appendectomy. The final report will be published in a peer-reviewed journal.Trial registration numberCRD42017075257.

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Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries

Cited by 590 publications

References 41 publications

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Comparação das taxas de infecção cirúrgica após implantação do checklist de segurança

Global prevalence and incidence of surgical site infections after appendectomy: a systematic review and meta-analysis protocol

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