Evidence map›Paper›PMID 26344010›Full record

ArticleAmerican journal of perinatology2016

Surgical Site Infection following Cesarean Delivery: Patient, Provider, and Procedure-Specific Risk Factors.

Raj Shree, Seo Young Park, Richard H Beigi, Shannon L Dunn, Elizabeth E Krans

Registry-linked trialAbstract read
In one paragraph

Article in American journal of perinatology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04202471 (Preoperative Chlorhexidine Cloths to Reduce Surgical Site Infection in Non-Scheduled Cesarean Deliveries), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04202471 nawithdrawnnot on this mapstarted 2020, after this paper: background citation

Preoperative Chlorhexidine Cloths to Reduce Surgical Site Infection in Non-Scheduled Cesarean Deliveries

TypeinterventionalSponsorNorthwell HealthRan2020 to 2021Enrolled0ConditionsSurgical Site InfectionArmsChlorhexidine Cloth
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Annals of medicine and surgery (2012) · 2021
    Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Unintended hysterotomy extension during caesarean delivery: risk factors and maternal morbidity.Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2018
    Observational
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Raj ShreeDepartment of Obstetrics, Gynecology and RS, University of Pittsburgh, Pittsburgh, Pennsylvania.
Seo Young ParkDepartment of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania.
Richard H BeigiDepartment of Obstetrics, Gynecology and RS, University of Pittsburgh, Pittsburgh, Pennsylvania.
Shannon L DunnDepartment of Obstetrics, Gynecology and RS, University of Pittsburgh, Pittsburgh, Pennsylvania.
Elizabeth E KransDepartment of Obstetrics, Gynecology and RS, University of Pittsburgh, Pittsburgh, Pennsylvania.

Funding

University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
NCATS NIH HHS KL2 TR000146NCATS NIH HHS KL2TR000146
6 · The paper itself

Abstract

objectiveThis study aims to identify risk factors for cesarean delivery (CD) surgical site infection (SSI). study design: Retrospective analysis of 2,739 CDs performed at the University of Pittsburgh in 2011. CD SSIs were defined using National Healthcare Safety Network (NHSN) criteria. Chi-square test and t-test were used for bivariate analyses and multivariate logistic regression was used to identify SSI risk factors.

resultsOf 2,739 CDs, 178 (6.5%) were complicated by SSI. Patients with a SSI were more likely to have Medicaid, have resident physicians perform the CD, an American Society of Anesthesiologists (ASA) class of ≥ 3, chorioamnionitis, tobacco use, and labor before CD. In multivariable analysis, labor (odds ratio [OR], 2.35; 95% confidence interval [95% CI], 1.65-3.38), chorioamnionitis (OR, 2.24; 95% CI, 1.25-3.83), resident teaching service (OR, 2.15; 95% CI, 1.54-3.00), tobacco use (OR, 1.70; 95% CI, 1.04-2.70), ASA class ≥ 3 (OR, 1.61; 95% CI, 1.06-2.39), and CDs performed for nonreassuring fetal status (OR, 0.43; 95% CI, 0.26-0.67) were significantly associated with CD SSI.

conclusionMultiple patient, provider, and procedure-specific risk factors contribute to CD SSI risk which may be targeted in infection-control efforts.

Indexed as

Cesarean SectionLabor, ObstetricAdultBlood Loss, SurgicalChorioamnionitisFemaleFetal DistressHumansInsurance, HealthInternship and ResidencyLogistic ModelsMedicaidMultivariate AnalysisObstetricsOdds RatioPregnancy

Identifiers

PMID26344010
PMCPMC5064434

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.