Evidence map›Paper›PMID 26507963›Full record

ArticleInternational journal of colorectal disease2016

Risk factors for surgical site infection following colorectal resection: a multi-institutional study.

Derek B Hennessey, John P Burke, Tara Ni-Dhonochu, Conor Shields, Desmond C Winter, Kenneth Mealy

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 6 pooled it
4.7field-weighted citation impact, top 5% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 6 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  6. The role of antimicrobial sutures in preventing surgical site infection.Annals of the Royal College of Surgeons of England · 2017
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  11. [Strategies on the prevention and treatment of surgical site infection and the resulting wound].Zhonghua shao shang za zhi = Zhonghua shaoshang zazhi = Chinese journal of burns · 2021
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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

6 authors at 3 institutions in 1 country.

Derek B HennesseyDepartment of Surgery, Wexford General Hospital, Wexford, Ireland. derek.hennessey@gmail.com.
John P BurkeSt Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Tara Ni-DhonochuMater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
Conor ShieldsMater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
Desmond C WinterSt Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Kenneth MealyDepartment of Surgery, Wexford General Hospital, Wexford, Ireland.
Mater Misericordiae University Hospital · IESt. Vincent's University Hospital · IEWexford General Hospital · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical site infection (SSI) is an infection occurring in an incisional wound within 30 days of surgery and significantly affects patients undergoing colorectal surgery. This study examined a multi-institutional dataset to determine risk factors for SSI following colorectal resection.

methodsData on 386 patients who underwent colorectal resection in three institutions were accrued. Patients were identified using a prospective SSI database and hospital records. Data are presented as median (interquartile range), and logistic regression analysis was used to identify risk factors.

resultsPatients (21.5%) developed a postoperative SSI. The median time to the development of SSI was 7 days (5-10). Of all infections, 67.5% were superficial, 22.9% were deep and 9.6% were organ space. In univariate analysis, an ASA grade of II (RR 0.6, CI 0.3-0.9, P = 0.019), having an elective procedure (RR 0.4, CI 0.2-0.6, P < 0.001), using a laparoscopic approach (RR 0.5, CI 0.3-0.9, P = 0.019), having a daytime procedure (RR 0.3, CI 0.1-0.7, P = 0.006) and having a clean/contaminated wound (RR 0.4, CI 0.2-0.7, P = 0.001) were associated with reduced risk of SSI. In multivariate analysis, an ASA grade of IV (RR 3.9, CI 1.1-13.7, P = 0.034), a procedure duration over 3 h (RR 4.3, CI 2.3-8.2, P < 0.001) and undergoing a panproctocolectomy (RR 6.5, CI 1.0-40.9, P = 0.044) were independent risk factors for SSI. Those who developed an SSI had a longer duration of inpatient stay (22 days [16-31] vs 15 days [10-26], P < 0.001).

conclusionsPatients who develop an SSI have a longer duration of inpatient stay. Independent risk factors for SSI following colorectal resection include being ASA grade IV, having a procedure duration over 3 h, and undergoing a panproctocolectomy.

Indexed as

AgedColectomyColonic DiseasesFemaleHumansLength of StayMaleMiddle AgedRectal DiseasesRetrospective StudiesRisk FactorsSurgical Wound InfectionColorectal surgeryRiskSurgical site infectionWound infection

Identifiers

PMID26507963
OpenAlexW1824332292

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.