Evidence map›Paper›PMID 36064457›Full record

Observational studyAntimicrobial resistance and infection control2022

Reduction of early surgical site and other care related infections in 3553 hip fracture patients: lessons learned from the 5-year Safe Hands project.

Annette Erichsen Andersson, Brigid M Gillespie, Magnus Karlsson, Henrik Malchau, Bengt Nellgård, Ewa Wikström, Cecilia Rogmark, Jonatan Tillander

2 registry-linked trialsOpen access · goldAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Antimicrobial resistance and infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 31% 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.

NCT02983136 nacompletednot on this map

Safe Hands at the Sharp End- Implementing Aseptic Technique in the Operating Room, A Prospective Controlled Study With an Embedded Process Evaluation

TypeinterventionalSponsorGöteborg UniversityRan2015 to 2018Enrolled12ConditionsSurgical Wound InfectionArmsDialogue and inter-professional learning
NCT06893562 completednot on this mapstarted 2025, after this paper: background citation

Nine-Year Sustainability After Implementing Measures to Prevent Catheter- Associated Urinary Tract Infections and Bladder Distension in Patients With Hip Fracture

TypeobservationalSponsorSahlgrenska University HospitalRan2025 to 2025Enrolled750ConditionsUrinary Catheters, Urinary Retention, Adherence, Documentation SkillArmsSafe Hands and Safe Bladder intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

8 authors at 4 institutions in 2 countries.

Annette Erichsen AnderssonInstitute of Health Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden. annette.erichsen.andersson@gu.se.
Brigid M GillespieNHMRC Centre of Research Excellence in Wiser Wounds, Menzies Health Institute, Queensland, Griffith University & Gold Coast University Hospital and Health Service, Queensland, Australia.
Magnus KarlssonDepartment of Orthopedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Henrik MalchauDepartment of Orthopedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Bengt NellgårdDepartment of Anesthesiology and Intensive Care Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden.
Ewa WikströmDepartment of Business Administration, School of Business, Economics and Law, University of Gothenburg, Gothenburg, Sweden.
Cecilia RogmarkDepartment of Orthopedics, Skane University Hospital, Lund University, Malmö, Sweden.
Jonatan TillanderDepartment of Infectious Diseases, Sahlgrenska University Hospital, Gothenburg, Sweden.
Sahlgrenska University Hospital · SEUniversity of Gothenburg · SENational Health and Medical Research Council · AUThe Swedish Hip Arthroplasty Register · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infection (SSI) after acute hip fracture surgery is a devastating complication associated with increased suffering and mortality. The aim of the study was to investigate early SSI, sepsis, pneumonia and urinary tract infections over five years, before and after the implementation of the Safe Hands project.

methodsThis was a single-centre observational study with a 5-year longitudinal design, investigating the effects of an infection-prevention intervention targeting the clinical care pathway of individuals with acute hip fracture. Statistical analyses were based on routinely collected patient outcome data comprising 3553 patients. The study conforms to the criteria of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE).

resultsThe incidence of early SSIs decreased from 2.5% in years 1-2 to 1.1% in years 4-5. Similar results were observed for sepsis (2.7% to 1.3%) and urinary tract infections (14.2% to 4.2%). The multivariable regression results suggest that, for every observed year, the odds of early SSIs decreased. Male gender, procedure time, sepsis and preoperative skin damage increased the odds significantly.

conclusionsOur preventive bundle, based on partnership between researchers, managers and clinicians and a strong commitment to change from the involved professions, appear to be effective in reducing the frequency of potentially devastating SSIs and other hospital acquired infections after hip fracture surgery. The use of external and internal facilitators was crucial to enable individual and organisational learning and overcoming barriers to improvements.

trial registrationClinical Trials.gov ID: NCT02983136 Registered 6 December 2016-Retrospectively registered.

Indexed as

Hip FracturesSepsisUrinary Tract InfectionsHumansMaleSurgical Wound InfectionHip fractureHip surgeryImplementation researchInfection preventionKnowledge translationSurgical site infections

Identifiers

PMID36064457
PMCPMC9444111
OpenAlexW4294643570

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.