Evidence map›Paper›PMID 36162605›Full record

ArticleAmerican journal of infection control2023

Surgical site infections during the COVID-19 era: A retrospective, multicenter analysis.

Bradford B Smith, Wendelyn Bosch, John C O'Horo, Marlene E Girardo, Patrick B Bolton, Andrew W Murray, Ingrid L Hirte, Kai Singbartl, David P Martin

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in American journal of infection control, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 23 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Bradford B SmithDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ. Electronic address: smith.bradford@mayo.edu.
Wendelyn BoschDivision of Infectious Diseases, Mayo Clinic, Jacksonville, FL.
John C O'HoroDivision of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, MN; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN.
Marlene E GirardoDepartment of Quantitative Health Sciences, Mayo Clinic, Phoenix, AZ.
Patrick B BoltonDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ.
Andrew W MurrayDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Phoenix, AZ.
Ingrid L HirteMayo Clinic Alix School of Medicine, Scottsdale, AZ.
Kai SingbartlDivision of Critical Care Medicine, Mayo Clinic, Phoenix, AZ.
David P MartinDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN.
WinnMed · USMayo Clinic Hospital · USMayo Clinic in Arizona · USMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) are an undesired perioperative outcome. Recent studies have shown increases in hospital acquired infections during the coronavirus disease 2019 (COVID-19) pandemic. The objective of this study was to evaluate postoperative SSIs in the COVID-19-era compared to a historical cohort at a large, multicenter, academic institution.

methodsA retrospective review of all patients who underwent National Health and Safety Network (NHSN) inpatient surgical procedures between January 1, 2018 and December 31, 2020. Patients from the COVID-19-era (March-December 2020) were compared and matched 1:1 with historical controls (2018/2019) utilizing the standardized infection ratio (SIR) to detect difference. RESULTS/DISCUSSION: During the study period, 29,904 patients underwent NHSN procedures at our institution. When patients from the matched cohort (2018/2019) were compared to the COVID-19-era cohort (2020), a decreased risk of SSI was observed following colorectal surgery (RR = 0.94, 95% CI [0.65, 1.37], P = .76), hysterectomy (RR = 0.88, 95% CI [0.39, 1.99], P = .75), and knee prothesis surgery (RR = 0.95, 95% CI [0.52, 1.74], P = .88), though not statistically significant. An increased risk of SSI was observed following hip prosthesis surgery (RR 1.09, 95% CI [0.68, 1.75], P = .72), though not statistically significant.

conclusionsThe risk of SSI in patients who underwent NHSN inpatient surgical procedures in 2020 with perioperative COVID-19 precautions was not significantly different when compared to matched controls at our large, multicenter, academic institution.

Indexed as

COVID-19Cross InfectionDigestive System Surgical ProceduresFemaleHumansRetrospective StudiesSurgical Wound InfectionHealthcare-associated infectionsNational healthcare safety networkPerioperativeSARS-CoV-2

Identifiers

PMID36162605
PMCPMC9500048
OpenAlexW4296821492

What OpenQuestion holds

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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.