ArticleCureus2025
A Prospective Analysis of Surgical Site Infections in the Neck of Femur Fractures in a Trauma Unit: A Six-Year Analysis From 2019 to 2024.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Surgical site infections (SSIs) following neck of femur fracture surgery are associated with increased morbidity, mortality, and healthcare costs. Identifying risk factors for SSIs is essential for improving patient outcomes. Methods We conducted a prospective cohort study at Morriston Hospital, Swansea, United Kingdom, analysing neck of femur fracture surgeries performed between 2019 and 2024. Data were collected on ASA (American Society of Anesthesiologists) grade, Abbreviated Mental Test (AMT) score, duration of operation, time to theatre, skin closure method, grade of surgeon, and operation type. Statistical analysis was performed using univariate (Chi-squared and Mann-Whitney U) and multivariate logistic regression analyses. Results A total of 1,737 cases were included. The overall SSI rate was 4.3%, with a reduction from 9.43% in 2019 to 1.93% in 2024. Skin closure method influenced infection rates, with a notable reduction in SSIs following the transition from clips (88.3% in 2019 to 5.8% in 2024) to Monocryl (11.3% to 93.3%). On univariate analysis, significant associations were found between SSI incidence and closure method (p = 0.022), time to theatre (p < 0.0001), and operative duration (p < 0.0001). On multivariate analysis, higher AMT scores were found to be protective against infection (p < 0.0001 for AMT 8, and p = 0.023 for AMT 9). Additionally, hemiarthroplasty and intramedullary nailing were protective against infection, both with p < 0.0001. Conclusion Findings suggest that the skin closure method plays a role in SSI risk following neck of femur fracture surgery. Further prospective studies are needed to validate these findings and explore additional risk factors. This study contributes to optimising surgical techniques and improving patient outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.