دورية أكاديمية
أعرض في EDS

Risk of surgical site infection after carpal tunnel release performed in an operating room versus a clinic-based procedure room within a Veterans Affairs medical center.

التفاصيل البيبلوغرافية
العنوان: Risk of surgical site infection after carpal tunnel release performed in an operating room versus a clinic-based procedure room within a Veterans Affairs medical center.
المؤلفون: Halvorson AJ; Infectious Disease, Minneapolis Veterans Affairs Medical Center, Minneapolis, MN., Sechriest VF 2nd; Orthopaedic Surgery, Minneapolis Veterans Affairs Medical Center, Minneapolis, MN., Gravely A; Research Services, Minneapolis Veterans Affairs Medical Center, Minneapolis, MN., DeVries AS; Infectious Disease, Minneapolis Veterans Affairs Medical Center, Minneapolis, MN. Electronic address: devri011@umn.edu.
المصدر: American journal of infection control [Am J Infect Control] 2020 Feb; Vol. 48 (2), pp. 173-177. Date of Electronic Publication: 2019 Oct 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Mosby Country of Publication: United States NLM ID: 8004854 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1527-3296 (Electronic) Linking ISSN: 01966553 NLM ISO Abbreviation: Am J Infect Control Subsets: MEDLINE
أسماء مطبوعة: Original Publication: St. Louis, Mosby
مواضيع طبية MeSH: Hospitals, Veterans* , Operating Rooms* , Outpatient Clinics, Hospital*, Carpal Tunnel Syndrome/*surgery , Surgical Wound Infection/*prevention & control, Aged ; Ambulatory Surgical Procedures ; Female ; Humans ; Male ; Middle Aged ; Odds Ratio ; Risk Factors ; United States ; United States Department of Veterans Affairs
مستخلص: Background: Carpal tunnel release (CTR) is increasingly performed in a clinic-based procedure room (PR) environment, which is less restrictive than traditional operating rooms (ORs). It is unknown if there is an impact on surgical site infection (SSI) rates.
Methods: Records of patients who underwent clean, elective CTR from October 2014 to April 2017 at a single site were identified using Current Procedural Terminology codes and charts reviewed using National Healthcare Safety Network SSI criteria. Procedure type and patient characteristics were assessed with multivariate logistic regression and costs compared using administrative data.
Results: A total of 312 procedures were included: 221 in OR and 91 in PR. SSI rate, including revisions, was 2.88% (nonrevision rate was 2.30%). Unadjusted SSI rate was 3.2% in OR and 2.2% in PR (P = .64). After adjusting for underlying risk factors, procedure setting was not associated with risk of SSI (P = .53; odds ratio, 0.43; 95% confidence interval, 0.03-5.94). Revision CTR was a predictor of SSI (P = .02; odds ratio, 28.21; 95% confidence interval, 1.84-434.57). The mean total cost of CTR in the OR was $4,254.21 and PR was $416.93.
Conclusions: There was no significant difference in SSI rates for CTR performed in OR and PR environments. CTRs performed in a PR led to a 10-fold cost savings. Based on our findings of PRs as both safe and cost-effective, we recommend that more facilities explore the use of PRs for CTR.
(Copyright © 2019. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Carpal tunnel syndrome; Complications; Health care cost; Health care environment; Postoperative
تواريخ الأحداث: Date Created: 20191020 Date Completed: 20210111 Latest Revision: 20210111
رمز التحديث: 20221213
DOI: 10.1016/j.ajic.2019.08.004
PMID: 31627986
قاعدة البيانات: MEDLINE
الوصف
تدمد:1527-3296
DOI:10.1016/j.ajic.2019.08.004