Targeting surgical site infection–reducing bundles selectively to at-risk colon cancer surgery populations : Achieving value in a macra world?
Menée à partir de données portant sur 1 481 patients atteints d'un cancer du côlon traité par chirurgie entre 2004 et 2014, cette étude identifie des facteurs cliniques et péri-opératoires associés au risque d'infection du site chirurgical, puis évalue la performance d'un système de score, basé sur ces facteurs, pour stratifier les patients
The risk factors linked in this study to an increase in SSIs are smoking, alcohol abuse, type 2 diabetes, obesity, length of operation greater than 140 minutes, and open vs minimally invasive surgery. The overall incidence of SSIs in this study was 6.2%. The incidence correlated with the number of risk factors. Patients with 1 or less risk factors were 2.5 times less likely to develop an SSI, and those with 4 or more risk factors had a 2.7-fold increase of risk over baseline.
JAMA Surgery , commentaire, 2016