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dc.contributor.authorHijas-Gomez, Ana Isabel 
dc.contributor.authorCheca-García, Antonio
dc.contributor.authorLópez-Hualda, Álvaro
dc.contributor.authorFahandezh-Saddi, Homid
dc.contributor.authorMartínez-Martín, Javier
dc.contributor.authorGil-Conesa, Mario
dc.contributor.authorGil-de-Miguel, Ángel
dc.contributor.authorRodríguez-Villar, Diego
dc.contributor.authorRodríguez-Caravaca, Gil
dc.identifier.citationAm J Infect Control . 2020 May 25;S0196-6553(20)30319-9.es_ES
dc.description.abstractThe increased demand for hip arthroplasty means a growing number of postsurgical complications. This study aims to assess the risk of surgical site infection (SSI) in a teaching hospital; develop regional, national and international external comparisons; and evaluate SSI-related risk factors, particularly according to the timing of surgery (urgent/unplanned or elective). Prospective cohort study from January 2008 to December 2018. Patients were followed up to 90 days after surgery. Primary endpoint was SSI incidence according to the Centers for Disease Control and Prevention criteria. Multivariate analysis was conducted to find independently associated SSI risk factors. The association between risk factors and SSI incidence was assessed by reference to odds ratio (OR). Analyses were also performed among urgent/unplanned and elective patients to identify whether SSI risk factors differed between groups. The study population (n = 1,808) has an overall SSI rate of 3.0% (95% confidence interval [CI]: 2.4-3.9). Timing of surgery caused an effect modification, so surgery duration> 75th percentile (OR: 3.8; 95% CI: 1.5-9.8) and inadequate preparation (OR: 3.3; 95% CI: 1.1-10.0) were independent risk factors in the urgent/unplanned group; National Healthcare Safety Network risk index≥ 2 (OR: 6.3; 95% CI: 0.1-19.2) and transfusion (OR: 3.6; 95% CI: 1.1-11.9) in the elective group. Hospital infection surveillance systems allow identifying risk factors susceptible to change. Characterization of factors that caused an effect modification is key to identify areas of quality improvement, including reducing operating times, preventing perioperative blood transfusion, or improving patient preparation before surgery.es_ES
dc.description.sponsorshipThe authors thank the European Regional Development Fund (ERDF) and the Health Research Fund (Fondo de Investigación Sanitaria/FIS) supporting the research projects PI11/01272 and PI14/01136 which enabled the completion of this study.The study was approved by the center Ethics Committee and Research Board.es_ES
dc.publisherElsevier es_ES
dc.subject.meshCohort studyes_ES
dc.subject.meshHip replacement arthroplastyes_ES
dc.subject.meshInfection Control es_ES
dc.subject.meshRisk Factors es_ES
dc.subject.meshSurgical Wound Infection es_ES
dc.titleSurgical site infection in hip arthroplasty in a 10-year follow-up prospective study: Risk and factors associated.es_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.contributor.funderUnión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF) 
dc.contributor.funderInstituto de Salud Carlos III 
dc.identifier.journalAmerican journal of infection controles_ES
dc.repisalud.centroISCIII::Agencia de Evaluación de Tecnologías Sanitariases_ES
dc.rights.accessRightsopen accesses_ES

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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
This item is licensed under a: Attribution-NonCommercial-NoDerivatives 4.0 Internacional