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dc.contributor.authorZarain-Obrador, Leire
dc.contributor.authorAlonso-García, Marcos
dc.contributor.authorGil-Yonte, Pablo
dc.contributor.authorHijas-Gomez, Ana Isabel 
dc.contributor.authorRodríguez-Villar, Diego
dc.contributor.authorMartínez-Amores, Brezo
dc.contributor.authorGil-de-Miguel, Ángel
dc.contributor.authorRuiz-Tovar, Jaime
dc.contributor.authorRodríguez-Caravaca, Gil
dc.contributor.authorDurán-Poveda, Manuel
dc.identifier.citationRev Invest Clin. 2021;73(4):251-258es_ES
dc.description.abstractBackground: Surgical site infections (SSI) have an important impact on morbidity and mortality. Objective: This study, therefore, sought to assess the effect of a surgical care bundle on the incidence of SSI in colorectal surgery. Methods: We conducted a quasi-experimental intervention study with reference to the introduction of a surgical care bundle in 2011. Our study population, made up of patients who underwent colorectal surgery, was divided into the following two periods: 2007-2011 (pre-intervention) and 2012-2017 (post-intervention). The intervention's effect on SSI incidence was analyzed using adjusted odds ratios (OR). Results: A total of 1,727 patients were included in the study. SSI incidence was 13.0% before versus 11.6% after implementation of the care bundle (OR: 0.88, 95% confidence interval: 0.66-1.17, p = 0.37). Multivariate analysis showed that cancer, chronic obstructive pulmonary disease, neutropenia, and emergency surgery were independently associated with SSI. In contrast, laparoscopic surgery proved to be a protective factor against SSI. Conclusions: Care bundles have proven to be very important in reducing SSI incidence since the measures that constitute these protocols are mutually reinforcing. In our study, the implementation of a care bundle reduced SSI incidence from 13% to 11.6%, though the reduction was not statistically significant.es_ES
dc.description.sponsorshipThe authors would like to thank Mr. Sergio Rodríguez Villar (Department of Preventive Medicine, Alcorcón Foundation University Hospital, Alcorcón, Madrid, Spain) for his support in recording the data and managing the database. They also extend their gratitude to the European Regional Development Fund (ERDF) and the Spanish Health Research Fund (Fondo de Investigación Sanitaria/ FIS) for supporting the research project PI19/00987, and the Alcorcón Foundation University Teaching Hospital for the HUFA 2018 grant, which enabled this study to be completed.es_ES
dc.subjectSurgical site infectiones_ES
dc.subjectCare bundlees_ES
dc.subjectColorectal surgeryes_ES
dc.titleEffect of a Surgical Care Bundle on the Incidence of Surgical Site Infection in Colorectal Surgery: A Quasi-Experimental Interventiones_ES
dc.typejournal articlees_ES
dc.rights.licenseAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.contributor.funderUnión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF) es_ES
dc.contributor.funderInstituto de Salud Carlos III es_ES
dc.contributor.funderHospital Universitario Fundación Alcorcón es_ES
dc.identifier.journalRevista de Investigacion Clinica; organo del Hospital de Enfermedades de la Nutriciones_ES
dc.repisalud.centroISCIII::Agencia de Evaluación de Tecnologías Sanitariases_ES
dc.rights.accessRightsopen accesses_ES
dc.relation.projectFISinfo:fis/Instituto de Salud Carlos III/Programa Estatal de Generación de Conocimiento y Fortalecimiento del Sistema Español de I+D+I/Subprograma Estatal de Generación de Conocimiento/PI19 - Proyectos de investigacion en salud (AES 2019). Modalidad proyectos en salud. (2019)/PI19/00987es_ES

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