2026-06-14T03:33:22Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/142112025-06-09T10:47:17Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19612
Repisalud
author
Zarain-Obrador, Leire
author
Alonso-García, Marcos
author
Gil-Yonte, Pablo
author
Hijas-Gomez, Ana Isabel
author
Rodríguez-Villar, Diego
author
Martínez-Amores, Brezo
author
Gil-de-Miguel, Ángel
author
Ruiz-Tovar, Jaime
author
Rodríguez-Caravaca, Gil
author
Durán-Poveda, Manuel
funder
Unión Europea. Fondo Europeo de Desarrollo Regional (FEDER/ERDF)
funder
Instituto de Salud Carlos III
funder
Hospital Universitario Fundación Alcorcón
2022-04-28T08:06:42Z
2022-04-28T08:06:42Z
2021
Rev Invest Clin. 2021;73(4):251-258
10.24875/RIC.21000067
0034-8376
Revista de Investigacion Clinica; organo del Hospital de Enfermedades de la Nutricion
33944860
http://hdl.handle.net/20.500.12105/14211
Background: 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.
eng
Surgical site infection
Incidence
Care bundle
Colorectal surgery
Effect of a Surgical Care Bundle on the Incidence of Surgical Site Infection in Colorectal Surgery: A Quasi-Experimental Intervention
research article
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EffectOfASurgical_2021.pdf
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EffectOfASurgical_2021.pdf.txt