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Published on: April 3, 2015
Surgical wound infections after vascular surgery: prospective multicenter observational study
J Turtiainen1, E Saimanen, T Partio
1Department of Thoracic and Vascular Surgery, North Karelia Central Hospital, Joensuu, Finland. johanna.turtiainen@pkssk.fi
Surgical wound infections (SWI) are common after vascular surgery, with infrainguinal surgery, obesity, and arteriography injection site as key risk factors. These infections increase patient morbidity and healthcare costs.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Healthcare Economics
Background:
- Surgical wound infections (SWI) pose a significant challenge in vascular surgery.
- Understanding incidence and risk factors is crucial for improving patient outcomes.
Purpose of the Study:
- To define the incidence and risk factors of SWI after infrarenal aortic and lower limb vascular surgery.
- To evaluate the severity and associated costs of these infections.
Main Methods:
- A multicenter prospective observational study involving 184 consecutive patients.
- Postoperative complications were systematically recorded.
- Additional costs attributed to SWI were calculated.
Main Results:
- The incidence of SWI was 27% (49/184 patients).
- Independent predictors for SWI included infrainguinal surgery, obesity, and arteriography injection site within the operative area.
- The average cost attributable to SWI was €3320.
Conclusions:
- SWI incidence is high following vascular surgery.
- Specific surgical factors and patient characteristics increase SWI risk.
- SWI significantly increases patient morbidity and treatment costs.
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