Phillip Mitchell1, Michael Gottschalk1, Geanie Butts1, John Xerogeanes2. 1. Department of Orthopaedics, Emory School of Medicine, Emory Orthopaedic and Spine Center, Atlanta, GA 30329, USA. 2. Department of Orthopaedics, Emory School of Medicine, Atlanta, GA 30329, USA.
Abstract
BACKGROUND: Reoperation secondary to surgical site infections can be a devastating complication in orthopaedic surgery. Infection rates in the ambulatory setting have been reported to be lower than those cited in a hospital setting. However, a direct comparative analysis of infection rates of orthopaedic procedures performed in a single specialty ambulatory surgical center (ASC) versus a multi-specialty ASC has, to our knowledge, not been performed. METHODS: Four surgeons performed more than 10,000 orthopaedic surgeries in a multispecialty and single specialty ambulatory setting over 8 years. These procedures were reviewed for postoperative deep infection within one year of initial operation. RESULTS: The post-surgical deep infection rate in a multi-specialty ASC was 0.81% in 2867 operations compared with a rate of 0.38% in 7311 operations performed in a single specialty ASC (p = 0.007). CONCLUSIONS: This study demonstrated that the rate of infection leading to reoperation was significantly lower in a single specialty ambulatory surgery setting as opposed to one accommodating multiple specialties.
BACKGROUND: Reoperation secondary to surgical site infections can be a devastating complication in orthopaedic surgery. Infection rates in the ambulatory setting have been reported to be lower than those cited in a hospital setting. However, a direct comparative analysis of infection rates of orthopaedic procedures performed in a single specialty ambulatory surgical center (ASC) versus a multi-specialty ASC has, to our knowledge, not been performed. METHODS: Four surgeons performed more than 10,000 orthopaedic surgeries in a multispecialty and single specialty ambulatory setting over 8 years. These procedures were reviewed for postoperative deep infection within one year of initial operation. RESULTS: The post-surgical deep infection rate in a multi-specialty ASC was 0.81% in 2867 operations compared with a rate of 0.38% in 7311 operations performed in a single specialty ASC (p = 0.007). CONCLUSIONS: This study demonstrated that the rate of infection leading to reoperation was significantly lower in a single specialty ambulatory surgery setting as opposed to one accommodating multiple specialties.
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