Wen Qi Mok1, Mallya Jagadish Ullal2, Su Su2, Pok Ling Yiap3, Lee Hoon Yu3, Siew Ming Meliza Lim4, Sin Yu Jeanice Ker4, Jiexun Wang5. 1. Department of Nursing, Khoo Teck Puat Hospital, Singapore, Singapore. Electronic address: mok.wen.qi@ktph.com.sg. 2. Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore, Singapore. 3. Department of Nursing Administration, Khoo Teck Puat Hospital, Singapore, Singapore. 4. Department of Nursing, Khoo Teck Puat Hospital, Singapore, Singapore. 5. Department of Nursing, Khoo Teck Puat Hospital, Singapore, Singapore; Clinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Abstract
BACKGROUND: Surgical site infections (SSIs) following hip fracture surgeries have profound clinical and economic implications. The study aims to analyze the effect of an integrative SSI prevention care bundle on the SSI incidence among surgical hip patients. The study also aims to examine the association between SSI and mortality, readmission, duration of hospitalization, and hospital cost. METHODS: A retrospective cohort study was carried out to assess the incidence of SSI in an acute hip unit in Singapore from January 2015 to September 2017. Patients who developed SSI fell into the exposure group, whereas patients without SSI fell into the nonexposure group. A comparison of the incidence of mortality, readmission, length of stay, and inpatient bill size was conducted between the 2 groups. RESULTS: Among 758 hip surgeries performed during the study period, 14 (1.8%) SSIs were documented. Compared with patients with no SSI, patients with SSI were 4.27times more likely to be readmitted within 30days, had 2.47times longer length of stay, and 2.15times the inpatient bill size. CONCLUSIONS: An integrative care bundle that capitalizes on the expertise of a multidisciplinary team has promoted shared responsibility and proven to be effective in preventing SSIs while contributing to better patient outcomes within the unit.
BACKGROUND: Surgical site infections (SSIs) following hip fracture surgeries have profound clinical and economic implications. The study aims to analyze the effect of an integrative SSI prevention care bundle on the SSI incidence among surgical hip patients. The study also aims to examine the association between SSI and mortality, readmission, duration of hospitalization, and hospital cost. METHODS: A retrospective cohort study was carried out to assess the incidence of SSI in an acute hip unit in Singapore from January 2015 to September 2017. Patients who developed SSI fell into the exposure group, whereas patients without SSI fell into the nonexposure group. A comparison of the incidence of mortality, readmission, length of stay, and inpatient bill size was conducted between the 2 groups. RESULTS: Among 758 hip surgeries performed during the study period, 14 (1.8%) SSIs were documented. Compared with patients with no SSI, patients with SSI were 4.27times more likely to be readmitted within 30days, had 2.47times longer length of stay, and 2.15times the inpatient bill size. CONCLUSIONS: An integrative care bundle that capitalizes on the expertise of a multidisciplinary team has promoted shared responsibility and proven to be effective in preventing SSIs while contributing to better patient outcomes within the unit.
Authors: K Morikane; P L Russo; K Y Lee; M Chakravarthy; M L Ling; E Saguil; M Spencer; W Danker; A Seno; E Edmiston Charles Journal: Antimicrob Resist Infect Control Date: 2021-04-01 Impact factor: 4.887