Retrospective analysis of the Photo at Discharge scheme and readmission for surgical site infection following coronary artery bypass graft surgery
| Autor: | Cheryl Lavack, Russel Lukban, Shahzad G. Raja, Reeshma Ramroop, Carlos Morais, Katie Healy, Kavita Bhugun, Nikki Fuller, Alexia Deakin, Melissa Rochon, Padma Rai, Sian Jenkinson, Alison Soppa |
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| Rok vydání: | 2018 |
| Předmět: |
Advanced and Specialized Nursing
medicine.medical_specialty business.industry Health Policy Public Health Environmental and Occupational Health Surgery 03 medical and health sciences 0302 clinical medicine Infectious Diseases medicine.anatomical_structure 030220 oncology & carcinogenesis Patient experience medicine Retrospective analysis 030212 general & internal medicine Complication business Surgical site infection Artery |
| Zdroj: | Journal of Infection Prevention. 19:270-276 |
| ISSN: | 1757-1782 1757-1774 |
| DOI: | 10.1177/1757177418780986 |
| Popis: | Background: Surgical site infection (SSI) is a costly and devastating complication of surgery. Many cardiac SSIs develop after the patient leaves hospital, but evidence demonstrating the benefit of patient/carer involvement in the process of monitoring and promptly identifying SSI post-discharge is limited. This study estimates the probability of readmission for SSI for coronary artery bypass graft (CABG) patients receiving the Photo at Discharge (PaD). Methods: Trained personnel undertook continuous, prospective SSI surveillance using Public Health England protocol between January 2013 and December 2016. Baseline covariables were collected for 1747 CABG-only procedures. As a quasi-randomised design, we adjusted for non-random PaD assignment using retrospective propensity score (PS)-matching based on 12 variables of interest, assessed whether the model had been adequately specified and performed an outcomes analysis. Results: A total of 568 patients with PaD were PS-matched with 568 controls. The probabilities of SSI readmission were 0.352 (2/568) and 1.761 (10/568), respectively. The difference in risk of readmission for SSI was significant (relative risk = 0.2, 95% confidence interval = 0.04–0.91; P = 0.04). Conclusion: Findings from this single-centre observation study suggest the PaD is associated with a reduction in CABG readmission for SSI and a further study is warranted to verify the efficacy of this strategy. |
| Databáze: | OpenAIRE |
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