Income Deprivation and Groin Wound Surgical Site Infection: Cross-Sectional Analysis from the Groin Wound Infection after Vascular Exposure Multicenter Cohort Study
| Autor: | James Olivier, Olivia Grant, Konstantinos Tigkiropoulos, Nikesh Dattani, Madhu Rangaraju, Joseph Shalhoub, Huw Ob Davies, Olivia McBride, Ummul Contractor, David Bosanquet, Dafydd Locker, Maciej T. Juszczak, Sandhir Kandola, Khalid Bashar, Simon Neequaye, Muhammed Elhadi, Toby Richards, Sean Tierney, Nishath Altaf, George Dovell, Enrico Mancuso, Lucy Green, Thomas Wilson, Elaine Townsend, Tasleem Akhtar, Ravi Maheswaran, Hazem Ahmed, Matthew Brown, Helen Suttenwood, Asif Mahmood, Craig Forrest, Russell Jamieson, Iain Roy, Adrian Edwards, Emma Thomas-Jones, Luke Hopkins, Gareth Harrison, Tryfon Vanias, H M Moore, Michelle Cronin, Devender Mittapalli, Ruth A. Benson, Owain Fisher, Nicholas Platt, Aled Jones, Amy Stimpson, Calvin Eng, Abdulmunem Althini, Mohamed Altabal, Salil Korambayil, Ahmed Msherghi, Fernando Picazo, Ahmed Elbasty, George Davey Smith, Panagiota Birmpili, Kamil Naidoo, Kamran Mohiuddin, Hannah Danbury, Ian Barry, Rachel Sam, Kerry Burke, Ryan Preece, Ankur Thapar, Kishore Sieunarine, Rachel Falconer, Trixie Yap, James Forsyth, Tom Wallace, Emily Boyle, Danielle Lowry, Jonathan Nicholls, Andrew Duncan, Michael Rocker, Daniel U. Rodriguez, Francesca Guest, Bethany Wardle, Louise Hitchman, Ella Schofield, P.W. Stather, Ala Khaled, Paul Moxey, Aminder A. Singh, Annie Clothier, Faris Saleh, Andrew J. Batchelder, Timothy Beckitt, Ahmed Elhadi, Katherine Hurst, Ciaran Brennan, Adnan Bajwa, Brenig Llwyd Gwilym, David Cooper, Graeme K. Ambler, Ahmed Hassanin, Tristan R A Lane, David Milgrom, Claire Perrott, Lewis Meecham, Robert J. Hinchliffe, Ahmed Shalan, Thomas Aherne, Jonathan Michaels, Sandip Nandhra, Keith Hussey, Tom Hardy, Bridget Egan, Natasha Chinai, Rachael O. Forsythe, Brenig L. Gwilym, Arsalan Wafi, Tariq Al-Samarneh, Samuel Debono, David C. Bosanquet, Ghazaleh Mohammadi-Zaniani, Benjamin Patterson, Hannah Burton, Emily Kirkham, Alexander Crichton, Athanasios Saratzis, Mohedin Arifi, James Ackah, Andrew Cowan, Shaneel Patel, Sarah Onida |
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| Rok vydání: | 2021 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Cross-sectional study Groin vascular surgery Cohort Studies Risk Factors Internal medicine medicine Humans Surgical Wound Infection business.industry Odds ratio Vascular surgery Wound infection Confidence interval Infectious Diseases medicine.anatomical_structure Cross-Sectional Studies Treatment Outcome wound infection Surgery business Surgical site infection Vascular Surgical Procedures Cohort study |
| Zdroj: | Gwilym, B L, Maheswaran, R, Edwards, A G K, Thomas-Jones, E, Michaels, J, Bosanquet, D C 2022, ' Income Deprivation and Groin Wound Surgical Site Infection : Cross-Sectional Analysis from the Groin Wound Infection after Vascular Exposure Multicenter Cohort Study ', Surgical Infections, vol. 23, no. 1, pp. 73-83 . https://doi.org/10.1089/sur.2021.153 |
| ISSN: | 1557-8674 |
| Popis: | Background: Living in deprived areas is associated with poorer outcomes after certain vascular procedures and surgical site infection in other specialties. Our primary objective was to determine whether living in more income-deprived areas was associated with groin wound surgical site infection after arterial intervention. Secondary objectives were to determine whether living in more income-deprived areas was associated with mortality and clinical consequences of surgical site infection. Methods: Postal code data for patients from the United Kingdom who were included in the Groin Wound Infection after Vascular Exposure (GIVE) multicenter cohort study was used to determine income deprivation, based on index of multiple deprivation (IMD) data. Patients were divided into three IMD groups for descriptive analysis. Income deprivation score was integrated into the final multivariable model for predicting surgical site infection. Results: Only patients from England had sufficient postal code data, analysis included 772 groin incisions (624 patients from 22 centers). Surgical site infection occurred in 9.7% incisions (10.3% of patients). Surgical site infection was equivalent between income deprivation tertiles (tertile 1 = 9.5%; tertile 2 = 10.3%; tertile 3 = 8.6%; p = 0.828) as were the clinical consequences of surgical site infection and mortality. Income deprivation was not associated with surgical site infection in multivariable regression analysis (odds ratio [OR], 0.574; 95% confidence interval [CI], 0.038-8.747; p = 0.689). Median age at time of procedure was lower for patients living in more income-deprived areas (tertile 1 = 68 years; tertile 2 = 72 years; tertile 3 = 74 years; p |
| Databáze: | OpenAIRE |
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