Cost analysis of utilising wound edge protector in open appendicectomy to prevent surgical site infection
| Autor: | Razman Jarmin, Vishali Murugasan, Zamri Zuhdi, Rizal Imran Alwi, Jothinathan Muniandy, A. Azman, Sabrizan Osman |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Incidence (epidemiology) Post-operative infection General Medicine medicine.disease Appendicitis Double ring law.invention Surgery Laparoscopic appendicectomy Cost comparison Randomized controlled trial law medicine Cost analysis Wound edge business Wound edge protector Surgical site infection Randomised Controlled Trial |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Background The rate of surgical site infection (SSI) differ with variable nature with appendicitis with a global incidence of up to 11%. Several randomised trials describe a significant reduction in incisional SSI using wound edge protectors (WEP), mainly in elective procedures. This study was designed to analyse WEP use in emergency open appendicectomy. Method This randomised controlled trial enrolled 200 patients who underwent emergency open appendicectomy. Permuted block randomisation was used to assign subjects to either mechanical retraction or double ring WEP. The primary endpoints were SSI rates and cost analysis between the methods. Results The incidence of SSI was similar, n = 7 (7.4%) in the control group and n = 8 (8.4%) in the WEP group, and demonstrates no statistically significant difference (p > 0.05). Cost analysis showed a statistically significant (p Highlights • Wound edge protector use does not reduce the SSI rate in emergency open appendicectomy. • It is economical for management of incisional SSI with use of wound edge protector used for open appendicectomy. • Selective use of wound edge protector in clinically suspected perforated appendicitis would be more cost-effective. |
| Databáze: | OpenAIRE |
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