Impact of case-relevant and case-irrelevant communication within the surgical team on surgical-site infection
| Autor: | J. C. Seelandt, Guido Beldi, Sandra Keller, Daniel Candinas, Anita Kurmann, Norbert K. Semmer, Franziska Tschan |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty 300 Social sciences sociology & anthropology 790 Sports games & entertainment Logistic regression Intraoperative Period Risk Factors medicine Humans Surgical Wound Infection Prospective Studies Prospective cohort study 610 Medicine & health Digestive System Surgical Procedures Surgeons Surgical team business.industry Communication Incidence Incidence (epidemiology) Odds ratio Middle Aged Surgery ddc:128.37 medicine.anatomical_structure Abdomen Female Observational study business 150 Psychology Switzerland |
| Zdroj: | British Journal of Surgery, Vol. 102, No 13 (2015) pp. 1718-1725 |
| ISSN: | 0007-1323 |
| DOI: | 10.7892/boris.77483 |
| Popis: | Background Surgical-site infections (SSIs) are the most common complications after surgery. An influence from talking and distractions during surgery on patient outcomes has been suggested, but there is limited evidence. The aim of this prospective observational study was to assess the relationship between intraoperative communication within the surgical team and SSI, and between intraoperative distractions and SSI. Methods This prospective observational study included patients undergoing elective, open abdominal procedures. For each procedure, intraoperative case-relevant and case-irrelevant communication, and intraoperative distractions were observed continuously on site. The influence of communication and distractions on SSI after surgery was assessed using logistic regressions, adjusting for risk factors. Results A total of 167 observed procedures were analysed; their mean(s.d.) duration was 4·6(2·1) h. A total of 24 SSIs (14·4 per cent) were diagnosed. Case-relevant communication during the procedure was independently associated with a reduced incidence of organ/space SSI (propensity score-adjusted odds ratio 0·86, 95 per cent c.i. 0·77 to 0·97; P = 0·014). Case-irrelevant communication during the closing phase of the procedure was independently associated with increased incidence of incisional SSI (propensity score-adjusted odds ratio 1·29, 1·08 to 1·55; P = 0·006). Distractions had no association with SSI. Conclusion More case-relevant communication was associated with fewer organ/space SSIs, and more case-irrelevant communication during wound closure was associated with incisional SSI. |
| Databáze: | OpenAIRE |
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