| Autor: |
Yusuf Mehkri, Ramy Sharaf, Abtahi Tishad, Julian Gendreau, Jairo Hernandez, Eric Panther, Ryan Pafford, Gazanfar Rahmathulla |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
World neurosurgery. |
| ISSN: |
1878-8769 |
| Popis: |
To investigate the implications of vacuum assisted closure (VAC) versus standard wound dressings on postoperative posterior spinal fusion (PSF) wounds with respect to potential cost-savings associated with reduced incidence of surgical site infection (SSI).This was an IRB approved retrospective review of trauma patients who underwent open PSF under the care of a single surgeon at our level 1 trauma center. Patients were postoperatively monitored for 90 days. Statistical analysis was performed with chi-squared testing with the calculation of number needed to treat (NNT) values.208 patients who underwent open PSF met inclusion criteria and were included in the review. Chi-squared testing revealed a significant increase in incidence of SSI (20% vs. 8%; p = 0.021) among the non-VAC group (n = 112), as compared to the VAC group (n = 96). Cost-benefit analysis revealed that VAC usage in patients undergoing open PSF could enable a mean cost savings of $163,492 per 100 patients.VAC usage in patients undergoing open PSF was associated with a two-fold decrease in the incidence of SSI, and an infection-related cost savings of $163,492 per 100 patients. Further investigation is needed to ascertain additional benefits that VAC usage may afford to patients undergoing open PSF. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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