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ToolsGroin wound Infection after Vascular Exposure (GIVE) Study Group (2021) Groin wound infection after vascular exposure (GIVE) multicentre cohort study. International Wound Journal, 18 (2). pp. 164-175. ISSN 1742-4801
Full text not available from this repository.Abstract
Surgical site infections (SSIs) of groin wounds are a common and potentially preventable cause of morbidity, mortality, and healthcare costs in vascular surgery. Our aim was to define the contemporaneous rate of groin SSIs, determine clinical sequelae, and identify risk factors for SSI. An international multicentre prospective observational cohort study of consecutive patients undergoing groin incision for femoral vessel access in vascular surgery was undertaken over 3 months, follow-up was 90 days. The primary outcome was the incidence of groin wound SSI. 1337 groin incisions (1039 patients) from 37 centres were included. 115 groin incisions (8.6%) developed SSI, of which 62 (4.6%) were superficial. Patients who developed an SSI had a significantly longer length of hospital stay (6 versus 5 days, P =.005), a significantly higher rate of post-operative acute kidney injury (19.6% versus 11.7%, P =.018), with no significant difference in 90-day mortality. Female sex, Body mass index≥30 kg/m2, ischaemic heart disease, aqueous betadine skin preparation, bypass/patch use (vein, xenograft, or prosthetic), and increased operative time were independent predictors of SSI. Groin infections, which are clinically apparent to the treating vascular unit, are frequent and their development carries significant clinical sequelae. Risk factors include modifiable and non-modifiable variables.
| Item Type: | Article |
|---|---|
| Additional Information: | Publisher Copyright: © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. |
| Uncontrolled Keywords: | vascular,surgery,dermatology ,/dk/atira/pure/subjectarea/asjc/2700/2746 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 03 May 2023 13:30 |
| Last Modified: | 03 May 2023 13:30 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/91982 |
| DOI: | 10.1111/iwj.13508 |
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