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Pereira HO, Rezende EM, Couto BR. Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases. Rev Bras Ortop. 2015;50(6):638-46doi: 10.1016/j.rboe.2015.09.006.
Pereira, H. O., Rezende, E. M., & Couto, B. R. (2015). Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases. Revista brasileira de ortopedia, 50(6), 638-46. https://doi.org/10.1016/j.rboe.2015.09.006
Pereira, Hoberdan Oliveira, et al. "Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases." Revista brasileira de ortopedia vol. 50,6 (2015): 638-46. doi: https://doi.org/10.1016/j.rboe.2015.09.006
Pereira HO, Rezende EM, Couto BR. Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases. Rev Bras Ortop. 2015 Oct 23;50(6):638-46. doi: 10.1016/j.rboe.2015.09.006. eCollection 2015. PMID: 27218074; PMCID: PMC4866941.
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Rev Bras Ortop. 2015 Oct 23;50(6):638-46. doi: 10.1016/j.rboe.2015.09.006. eCollection 2015.

Length of preoperative hospital stay: a risk factor for reducing surgical infection in femoral fracture cases.

Revista brasileira de ortopedia

Hoberdan Oliveira Pereira, Edna Maria Rezende, Bráulio Roberto Gonçalves Marinho Couto

Affiliations

  1. Department of Nursing, Federal University of Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
  2. Institute of Engineering and Technology, University Center of Belo Horizonte (UNIBH), Belo Horizonte, MG, Brazil.

PMID: 27218074 PMCID: PMC4866941 DOI: 10.1016/j.rboe.2015.09.006

Abstract

OBJECTIVE: To analyze infections of the surgical site among patients undergoing clean-wound surgery for correction of femoral fractures.

METHODS: This was a historical cohort study developed in a large-sized hospital in Belo Horizonte. Data covering the period from July 2007 to July 2009 were gathered from the records in electronic medical files, relating to the characteristics of the patients, surgical procedures and surgical infections. The risk factors for infection were identified by means of statistical tests on bilateral hypotheses, taking the significance level to be 5%. Continuous variables were evaluated using Student's t test. Categorical variables were evaluated using the chi-square test, or Fisher's exact test, when necessary. For each factor under analysis, a point estimate and the 95% confidence interval for the relative risk were obtained. In the final stage of the study, multivariate logistic regression analysis was performed.

RESULTS: 432 patients who underwent clean-wound surgery for correcting femoral fractures were included in this study. The rate of incidence of surgical site infections was 4.9% and the risk factors identified were the presence of stroke (odds ratio, OR = 5.0) and length of preoperative hospital stay greater than four days (OR = 3.3).

CONCLUSION: To prevent surgical site infections in operations for treating femoral fractures, measures involving assessment of patients' clinical conditions by a multiprofessional team, reduction of the length of preoperative hospital stay and prevention of complications resulting from infections will be necessary.

Keywords: Femoral fractures; Infection of the operative wound; Risk factors

References

  1. J Bone Joint Surg Am. 1978 Apr;60(3):300-6 - PubMed
  2. J Bone Joint Surg Am. 2005 Mar;87(3):483-9 - PubMed
  3. J Orthop Trauma. 2000 Jun-Jul;14(5):329-34 - PubMed
  4. Cochrane Database Syst Rev. 2010 Mar 17;(3):CD000244 - PubMed
  5. Rev Lat Am Enfermagem. 2002 Mar-Apr;10(2):157-65 - PubMed
  6. Infect Control Hosp Epidemiol. 2008 Oct;29 Suppl 1:S51-61 - PubMed
  7. Clin Orthop Relat Res. 2009 Nov;467(11):2970-8 - PubMed
  8. JAMA. 2001 Jun 6;285(21):2736-42 - PubMed
  9. Orthop Clin North Am. 1974 Jul;5(3):571-83 - PubMed

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