Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
POSTER Top-02 FFN 2013 Surgical wound infections in hip fracture patients Mette Martinsen1, Anette Hylen Ranhoff2, Ludvig Fjeld Solheim1 1 Surgical department, Diakonhjemmet hospital, 0319 Oslo, Norway 2 Medical department, Diakonhjemmet hospital, 0319 Oslo, Norway Contact info: [email protected] Introduction Methods • Surgical wound infection in hip fracture patients is a severe complication • There are few studies looking at measurements to prevent such infections Observational study, comparing patients who were given a bath to those who were not. Data was obtained from a quality register containing demographic and medical information. Patients were randomly given a bath using disinfectant or washed with the same disinfectant before surgery. Data about shower/wash and postoperative observations were collected from the nurse’s journal. The aim is to study whether pre-operative bathing using a disinfectant can contribute to prevent surgical wound infections Results • 900 patients were included from 01.01.2011 - 31.12.2012 • 692 (77 %) were women • Age 65-103 yrs, mean 84.7 yrs (+/-7.9) • 473 patients were given a bath and 426 were washed before surgery. • Surgical wound infections were registered in 33 (3.7 %) patients. Figure 1: Prevalence of surgical wound infections in patients given bath vs no bath 5,5 5 4,5 4 Patients with surgical wound infections (n=33) Patients without surgical wound infections (n=867) P value Gender: Women, n (%) Men, n (%) 27 (3.9) 6 (2.9) 665 (96.1) 202 (97.1) 0.33 Age, mean (SD) years 87.6 (7.5) 84.6 (7.9) 0.03 ASA score n=885 Low (I-II), n (%) High (III-IV), n (%) 16 (48.5) 17 (51.5) 353 (41.4) 499 (58.6) 0.26 Number of chronic diseases (Charlsons index), mean (SD) 1.45 (1.03) 1.13 (1.04) 0.07 Dementia, n (%) 14 (42.4) 224 (25.8) 0.04 Diabets, n (%) 4 (12.1) 60 (6.9) 0.20 Number of complications mean 1.1 0.9 0.27 Delirium, n (%) 13 (39.4) 225 (26.0) 0.11 Bloodtransfusion 10 (30.3) 190 (21.9) 0.29 Preoperative bath n %): Yes No 11 (33.3) 22 (66.7) 463 (53.5) 403 (46.5) 0.03 Table 1: Characteristics in patients with surgical wound infections vs patients without surgical wound infection n=900 3,5 3 Bath 2,5 No bath 2 1,5 1 0,5 0 Unadjusted Adjusted for, sex, age, ASA-score,nuber of Chronic disease and dementia Conclusions Preoperative bathing of the patients using a disinfectant may prevent surgical wound infections in older hip fracture patients. Further studies on measurements to prevent such infections are needed. Diakonhjemmet Hospital is the local hospital for approxiamately 130 000 inhabitants living in the western sectors of Oslo. The hospital provides medical services in the fields of internal medicine, surgery, intensive medicine, rheumatology and rheumatology surgery, as well as psychiatry. • The hospital has extended responsibility for treating patients in the fields of rheumatology and rheumatology surgery form the whole health region • The hospital is a competence center in the fields of rheumatology and psychopharmacology, and has an extended research activity - especially within these areas • Health services for the elderly has a special focus at Diakonhjemmet. The hospital is responsible for the treatment of people 65 years of age or older with hip fractures, in an extended area of Oslo, as well as for elderly patients in need of psychiatric health services The four core values of Diakonhjemmet Hospital are respect, quality, service and justice.