Operating room architecture is not a risk factor for surgical site infections

Abstract Surgical site infection (SSI) may cause a substantial burden for patients and healthcare systems. A potential risk of different architectures of the operating room for SSI is yet unknown and was subject of this study. This observational cohort study was performed in a university hospital an...

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Autores principales:	Thorsten Jentzsch, Lucas Kutschke, Patrick O. Zingg, Mazda Farshad
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b89eb86800254f4ca5d7e78f5c3a0c2e
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spelling	oai:doaj.org-article:b89eb86800254f4ca5d7e78f5c3a0c2e2021-12-02T16:10:24ZOperating room architecture is not a risk factor for surgical site infections10.1038/s41598-021-90574-z2045-2322https://doaj.org/article/b89eb86800254f4ca5d7e78f5c3a0c2e2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90574-zhttps://doaj.org/toc/2045-2322Abstract Surgical site infection (SSI) may cause a substantial burden for patients and healthcare systems. A potential risk of different architectures of the operating room for SSI is yet unknown and was subject of this study. This observational cohort study was performed in a university hospital and evaluated patients, who underwent a broad spectrum of orthopedic surgeries in 2016 (open-plan operating room architecture) versus (vs) 2017 (closed-plan operating room architecture). Patients, who underwent surgery in the transition time period from the open-plan to the closed-plan operating room architecture and those, who were treated e.g. for osteomyelitis as index procedure were excluded. The primary outcome was revision surgery for early SSI within 30 (superficial) or 90 (deep or organ/space) days of surgery. Age, gender, American society of anesthesiologists (ASA) classification, and the body mass index (BMI) were considered as potential interacting factors in a logistic regression analysis. The incidence of revisions for SSI was 0.6 percent (%) (n = 45) in the 7'740 included surgical cases (mean age of 52 (standard deviation (SD) 19) years; n = 3'835 (50%) females). There was no difference in incidences of revision for SSI in the open- vs closed-plan operating room architecture (0.5% vs 0.7%; adjusted odds ratio (OR) = 1.34 (95% confidence interval (CI) 0.72–2.49, P = 0.35)). Age and gender were not a risk factor for revision for SSI. However, ASA classification and BMI were identified as risk factors for the incidence of revision for SSI (OR = 1.92 (95% CI 1.16- 3.18, P = 0.01) and OR = 1.05 (95% CI 1.00–1.11, P = 0.05)). The overall incidence of revisions for early SSI after a broad spectrum of orthopedic surgeries was relatively low (0.6%) and independent from the operating room architecture. An increase in ASA classification and possibly BMI, however, were identified as independent risk factors for revision for SSI.Thorsten JentzschLucas KutschkePatrick O. ZinggMazda FarshadNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Thorsten Jentzsch Lucas Kutschke Patrick O. Zingg Mazda Farshad Operating room architecture is not a risk factor for surgical site infections
description	Abstract Surgical site infection (SSI) may cause a substantial burden for patients and healthcare systems. A potential risk of different architectures of the operating room for SSI is yet unknown and was subject of this study. This observational cohort study was performed in a university hospital and evaluated patients, who underwent a broad spectrum of orthopedic surgeries in 2016 (open-plan operating room architecture) versus (vs) 2017 (closed-plan operating room architecture). Patients, who underwent surgery in the transition time period from the open-plan to the closed-plan operating room architecture and those, who were treated e.g. for osteomyelitis as index procedure were excluded. The primary outcome was revision surgery for early SSI within 30 (superficial) or 90 (deep or organ/space) days of surgery. Age, gender, American society of anesthesiologists (ASA) classification, and the body mass index (BMI) were considered as potential interacting factors in a logistic regression analysis. The incidence of revisions for SSI was 0.6 percent (%) (n = 45) in the 7'740 included surgical cases (mean age of 52 (standard deviation (SD) 19) years; n = 3'835 (50%) females). There was no difference in incidences of revision for SSI in the open- vs closed-plan operating room architecture (0.5% vs 0.7%; adjusted odds ratio (OR) = 1.34 (95% confidence interval (CI) 0.72–2.49, P = 0.35)). Age and gender were not a risk factor for revision for SSI. However, ASA classification and BMI were identified as risk factors for the incidence of revision for SSI (OR = 1.92 (95% CI 1.16- 3.18, P = 0.01) and OR = 1.05 (95% CI 1.00–1.11, P = 0.05)). The overall incidence of revisions for early SSI after a broad spectrum of orthopedic surgeries was relatively low (0.6%) and independent from the operating room architecture. An increase in ASA classification and possibly BMI, however, were identified as independent risk factors for revision for SSI.
format	article
author	Thorsten Jentzsch Lucas Kutschke Patrick O. Zingg Mazda Farshad
author_facet	Thorsten Jentzsch Lucas Kutschke Patrick O. Zingg Mazda Farshad
author_sort	Thorsten Jentzsch
title	Operating room architecture is not a risk factor for surgical site infections
title_short	Operating room architecture is not a risk factor for surgical site infections
title_full	Operating room architecture is not a risk factor for surgical site infections
title_fullStr	Operating room architecture is not a risk factor for surgical site infections
title_full_unstemmed	Operating room architecture is not a risk factor for surgical site infections
title_sort	operating room architecture is not a risk factor for surgical site infections
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b89eb86800254f4ca5d7e78f5c3a0c2e
work_keys_str_mv	AT thorstenjentzsch operatingroomarchitectureisnotariskfactorforsurgicalsiteinfections AT lucaskutschke operatingroomarchitectureisnotariskfactorforsurgicalsiteinfections AT patrickozingg operatingroomarchitectureisnotariskfactorforsurgicalsiteinfections AT mazdafarshad operatingroomarchitectureisnotariskfactorforsurgicalsiteinfections
_version_	1718384434011439104

Operating room architecture is not a risk factor for surgical site infections

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