Clinical prediction models and risk tools for early detection of patients at risk of surgical site infection and surgical wound dehiscence: A scoping review
Authors: Sandy-Hodgetts, K., Assadian, O., Wainwright, T.W., Rochon, M., Van Der Merwe, Z., Jones, R.M., Serena, T., Alves, P. and Smith, G.
Journal: Journal of Wound Care
Volume: 32
Issue: Sup8a
Pages: S4-S12
eISSN: 2052-2916
ISSN: 0969-0700
DOI: 10.12968/jowc.2023.32.Sup8a.S4
Abstract:Objective: Despite advances in surgical techniques, intraoperative practice and a plethora of advanced wound therapies, surgical wound complications (SWCs), such as surgical site infection (SSI) and surgical wound dehiscence (SWD), continue to pose a considerable burden to the patient and healthcare setting. Predicting those patients at risk of a SWC may give patients and healthcare providers the opportunity to implement a tailored prevention plan or potentially ameliorate known risk factors to improve patient postoperative outcomes. Method: A scoping review of the literature for studies which reported predictive power and internal/external validity of risk tools for clinical use in predicting patients at risk of SWCs after surgery was conducted. An electronic search of three databases and two registries was carried out with date restrictions. The search terms included ‘prediction surgical site infection’ and ‘prediction surgical wound dehiscence’. Results: A total of 73 records were identified from the database search, of which six studies met the inclusion criteria. Of these, the majority of validated risk tools were predominantly within the cardiothoracic domain, and targeted morbidity and mortality outcomes. There were four risk tools specifically targeting SWCs following surgery. Conclusion: The findings of this review have highlighted an absence of well-developed risk tools specifically for SSI and/or SWD in most surgical populations. This review suggests that further research is required for the development and clinical implementation of rigorously validated and fit-for-purpose risk tools for predicting patients at risk of SWCs following surgery. The ability to predict such patients enables the implementation of preventive strategies, such as the use of prophylactic antibiotics, delayed timing of surgery, or advanced wound therapies following a procedure. Declaration of interest: The authors have no conflict of interest to disclose in relation to the content of this article.
Source: Scopus
Clinical prediction models and risk tools for early detection of patients at risk of surgical site infection and surgical wound dehiscence: a scoping review.
Authors: Sandy-Hodgetts, K., Assadian, O., Wainwright, T.W., Rochon, M., Van Der Merwe, Z., Jones, R.M., Serena, T., Alves, P. and Smith, G.
Journal: J Wound Care
Volume: 32
Issue: Sup8a
Pages: S4-S12
ISSN: 0969-0700
DOI: 10.12968/jowc.2023.32.Sup8a.S4
Abstract:OBJECTIVE: Despite advances in surgical techniques, intraoperative practice and a plethora of advanced wound therapies, surgical wound complications (SWCs), such as surgical site infection (SSI) and surgical wound dehiscence (SWD), continue to pose a considerable burden to the patient and healthcare setting. Predicting those patients at risk of a SWC may give patients and healthcare providers the opportunity to implement a tailored prevention plan or potentially ameliorate known risk factors to improve patient postoperative outcomes. METHOD: A scoping review of the literature for studies which reported predictive power and internal/external validity of risk tools for clinical use in predicting patients at risk of SWCs after surgery was conducted. An electronic search of three databases and two registries was carried out with date restrictions. The search terms included 'prediction surgical site infection' and 'prediction surgical wound dehiscence'. RESULTS: A total of 73 records were identified from the database search, of which six studies met the inclusion criteria. Of these, the majority of validated risk tools were predominantly within the cardiothoracic domain, and targeted morbidity and mortality outcomes. There were four risk tools specifically targeting SWCs following surgery. CONCLUSION: The findings of this review have highlighted an absence of well-developed risk tools specifically for SSI and/or SWD in most surgical populations. This review suggests that further research is required for the development and clinical implementation of rigorously validated and fit-for-purpose risk tools for predicting patients at risk of SWCs following surgery. The ability to predict such patients enables the implementation of preventive strategies, such as the use of prophylactic antibiotics, delayed timing of surgery, or advanced wound therapies following a procedure.
Source: PubMed
Clinical prediction models and risk tools for early detection of patients at risk of surgical site infection and surgical wound dehiscence: a scoping review
Authors: Sandy-Hodgetts, K., Assadian, O., Wainwright, T.W., Rochon, M., Van Der Merwe, Z., Jones, R.M., Serena, T., Alves, P. and Smith, G.
Journal: JOURNAL OF WOUND CARE
Volume: 32
Pages: S4-S12
ISSN: 0969-0700
DOI: 10.12968/jowc.2023.32.Sup8a.S4
Source: Web of Science (Lite)
Clinical prediction models and risk tools for early detection of patients at risk of surgical site infection and surgical wound dehiscence: a scoping review.
Authors: Sandy-Hodgetts, K., Assadian, O., Wainwright, T.W., Rochon, M., Van Der Merwe, Z., Jones, R.M., Serena, T., Alves, P. and Smith, G.
Journal: Journal of wound care
Volume: 32
Issue: Sup8a
Pages: S4-S12
ISSN: 0969-0700
DOI: 10.12968/jowc.2023.32.sup8a.s4
Abstract:Objective
Despite advances in surgical techniques, intraoperative practice and a plethora of advanced wound therapies, surgical wound complications (SWCs), such as surgical site infection (SSI) and surgical wound dehiscence (SWD), continue to pose a considerable burden to the patient and healthcare setting. Predicting those patients at risk of a SWC may give patients and healthcare providers the opportunity to implement a tailored prevention plan or potentially ameliorate known risk factors to improve patient postoperative outcomes.Method
A scoping review of the literature for studies which reported predictive power and internal/external validity of risk tools for clinical use in predicting patients at risk of SWCs after surgery was conducted. An electronic search of three databases and two registries was carried out with date restrictions. The search terms included 'prediction surgical site infection' and 'prediction surgical wound dehiscence'.Results
A total of 73 records were identified from the database search, of which six studies met the inclusion criteria. Of these, the majority of validated risk tools were predominantly within the cardiothoracic domain, and targeted morbidity and mortality outcomes. There were four risk tools specifically targeting SWCs following surgery.Conclusion
The findings of this review have highlighted an absence of well-developed risk tools specifically for SSI and/or SWD in most surgical populations. This review suggests that further research is required for the development and clinical implementation of rigorously validated and fit-for-purpose risk tools for predicting patients at risk of SWCs following surgery. The ability to predict such patients enables the implementation of preventive strategies, such as the use of prophylactic antibiotics, delayed timing of surgery, or advanced wound therapies following a procedure.Source: Europe PubMed Central