Surgical site infection in patients submitted to orthopedic surgery: the NNIS risk index and risk prediction

Authors

  • Flávia Falci Ercole Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Tânia Couto Machado Chianca Universidade Federal de Minas Gerais; Escola de Enfermagem
  • Denise Duarte Universidade Federal de Minas Gerais; Instituto de Ciências Exatas
  • Carlos Ernesto Ferreira Starling Hospital Vera Cruz de Belo Horizonte
  • Mariângela Carneiro Universidade Federal de Minas Gerais; Instituto de Ciências Biológicas

DOI:

https://doi.org/10.1590/S0104-11692011000200007

Keywords:

Nursing, Epidemiology, Orthopedic Procedures, Surgical Wound Infection, Risk Index

Abstract

The applicability of the risk index for surgical site infection of the National Nosocomial Infection Surveillance (NNIS) has been evaluated for its performance in different surgeries. In some procedures, it is necessary to include other variables to predict. Objective: to evaluate the applicability of the NNIS index for prediction of surgical site infection in orthopedic surgeries and to propose an alternative index. The study involved a historical cohort of 8236 patients who had been submitted to orthopaedic surgery. Statistical analysis was performed using multivariate logistic regression to fit the model. The incidence of infection was 1.41%. Prediction models were evaluated and compared to the NNIS index. The proposed model was not considered a good predictor of infection, despite moderately stratified orthopedic surgical patients in at least three of the four scores. The alternative model scored higher than the NNIS models in the prediction of infection.

Downloads

Download data is not yet available.

Downloads

Published

2011-04-01

Issue

Vol. 19 No. 2 (2011)

Section

Original Articles

License

RLAE’s authorship concept is based on the substantial contribution by each of the individuals listed as authors, mainly in terms of conceiving and planning the research project, collecting or analyzing and interpreting data, writing and critical review. Indication of authors’ names under the article title is limited to six. If more, authors are listed on the online submission form under Acknowledgements. The possibility of including more than six authors will only be examined on multicenter studies, considering the explanations presented by the authors.
Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Surgical site infection in patients submitted to orthopedic surgery: the NNIS risk index and risk prediction . (2011). Revista Latino-Americana De Enfermagem, 19(2), 269-276. https://doi.org/10.1590/S0104-11692011000200007