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Groin wound infection after vascular exposure ( GIVE ) multicentre cohort study

Gwilym, BL; Saratzis, A; Benson, RA; Forsythe, R; Dovell, G; Dattani, N; Lane, T; Shalhoub, J; Bosanquet, D; Gwilym, BL; et al. Gwilym, BL; Saratzis, A; Benson, RA; Forsythe, R; Dovell, G; Dattani, N; Lane, T; Shalhoub, J; Bosanquet, D; Gwilym, BL; Hitchman, L; Dattani, N; Onida, S; Dovell, G; Forsythe, R; Bosanquet, D; Gwilym, BL; Saratzis, A; Ambler, GK; Bosanquet, D; Benson, RA; Nandhra, S; Shalhoub, J; Saratzis, A; Onida, S; Forsythe, R; Dattani, N; Ambler, GK; Bosanquet, D; Stather, P; Singh, A; Mancuso, E; Arifi, M; Altabal, M; Elhadi, A; Althini, A; Ahmed, H; Davies, H; Rangaraju, M; Juszczak, M; Nicholls, J; Platt, N; Olivier, J; Kirkham, E; Cooper, D; Roy, I; Harrison, G; Ackah, J; Mittapalli, D; Barry, I; Richards, T; Elbasty, A; Moore, H; Bajwa, A; Duncan, A; Batchelder, A; Vanias, T; Brown, M; Saratzis, A; Yap, T; Green, L; Smith, G; Hurst, K; Rodriguez, DU; Schofield, E; Danbury, H; Wallace, T; Forsyth, J; Stimpson, A; Hopkins, L; Mohiuddin, K; Nandhra, S; Mohammadi‐Zaniani, G; Tigkiropoulos, K; Shalan, A; Bashar, K; Sam, R; Forrest, C; Debono, S; Hussey, K; Falconer, R; Korambayil, S; Brennan, C; Wilson, T; Jones, A; Hardy, T; Burton, H; Cowan, A; Contractor, U; Townsend, E; Grant, O; Cronin, M; Rocker, M; Lowry, D; Clothier, A; Locker, D; Forsythe, R; McBride, O; Eng, C; Jamieson, R; Altaf, N; Picazo, F; Sieunarine, K; Benson, RA; Crichton, A; Dattani, N; Akhtar, T; Suttenwood, H; Guest, F; Wardle, B; Dovell, G; Chinai, N; Ambler, GK; Bosanquet, D; Hinchliffe, R; Beckitt, T; Wafi, A; Thapar, A; Moxey, P; Lane, T; Preece, R; Naidoo, K; Patterson, B; Perrott, C; Shalhoub, J; Aherne, T; Hassanin, A; Boyle, E; Egan, B; Tierney, S; Patel, S; Birmpili, P; Kandola, S; Neequaye, S; Elhadi, M; Msherghi, A; Khaled, A; Meecham, L; Fisher, O; Mahmood, A; Milgrom, D; Burke, K; Saleh, F; Al‐Samarneh, T (2021) Groin wound infection after vascular exposure ( GIVE ) multicentre cohort study. International Wound Journal, 18 (2). pp. 164-175. ISSN 1742-4801 https://doi.org/10.1111/iwj.13508
SGUL Authors: Roy, Iain Nicholas

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Abstract

Surgical site infections (SSIs) of groin wounds are a common and potentially preventable cause of morbidity, mortality, and healthcare costs in vascular surgery. Our aim was to define the contemporaneous rate of groin SSIs, determine clinical sequelae, and identify risk factors for SSI. An international multicentre prospective observational cohort study of consecutive patients undergoing groin incision for femoral vessel access in vascular surgery was undertaken over 3 months, follow‐up was 90 days. The primary outcome was the incidence of groin wound SSI. 1337 groin incisions (1039 patients) from 37 centres were included. 115 groin incisions (8.6%) developed SSI, of which 62 (4.6%) were superficial. Patients who developed an SSI had a significantly longer length of hospital stay (6 versus 5 days, P = .005), a significantly higher rate of post‐operative acute kidney injury (19.6% versus 11.7%, P = .018), with no significant difference in 90‐day mortality. Female sex, Body mass index≥30 kg/m2, ischaemic heart disease, aqueous betadine skin preparation, bypass/patch use (vein, xenograft, or prosthetic), and increased operative time were independent predictors of SSI. Groin infections, which are clinically apparent to the treating vascular unit, are frequent and their development carries significant clinical sequelae. Risk factors include modifiable and non‐modifiable variables.

Item Type: Article
Additional Information: © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Keywords: 1103 Clinical Sciences, 1110 Nursing, Dermatology & Venereal Diseases
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: International Wound Journal
ISSN: 1742-4801
Language: en
Dates:
DateEvent
26 March 2021Published
25 November 2020Published Online
21 September 2020Accepted
Publisher License: Creative Commons: Attribution-Noncommercial 4.0
URI: https://openaccess.sgul.ac.uk/id/eprint/113011
Publisher's version: https://doi.org/10.1111/iwj.13508

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