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Income Deprivation and Groin Wound Surgical Site Infection: Cross-Sectional Analysis from the Groin Wound Infection after Vascular Exposure Multicenter Cohort Study
- Source :
- Gwilym, B L, Maheswaran, R, Edwards, A G K, Thomas-Jones, E, Michaels, J, Bosanquet, D C 2022, ' Income Deprivation and Groin Wound Surgical Site Infection : Cross-Sectional Analysis from the Groin Wound Infection after Vascular Exposure Multicenter Cohort Study ', Surgical Infections, vol. 23, no. 1, pp. 73-83 . https://doi.org/10.1089/sur.2021.153
- Publication Year :
- 2021
-
Abstract
- Background: Living in deprived areas is associated with poorer outcomes after certain vascular procedures and surgical site infection in other specialties. Our primary objective was to determine whether living in more income-deprived areas was associated with groin wound surgical site infection after arterial intervention. Secondary objectives were to determine whether living in more income-deprived areas was associated with mortality and clinical consequences of surgical site infection. Methods: Postal code data for patients from the United Kingdom who were included in the Groin Wound Infection after Vascular Exposure (GIVE) multicenter cohort study was used to determine income deprivation, based on index of multiple deprivation (IMD) data. Patients were divided into three IMD groups for descriptive analysis. Income deprivation score was integrated into the final multivariable model for predicting surgical site infection. Results: Only patients from England had sufficient postal code data, analysis included 772 groin incisions (624 patients from 22 centers). Surgical site infection occurred in 9.7% incisions (10.3% of patients). Surgical site infection was equivalent between income deprivation tertiles (tertile 1 = 9.5%; tertile 2 = 10.3%; tertile 3 = 8.6%; p = 0.828) as were the clinical consequences of surgical site infection and mortality. Income deprivation was not associated with surgical site infection in multivariable regression analysis (odds ratio [OR], 0.574; 95% confidence interval [CI], 0.038-8.747; p = 0.689). Median age at time of procedure was lower for patients living in more income-deprived areas (tertile 1 = 68 years; tertile 2 = 72 years; tertile 3 = 74 years; p
- Subjects :
- Microbiology (medical)
medicine.medical_specialty
Cross-sectional study
Groin
vascular surgery
Cohort Studies
Risk Factors
Internal medicine
medicine
Humans
Surgical Wound Infection
business.industry
Odds ratio
Vascular surgery
Wound infection
Confidence interval
Infectious Diseases
medicine.anatomical_structure
Cross-Sectional Studies
Treatment Outcome
wound infection
Surgery
business
Surgical site infection
Vascular Surgical Procedures
Cohort study
Subjects
Details
- ISSN :
- 15578674
- Volume :
- 23
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Surgical infections
- Accession number :
- edsair.doi.dedup.....154257514fefc30c4b0ab7c185f4e4c8