J Korean Crit Care Nurs.  2022 Oct;15(3):75-87. 10.34250/jkccn.2022.15.3.75.

Validation of the Risk Prediction Tool for Wound Infection in Abdominal Surgery Patients

• Jung HK
• Lee EN

• KMID: 2535832
• DOI: http://doi.org/10.34250/jkccn.2022.15.3.75

Abstract

Purpose
: This retrospective investigation study aimed to determine the predictive validity of superficial surgical site infection assessment tools by measuring the risk score at the surgical site.
Methods
: This study included patients hospitalized to the general surgery department of a Hospital from January 2021 to December 31, 2021. The inclusion criteria were age ≥19 years, general abdominal surgery under general anesthesia, and hospital stay longer than 2 days. Patients who had undergone transplantation were excluded.
Results
: Tool validity results showed that tools including surgical time and operative procedure were more accurate than previously developed tools, with a sensitivity of 71.1%, specificity of 71.4%, positive prediction of 12.3%, negative prediction of 97.8%, and area under the curve of 0.743 (95% confidence interval, 0.678~0.745). The tool's cut-off score was 15, and the risks of infection was increased by 6.14 times at or above this cut-off point. Preoperative hair removal period, surgical wound classification, surgery time, body temperature on the second day after surgery, drainage tube type, and suture type affected the risk of infection at the surgical site.
Conclusion
: The incidence of healthcare-associated infections has been declining in the past decade; however, surgical site infections still account for a considerable proportion. Therefore, early identification of high-risk groups for surgical site infection is crucial for reducing the incidence of surgical site infection using appropriate management.

Keyword

General surgery; Risk assessment; Surgical wound infection; Validation studies; 일반외과수술; 위험 사정; 수술 부위 감염; 타당도 검증연구