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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Groin wound infection after vascular exposure (GIVE) multicentre cohort study
International Wound Journal, Volume 18, No. 2, Year 2021
Notification
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Description
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. © 2020 The Authors. International Wound Journal published by Medicalhelplines.com Inc (3M) and John Wiley & Sons Ltd.
Authors & Co-Authors
Gwilym, Brenig Llwyd
Unknown Affiliation
Saratzis, Athanasios N.
Unknown Affiliation
Forsythe, Rachael O.
Unknown Affiliation
Dovell, George E.
Unknown Affiliation
Dattani, Nikesh
Unknown Affiliation
Shalhoub, Joseph
Unknown Affiliation
Hitchman, Louise Helen
Unknown Affiliation
Ambler, Graeme Keith
Unknown Affiliation
Nandhra, Sandip
Unknown Affiliation
Stather, Philip W.
Unknown Affiliation
Singh, Aminder Anthony
Unknown Affiliation
Mancuso, Enrico
Unknown Affiliation
Arifi, Mohedin
Unknown Affiliation
Altabal, Mohamed
Unknown Affiliation
Elhadi, Ahmed
Unknown Affiliation
Althini, Abdulmunem Ahmed Mustafa
Unknown Affiliation
Davies, Huw O.B.
Unknown Affiliation
Rangaraju, Madhu
Unknown Affiliation
Juszczak, Maciej Tadeusz
Unknown Affiliation
Nicholls, Jonathan
Unknown Affiliation
Platt, Nicholas
Unknown Affiliation
Olivier, James B.
Unknown Affiliation
Kirkham, Emily Natasha
Unknown Affiliation
Cooper, David G.
Unknown Affiliation
Roy, Iain N.
Unknown Affiliation
Harrison, Gareth
Unknown Affiliation
Ackah, James Kofi
Unknown Affiliation
Mittapalli, Devender
Unknown Affiliation
Barry, Ian Patrick
Unknown Affiliation
Richards, Toby A.
Unknown Affiliation
Elbasty, Ahmed
Unknown Affiliation
Moore, Hayley M.
Unknown Affiliation
Bajwa, Adnan
Unknown Affiliation
Duncan, Andrew N.
Unknown Affiliation
Batchelder, A. J.
Unknown Affiliation
Brown, Matthew J.C.
Unknown Affiliation
Green, Lucy
Unknown Affiliation
Smith, George Edward
Unknown Affiliation
Hurst, Katherine Victoria
Unknown Affiliation
Rodriguez, Daniel U.
Unknown Affiliation
Schofield, Ella
Unknown Affiliation
Danbury, Hannah
Unknown Affiliation
Forsyth, James M.
Unknown Affiliation
Stimpson, Amy L.
Unknown Affiliation
Hopkins, Luke
Unknown Affiliation
Mohiuddin, Kamran
Unknown Affiliation
Mohammadi-Zaniani, Ghazaleh
Unknown Affiliation
Tigkiropoulos, Konstantinos
Unknown Affiliation
Shalan, Ahmed
Unknown Affiliation
Bashar, Khalid
Unknown Affiliation
Sam, Rachel Clare
Unknown Affiliation
Forrest, Craig
Unknown Affiliation
Hussey, Keith Kelso
Unknown Affiliation
Falconer, Rachel
Unknown Affiliation
Brennan, Ciaran
Unknown Affiliation
Jones, Aled
Unknown Affiliation
Burton, Hannah
Unknown Affiliation
Cowan, Andrew R.
Unknown Affiliation
Townsend, Elaine
Unknown Affiliation
Grant, Olivia
Unknown Affiliation
Cronin, Michelle
Unknown Affiliation
Rocker, Michael D.
Unknown Affiliation
Lowry, Danielle
Unknown Affiliation
Clothier, Annie
Unknown Affiliation
Locker, Dafydd Tudor
Unknown Affiliation
McBride, Olivia M.B.
Unknown Affiliation
Eng, Calvin
Unknown Affiliation
Altaf, Nishath
Unknown Affiliation
Picazo, Fernando
Unknown Affiliation
Sieunarine, Kishore
Unknown Affiliation
Crichton, Alexander B.
Unknown Affiliation
Suttenwood, Helen
Unknown Affiliation
Guest, Francesca L.
Unknown Affiliation
Wardle, Bethany G.
Unknown Affiliation
Chinai, Natasha
Unknown Affiliation
Hinchliffe, Robert J.
Unknown Affiliation
Wafi, Arsalan
Unknown Affiliation
Thapar, Ankur
Unknown Affiliation
Moxey, Paul W.
Unknown Affiliation
Preece, Ryan A.
Unknown Affiliation
Naidoo, Kamil
Unknown Affiliation
Patterson, Benjamin Oliver
Unknown Affiliation
Perrott, Claire
Unknown Affiliation
Aherne, Thomas Michael
Unknown Affiliation
Hassanin, A. I.
Unknown Affiliation
Boyle, Emily M.
Unknown Affiliation
Egan, Bridget M.
Unknown Affiliation
Tierney, Sean
Unknown Affiliation
Birmpili, Panagiota
Unknown Affiliation
Elhadi, Muhammed K.
Unknown Affiliation
Msherghi, Ahmed
Unknown Affiliation
Khaled, Ala
Unknown Affiliation
Meecham, Lewis A.
Unknown Affiliation
Fisher, Owain L.
Unknown Affiliation
Mahmood, Asif
Unknown Affiliation
Milgrom, David
Unknown Affiliation
Burke, Kerry A.
Unknown Affiliation
Saleh, Faris
Unknown Affiliation
Statistics
Citations: 17
Authors: 98
Identifiers
Doi:
10.1111/iwj.13508
ISSN:
17424801
Research Areas
Health System And Policy
Noncommunicable Diseases
Violence And Injury
Study Design
Cohort Study
Study Approach
Quantitative
Participants Gender
Female