Staff View
Assessment of interhospital differences in the surgical site infection rates due to the patient and hospital related risk factors in US hospitals

Descriptive

TitleInfo
Title
Assessment of interhospital differences in the surgical site infection rates due to the patient and hospital related risk factors in US hospitals
Name (type = personal)
NamePart (type = family)
Gujar
NamePart (type = given)
Vibha
DisplayForm
Vibha Gujar
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Srinivasan
NamePart (type = given)
Shankar
DisplayForm
Shankar Srinivasan
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Health Professions
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
Genre (authority = ExL-Esploro)
ETD doctoral
OriginInfo
DateCreated (qualifier = exact); (encoding = w3cdtf); (keyDate = yes)
2021
DateOther (type = degree); (qualifier = exact); (encoding = w3cdtf)
2021-01
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Surgical site infection (SSI) is a significant patient safety issue in hospitals that is related to more extended hospital stays, and increased cost burden. Since the infection prevention strategies been inconsistently implemented in hospitals, hospital size must be an influential factor to cause an impact on SSI rates.

We retrospectively analyzed 222,845 cases with SSI from National Inpatient Sample (NIS) data developed for Healthcare Cost and Utilization Project (HCUP) database, between the year 2008 and 2012 at small (<250 beds), medium (25-450 beds), and large (100-450+ beds) size hospitals. Risk factors, including demographics, socioeconomic, location, and functioning features then introduced to compare interhospital SSI prevalence and county-specific SSI rates. Finally, risk factors were regressed to assess the association between risk factors and SSI measures.

With an overall prevalence of 2.67 per 100 procedures, unadjusted prevalence rates were 2.9% in small, 2.62% in medium, and 2.65% in large hospitals (p<0.0001). Patients with transfers, high severity of the disease, comorbidities, catheterization, and academic hospitals were the vital distinguishing factors for SSI rates amongst the hospital varying in capacities. The elderly patients at the small rural and minorities (Black and Hispanic patients) at the large urban teaching hospitals were at higher SSI risks. Fluid & electrolyte imbalances and weight loss were most recorded comorbidities.

Every year hospital administration aims to reduce SSIs without losing gained revenue. Besides infrequent adherence to infection prevention (IP) strategies, it identifies hospital and patient-related conditions that influence SSI rates. According to this study, interhospital SSI rates disparity associations were multifactorial with partial elucidations allied to variances in demographics, transfers, level of severity of the disease, comorbidities, and socioeconomic factors in small and large hospitals. The findings also led to more infection reduction exertions towards hospitals from rural and teaching hospitals from urban counties. Therefore, the assessments of infection prevention deficiencies with the refined overtime data provide more information on modifiable indicators and that if explored in more detail at hospital settings, it can help infection preventionist for benchmarking.
Subject (authority = local)
Topic
Surgical site infection
Subject (authority = LCSH)
Topic
Surgical wound infections
Subject (authority = RUETD)
Topic
Biomedical Informatics
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_11301
PhysicalDescription
Form (authority = gmd)
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (xii, 163 pages) : illustrations
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
RelatedItem (type = host)
TitleInfo
Title
School of Health Professions ETD Collection
Identifier (type = local)
rucore10007400001
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier (type = doi)
doi:10.7282/t3-408m-t347
Back to the top

Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Gujar
GivenName
Vibha
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2020-10-29 14:19:50
AssociatedEntity
Name
Vibha Gujar
Role
Copyright holder
Affiliation
Rutgers University. School of Health Professions
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2021-01-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2021-08-02
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after August 2nd, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
Back to the top

Technical

RULTechMD (ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem (VERSION = 5.1)
windows xp
CreatingApplication
Version
1.6
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-10-19T10:51:54
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2020-12-01T15:50:41
ApplicationName
Adobe PDF Library 20.12.80
Back to the top
Version 8.5.5
Rutgers University Libraries - Copyright ©2024