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SSI (Surgical Site Infection) rate is an important consideration after emergency laparotomy. SSIs carry a high financial burden for health institutes with the cost of major SSIs after emergency laparotomy to add an additional cost of £10000-£15000 per patient.
NICE has recommended the use of PICO dressings for the reduction of SSI rate as a cost-neutral.
The purpose of this study was to review the current SSI rate, assess the patient risk factors for development of SSIs and evaluate if the use of PICO dressings as per NICE guidelines will reduce the SSI rate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard surgical dressings (Clearpore) | |||
| NPWT dressing (PICO) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PICO dressing | Device | Negative Pressure Wound Therapy device |
|
| Measure | Description | Time Frame |
|---|---|---|
| SSI Day 7 | Presence of SSI | Day 7 |
| Measure | Description | Time Frame |
|---|---|---|
| SSI Day 7 | Presence of SSI | Day 28 |
| Length of stay | Length of stay | through study completion, an average of 6 months |
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Inclusion Criteria:
Exclusion Criteria:
- Reoperation with 28 days of index laparotomy
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All adult patients (>/= 18 years) undergoing emergency (laparotomy) surgery at a single centre (North Middlesex University Hospital, London, UK) will be included.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nader University Bedwani | London | N18 1QX | United Kingdom |
Will be shared through IRAS
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| ID | Term |
|---|---|
| D013530 | Surgical Wound Infection |
| ID | Term |
|---|---|
| D014946 | Wound Infection |
| D007239 | Infections |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
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| Surgical site complications | Number of participants with other complications of the wound to include dehiscence and burst abdomen | Day 28 |
| Reoperation | Number of participants undergoing reoperation | Day 28 |
| SSI grading | SSI grading as per Southampton scoring system (if applicable) (Grade 0-5 with 5 being worse outcome) | Day 28 |
| Length of antibiotic therapy | Duration of post-operative antibiotic therapy | Day 28 |
| D013568 |
| Pathological Conditions, Signs and Symptoms |