Applicability of two surgical-site infection risk indices to risk of sepsis in surgical patients.
Infect Control Hosp Epidemiol
; 21(10): 633-8, 2000 Oct.
Article
em En
| MEDLINE
| ID: mdl-11083178
ABSTRACT
OBJECTIVE:
To compare the ability of the Study of the Efficacy of Nosocomial Infection Control (SENIC) and the National Nosocomial Infection Surveillance (NNIS) indices to predict the development of nosocomial sepsis in subjects undergoing surgery.DESIGN:
1-year prospective case-control study.SETTING:
A tertiary-care center in Spain. PATIENTS Cases were surgical patients with nosocomial sepsis defined using the criteria of the Consensus Conference on Sepsis, identified by daily prospective surveillance.METHODS:
Controls were randomly selected from the daily list of surgical inpatients. Data were prospectively collected. To determine whether either index added explanatory information to the other, two methods were used. The first method involved computing a set of residuals for both variables. Residuals and primary variables were introduced in logistic regression models. The second method evaluated both indices with the Goodman-Kruskal (G) nonparametric coefficient.RESULTS:
99 cases and 97 controls were included. After controlling for confounders, both the SENIC index (P<.001) and the NNIS index (P=.04) showed a significant trend. Residuals of the SENIC index added discriminating ability to the NNIS index, whereas residuals of the NNIS index did not improve the prediction ability of the SENIC index. Similar results were yielded by the G statistic the SENIC index showed higher predictive power than the NNIS index (G=0.56 vs G=0.41).CONCLUSIONS:
Both indices performed about equally well for discriminating risk of nosocomial sepsis. The SENIC index had a somewhat better ability than the NNIS index only when the number of discharge diagnoses (not truly a predictive factor) were involved in the calculation of the SENIC index.
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Base de dados:
MEDLINE
Assunto principal:
Infecção da Ferida Cirúrgica
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Middle aged
País como assunto:
Europa
Idioma:
En
Ano de publicação:
2000
Tipo de documento:
Article