Imperial College London
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DrTristanLane

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3311 7317tristan.lane Website

 
 
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Location

 

Remote or 4N12ANorth WingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Groin:2021:10.1111/iwj.13508,
author = {Groin, wound Infection after Vascular Exposure Study Group and Shalhoub, J},
doi = {10.1111/iwj.13508},
journal = {International Wound Journal},
pages = {164--175},
title = {Groin wound infection after vascular exposure (GIVE) multicentre cohort study},
url = {http://dx.doi.org/10.1111/iwj.13508},
volume = {18},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background: 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.Method: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 incidence of groin wound SSI.Results: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 vs 5 days, p=0.005), a significantly higher rate of post-operative acute kidney injury (19.6% vs 11.7%, p=0.018), with no significant difference in 90-day mortality. Female sex, Body Mass Index≥30kg/m2, ischaemic heart disease, aqueous betadine skin preparation, bypass/patch use (vein, xenograft or prosthetic) and increased operative time were independent predictors of SSI. Conclusion: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.
AU  - Groin,wound Infection after Vascular Exposure Study Group
AU  - Shalhoub,J
DO  - 10.1111/iwj.13508
EP  - 175
PY  - 2021///
SN  - 1742-4801
SP  - 164
TI  - Groin wound infection after vascular exposure (GIVE) multicentre cohort study
T2  - International Wound Journal
UR  - http://dx.doi.org/10.1111/iwj.13508
UR  - https://onlinelibrary.wiley.com/doi/10.1111/iwj.13508
UR  - http://hdl.handle.net/10044/1/83810
VL  - 18
ER  -
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