TY - JOUR
T1 - Income Deprivation and Groin Wound Surgical Site Infection
T2 - Cross-Sectional Analysis from the Groin Wound Infection after Vascular Exposure Multicenter Cohort Study
AU - Groin Wound Infection after Vascular Exposure Study Group
AU - Gwilym, Brenig Llwyd
AU - Maheswaran, Ravi
AU - Edwards, Adrian
AU - Thomas-Jones, Emma
AU - Michaels, Jonathan
AU - Bosanquet, And David Charles
AU - Althini, Abdulmunem
AU - Bajwa, Adnan
AU - Elbasty, Ahmed
AU - Elhadi, Ahmed
AU - Hassanin, Ahmed
AU - Msherghi, Ahmed
AU - Shalan, Ahmed
AU - Khaled, Ala
AU - Jones, Aled
AU - Crichton, Alexander
AU - Singh, Aminder
AU - Stimpson, Amy
AU - Batchelder, Andrew
AU - Cowan, Andrew
AU - Duncan, Andrew
AU - Thapar, Ankur
AU - Clothier, Annie
AU - Wafi, Arsalan
AU - Mahmood, Asif
AU - Saratzis, Athanasios
AU - Patterson, Benjamin
AU - Wardle, Bethany
AU - Gwilym, Brenig L.
AU - Egan, Bridget
AU - Eng, Calvin
AU - Brennan, Ciaran
AU - Perrott, Claire
AU - Forrest, Craig
AU - Locker, Dafydd
AU - Rodriguez, Daniel U.
AU - Lowry, Danielle
AU - Cooper, David
AU - Milgrom, David
AU - Mittapalli, Devender
AU - Townsend, Elaine
AU - Schofield, Ella
AU - Boyle, Emily
AU - Kirkham, Emily
AU - Mancuso, Enrico
AU - Saleh, Faris
AU - Picazo, Fernando
AU - Guest, Francesca
AU - Harrison, Gareth
AU - Dovell, George
N1 - Publisher Copyright:
© Copyright 2022, Mary Ann Liebert, Inc., publishers 2022.
PY - 2022/2
Y1 - 2022/2
N2 - Background: Living in deprived areas is associated with poorer outcomes after certain vascular procedures and surgical site infection in other specialties. Our primary objective was to determine whether living in more income-deprived areas was associated with groin wound surgical site infection after arterial intervention. Secondary objectives were to determine whether living in more income-deprived areas was associated with mortality and clinical consequences of surgical site infection. Methods: Postal code data for patients from the United Kingdom who were included in the Groin Wound Infection after Vascular Exposure (GIVE) multicenter cohort study was used to determine income deprivation, based on index of multiple deprivation (IMD) data. Patients were divided into three IMD groups for descriptive analysis. Income deprivation score was integrated into the final multivariable model for predicting surgical site infection. Results: Only patients from England had sufficient postal code data, analysis included 772 groin incisions (624 patients from 22 centers). Surgical site infection occurred in 9.7% incisions (10.3% of patients). Surgical site infection was equivalent between income deprivation tertiles (tertile 1 = 9.5%; tertile 2 = 10.3%; tertile 3 = 8.6%; p = 0.828) as were the clinical consequences of surgical site infection and mortality. Income deprivation was not associated with surgical site infection in multivariable regression analysis (odds ratio [OR], 0.574; 95% confidence interval [CI], 0.038-8.747; p = 0.689). Median age at time of procedure was lower for patients living in more income-deprived areas (tertile 1 = 68 years; tertile 2 = 72 years; tertile 3 = 74 years; p < 0.001). Conclusions: We found no association between living in an income-deprived area and groin wound surgical site infection, clinical consequences of surgical site infection and mortality after arterial intervention. Patients living in more income-deprived areas presented for operative intervention at a younger age, with similar rates of comorbidities to patients living in less income-deprived areas.
AB - Background: Living in deprived areas is associated with poorer outcomes after certain vascular procedures and surgical site infection in other specialties. Our primary objective was to determine whether living in more income-deprived areas was associated with groin wound surgical site infection after arterial intervention. Secondary objectives were to determine whether living in more income-deprived areas was associated with mortality and clinical consequences of surgical site infection. Methods: Postal code data for patients from the United Kingdom who were included in the Groin Wound Infection after Vascular Exposure (GIVE) multicenter cohort study was used to determine income deprivation, based on index of multiple deprivation (IMD) data. Patients were divided into three IMD groups for descriptive analysis. Income deprivation score was integrated into the final multivariable model for predicting surgical site infection. Results: Only patients from England had sufficient postal code data, analysis included 772 groin incisions (624 patients from 22 centers). Surgical site infection occurred in 9.7% incisions (10.3% of patients). Surgical site infection was equivalent between income deprivation tertiles (tertile 1 = 9.5%; tertile 2 = 10.3%; tertile 3 = 8.6%; p = 0.828) as were the clinical consequences of surgical site infection and mortality. Income deprivation was not associated with surgical site infection in multivariable regression analysis (odds ratio [OR], 0.574; 95% confidence interval [CI], 0.038-8.747; p = 0.689). Median age at time of procedure was lower for patients living in more income-deprived areas (tertile 1 = 68 years; tertile 2 = 72 years; tertile 3 = 74 years; p < 0.001). Conclusions: We found no association between living in an income-deprived area and groin wound surgical site infection, clinical consequences of surgical site infection and mortality after arterial intervention. Patients living in more income-deprived areas presented for operative intervention at a younger age, with similar rates of comorbidities to patients living in less income-deprived areas.
KW - Surgical site infection
KW - Vascular surgery
KW - Wound infection
UR - http://www.scopus.com/inward/record.url?scp=85123878742&partnerID=8YFLogxK
U2 - 10.1089/sur.2021.153
DO - 10.1089/sur.2021.153
M3 - Article
C2 - 34698562
AN - SCOPUS:85123878742
SN - 1096-2964
VL - 23
SP - 73
EP - 83
JO - Surgical Infections
JF - Surgical Infections
IS - 1
ER -