Surgical site infections (SSIs) are critical complications that can elevate postoperative morbidity, extend hospitalization durations, and increase medical expenses. Given the growing preference for outpatient surgical operations, understanding the differential in SSI rates between outpatient and inpatient settings becomes paramount. This study aimed to evaluate and compare the incidence of SSIs in outpatient versus inpatient surgical procedures. A comprehensive review of 500 surgical cases from a single‐center database over three years (2020‐2022) was performed. Patients were bifurcated into outpatient (n = 250) and inpatient (n = 250) categories. The primary metric was the emergence of SSIs within a 30‐day post‐surgical window. Confounding variables, such as demographic information, comorbidity profiles, complexity of the surgery and preoperative antibiotic administration, were balanced using multivariable logistic regression. Within the outpatient cohort, SSIs were noted in 10.0% of cases, whereas the inpatient group exhibited a rate of 22.0%. When accounting for confounding elements, outpatient surgical interventions displayed a distinct odds ratio (OR = 2.48, 95% CI 1.52‐4.02, p<0.01) for SSIs in comparison to their inpatient counterparts. The data underscore a discernible variance in SSI rates between outpatient and inpatient surgical settings. The insights gathered underscore the importance of procedure‐specific infection prevention methodologies based on the surgical environment.
Chetan D. Dhandore, Babu P. Ubale, Mayur M. Mastud and Sanjay R. Gaikwad. Assessment of Surgical Site Infection Rates in Outpatient vs. Inpatient Procedures.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.10.24.29
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.10.24.29