The association of noise and surgical-site infection in day-case hernia repairs

Surgery
Shamik DholakiaKristof Nemeth

Abstract

Surgical-site infections (SSIs) are associated with an increased duration of hospital stay, poorer quality of life, and an marked increase in cost to the hospital. Lapses in compliance with aseptic principles are a substantial risk factor for SSI, which may be attributable to distractions such as noise during the operation. The aims of this study were to assess whether noise levels in the operating room are associated with the development of SSI and to elucidate the extent to which these levels affect the financial burden of surgery. Prospective data collection from elective, day-case male patients undergoing elective hernia repairs was undertaken. Patients were included if they were fit and at low risk for SSI. Sound levels during procedures was measured via a decibel meter and correlated with the incidence of SSI. Data analysis was performed with IBM SPSS (IBM, Armonk, NY). Noise levels were substantially greater in patients with SSI from time point of 50 minutes onwards, which correlated to when wound closure was occurring. Additional hospital costs for these patients were £243 per patient based on the National Health Service 2013 reference costing. Decreasing ambient noise levels in the operating room may aid in reducing th...Continue Reading

References

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Citations

Feb 26, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Peter WaterlandChandra Cheruvu
May 20, 2017·Anesthesia and Analgesia·Richard R McNeerRoman Dudaryk
Nov 11, 2017·Expert Review of Anti-infective Therapy·Seven Johannes Sam Aghdassi, Petra Gastmeier
Mar 19, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Dan Michael DrzymalskiMichaela Kristina Farber
Dec 26, 2018·Journal of Surgical Oncology·Francisco A Guzman-PrunedaCarl R Schmidt
Apr 8, 2016·Ergonomics·Sandra KellerNorbert K Semmer
Jul 7, 2018·World Journal of Surgery·Sandra KellerGuido Beldi
Aug 22, 2018·Veterinary Surgery : VS·Josephine DornbuschJames Colee
Oct 21, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Ayşen Arabacı, Ebru Önler
Feb 10, 2021·Annals of the Royal College of Surgeons of England·Rwj McleodH A Elhassan
Mar 8, 2021·The Journal of Surgical Research·Victor X FuJohannes Jeekel
Apr 16, 2021·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Ryan D McmullanJohanna I Westbrook
Jun 23, 2021·The British Journal of Surgery·M LevinA Langerman

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