ssiapi.htm Appendix I. Initial Risk FactorsRisk FactorEvidenceModifiable?PatientPerioperativeSurgeonAge NY Gender NY Body Mass IndexIINY Comorbidity Score NY DiabetesIINY Chronic Lung Disease NY Chronic Kidney Disease NY Peripheral vascular disease NY Prior site irradiation NY Recent operation NY Skin carriage of staphylococci NY Skin disease in the area of infection (eg, psoriasis) NY Wound ClassINY Emergent Procedure NY ASA ScoreINY Revision/Re-do Operation NY Pre-Op Hospitalization NY Hx of MRSA NY Post-Op Wound Care by Nurse Y Y Hospitalizations in Prior 12 Months NY Surgical Site NY Anesthetic Drugs Y Y Hx Rheumatologic Disease NY Previous Surgical Site Infection NY Instututionalized NY NNIS Risk IndexINY Glucose Control YY Hypocholesterolemia YY Preoperative anemia YY Postoperative anemia YY Remote infection YY Malnutrition YY Smoking YY Outpatient Surgery Y Y Inpatient Surgery Y Y Staph Aureus Colonization YY Preoperative Shower YY Immunosuppressive Drugs Pre-Op YY Pre-Op Albumin Level Y Ascites Y Chronic inflammation Y Corticosteroid therapy w/in 30 Days Y Duration of Surgery (min) N Y Tourniquet Time N Y Post-Op Mechanical Ventilation N Y Laminar Airflow OR Y Y HEPA Filtered OR Y Y Laparoscopic ApproachIY Y General Anesthesia Y Y Post-Op Admit Y Y ICU Admission Post-Op Y Y Perioperative Hyperoxia (FiO2 80%) Y Y Timely Pre-Op AbxIY Y Appropriate Pre-op AbxIIY Y Discontinuation of Post-Op Abx <24 hrIIIY Y Appropriate Intra-Op Re-dosing of Abx Y Y Lowest Intra-Op TemperatureIY Y Temperature on Arrival to PACUIY Y Peri-Op Glucose <100 Y Y Peri-Op Glucose <200 Y Y Peri-Op TransfusionIIY Y Skin PrepIY Y Hair RemovalIIY Y Abx Irrigation Y Y Injections into Wound (e.g., Local Anesthetic) Y Y Implant Y Y Tissue expander useD Daily living assistance neededM Excessive blood loss; > 1 literM Suture material (Deep, and in wound) D Incision methodM Frequency of glove changeU Subcutaneous hematomaD if ICD9 or M Hx of cancerD Periop allogeneic blood transfusionM for periop Interop vasopressorD preop mechanical ventilationLL Hx of abx allergyLL Preop urinary catheterizationLL Skin closure methodM Periop lapse in discipline??? Transfer from another hospitalD Tumor necrosis factor blockersD Development of DVTD Intraop inspired O2 < 50%M Duration of hypothermia; < 35.5D for approx. time TracheotomyD Bowel or bladder dysfunctionD No. of surgeons scrubbedD Hx of COPDD Return to Contents Proceed to Next Section Current as of December 2012 Internet Citation: ssiapi.htm. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/ssi/ssiapi.html
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