ssiapk.htm Appendix K. Final Risk FactorsRisk FactorImportantFeasibleFeasible, Difficult (e.g. Chart Review)Age660Gender350Body Mass Index641Comorbidity Score (Charlson or whatever is available) 521Diabetes631Chronic Lung Disease321Chronic Kidney Disease321Peripheral vascular disease 211Prior site irradiation (At any time) 312Recent operation (Within 30 days) 540Skin carriage of staphylococci311Skin disease in the area of surgery (eg, psoriasis)201Wound Class651Emergent Procedure550ASA Score550Revision/Re-do Operation440Pre-Op Hospitalization (# of days) 550Hx of MRSA321Homelessness100Hospitalizations in Prior 12 Months (#) 000Surgical Site350Insurance/Payor Source010Hx Rheumatologic Disease120Previous Surgical Site Infection541Instututionalized220NNIS Risk Index411Glucose Control (Hgb A1C and Pre-op Glucose) 650Hypocholesterolemia010Preoperative anemia660Postoperative anemia340Remote infection431Malnutrition (Wt loss, albumin, prealbumin) 641Smoking660Alcohol Abuse450Substance Abuse120Staph Aureus Colonization320Preoperative Shower430Immunosuppressive Drugs Pre-Op550Pre-Op Albumin Level650Ascites 521Chronic inflammation 211Corticosteroid therapy w/in 30 Days430Duration of Surgery (min)650Tourniquet Time220Post-Op Mechanical Ventilation220Surgeon Experience (# Past 12 Months)320Surgeon Age000Laparoscopic Approach550General Anesthesia120No. of Personnel in OR320Trainee (Lowest Level) Scrubbed in OR220OR Traffic110Timely Pre-Op Abx660Appropriate Pre-op Abx660Discontinuation of Post-Op Abx <24 hr440Appropriate Intra-Op Re-dosing of Abx550Lowest Intra-Op Temperature550Temperature on Arrival to PACU550Peri-Op Glucose <100000Peri-Op Glucose <200641Peri-Op Transfusion541Skin Prep550Hair Removal550Abx Irrigation120Injections into Wound (e.g., Local Anesthetic)010Implant330Anesthetic Drugs000Outpatient Surgery220Inpatient Surgery220Post-Op Admit110Laminar Airflow OR110HEPA Filtered OR110Number of Procedures (in same OR session) 110Use of Drain650ICU Admission Post-Op110Perioperative Hyperoxia (FiO2 80%)330Peri-Op Insulin Administration220Peri-Op Proton Pump Inhibitor110Peri-Op VTE Prophylaxis220Post-Op Wound Care by Nurse220Anticoagulation Medication220Post-Op Ambulation (What Day?) 110Liters of IV Fluid in OR440Liters of Fluid 24 hrs Post-Op220Central Line230Pre-Op Hemoglobobin550Use of Stryker Suit010Surgeon Beard010Tissue expander use000Daily living assistance needed210Excessive blood loss; > 1 liter430Suture material (Deep, and in wound) 430Incision method110Frequency of glove change100Subcutaneous hematoma420Hx of cancer220Periop allogeneic blood transfusion330Interop vasopressor330preop mechanical ventilation110Hx of abx allergy120Preop urinary catheterization230Skin closure method330Periop lapse in discipline?311Transfer from another hospital010Tumor necrosis factor blockers010Development of DVT010Intraop inspired O2 < 50%120Duration of hypothermia; < 35.5411Tracheotomy010Bowel or bladder dysfunction001No. of surgeons scrubbed120Hx of COPD120Return to Contents Proceed to Next Section Current as of December 2012 Internet Citation: ssiapk.htm. December 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/ssi/ssiapk.html
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