Please use this identifier to cite or link to this item: http://cmuir.cmu.ac.th/jspui/handle/6653943832/57653
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dc.contributor.authorSrisuda Assawapalanggoolen_US
dc.contributor.authorNongyao Kasatpibalen_US
dc.contributor.authorSupatra Sirichotiyakulen_US
dc.contributor.authorRajin Aroraen_US
dc.contributor.authorWatcharin Suntornlimsirien_US
dc.date.accessioned2018-09-05T03:47:32Z-
dc.date.available2018-09-05T03:47:32Z-
dc.date.issued2017-08-01en_US
dc.identifier.issn15578674en_US
dc.identifier.issn10962964en_US
dc.identifier.other2-s2.0-85028422329en_US
dc.identifier.other10.1089/sur.2016.264en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85028422329&origin=inwarden_US
dc.identifier.urihttp://cmuir.cmu.ac.th/jspui/handle/6653943832/57653-
dc.description.abstract© 2017, Mary Ann Liebert, Inc. 2017. Background: Organ/space surgical site infections (SSIs) are serious complications after cesarean delivery. However, no scoring tool to predict these complications has yet been developed. This study sought to develop and validate a prognostic scoring tool for cesarean organ/space SSIs. Methods: Data for case and non-case of cesarean organ/space SSI between January 1, 2007 and December 31, 2012 from a tertiary care hospital in Thailand were analyzed. Stepwise multivariable logistic regression was used to select the best predictor combination and their coefficients were transformed to a risk scoring tool. The likelihood ratio of positive for each risk category and the area under receiver operating characteristic (AUROC) curves were analyzed on total scores. Internal validation using bootstrap re-sampling was tested for reproducibility. Results: The predictors of 243 organ/space SSIs from 4,988 eligible cesarean delivery cases comprised the presence of foul-smelling amniotic fluid (four points), vaginal examination five or more times before incision (two points), wound class III or greater (two points), being referred from local setting (two points), hemoglobin less than 11 g/dL (one point), and ethnic minorities (one point). The likelihood ratio of cesarean organ/space SSIs with 95% confidence interval among low (total score of 0-1 point), medium (total score of 2-5 points), and high risk (total score of ≥6 points) categories were 0.11 (0.07-0.19), 1.03 (0.89-1.18), and 13.25 (10.87-16.14), respectively. Both AUROCs of the derivation and validation data were comparable (87.57% versus 86.08%; p = 0.418). Conclusions: This scoring tool showed a high predictive ability regarding cesarean organ/space SSIs on the derivation data and reproducibility was demonstrated on internal validation. It could assist practitioners prioritize patient care and management depending on risk category and decrease SSI rates in cesarean deliveries.en_US
dc.subjectMedicineen_US
dc.titleA Prognostic Scoring Tool for Cesarean Organ/Space Surgical Site Infections: Derivation and Internal Validationen_US
dc.typeJournalen_US
article.title.sourcetitleSurgical Infectionsen_US
article.volume18en_US
article.stream.affiliationsMae Sot General Hospitalen_US
article.stream.affiliationsChiang Mai Universityen_US
article.stream.affiliationsLampang Hospitalen_US
article.stream.affiliationsNakornping Hospitalen_US
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