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Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study

Background: Surgical site infections (SSIs) have a major role in the evolution of medical care. Despite centuries of medical progress, the management of surgical infection remains a pressing concern. Nowadays, the SSIs continue to be an important factor able to increase the hospitalization duration,...

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Autores principales: Scala, Arianna, Loperto, Ilaria, Triassi, Maria, Improta, Giovanni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408161/
https://www.ncbi.nlm.nih.gov/pubmed/36011656
http://dx.doi.org/10.3390/ijerph191610021
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author Scala, Arianna
Loperto, Ilaria
Triassi, Maria
Improta, Giovanni
author_facet Scala, Arianna
Loperto, Ilaria
Triassi, Maria
Improta, Giovanni
author_sort Scala, Arianna
collection PubMed
description Background: Surgical site infections (SSIs) have a major role in the evolution of medical care. Despite centuries of medical progress, the management of surgical infection remains a pressing concern. Nowadays, the SSIs continue to be an important factor able to increase the hospitalization duration, cost, and risk of death, in fact, the SSIs are a leading cause of morbidity and mortality in modern health care. Methods: A study based on statistical test and logistic regression for unveiling the association between SSIs and different risk factors was carried out. Successively, a predictive analysis of SSIs on the basis of risk factors was performed. Results: The obtained data demonstrated that the level of surgery contamination impacts significantly on the infection rate. In addition, data also reveals that the length of postoperative hospital stay increases the rate of surgical infections. Finally, the postoperative length of stay, surgery department and the antibiotic prophylaxis with 2 or more antibiotics are a significant predictor for the development of infection. Conclusions: The data report that the type of surgery department and antibiotic prophylaxis there are a statistically significant predictor of SSIs. Moreover, KNN model better handle the imbalanced dataset (48 infected and 3983 healthy), observing highest accuracy value.
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spelling pubmed-94081612022-08-26 Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study Scala, Arianna Loperto, Ilaria Triassi, Maria Improta, Giovanni Int J Environ Res Public Health Article Background: Surgical site infections (SSIs) have a major role in the evolution of medical care. Despite centuries of medical progress, the management of surgical infection remains a pressing concern. Nowadays, the SSIs continue to be an important factor able to increase the hospitalization duration, cost, and risk of death, in fact, the SSIs are a leading cause of morbidity and mortality in modern health care. Methods: A study based on statistical test and logistic regression for unveiling the association between SSIs and different risk factors was carried out. Successively, a predictive analysis of SSIs on the basis of risk factors was performed. Results: The obtained data demonstrated that the level of surgery contamination impacts significantly on the infection rate. In addition, data also reveals that the length of postoperative hospital stay increases the rate of surgical infections. Finally, the postoperative length of stay, surgery department and the antibiotic prophylaxis with 2 or more antibiotics are a significant predictor for the development of infection. Conclusions: The data report that the type of surgery department and antibiotic prophylaxis there are a statistically significant predictor of SSIs. Moreover, KNN model better handle the imbalanced dataset (48 infected and 3983 healthy), observing highest accuracy value. MDPI 2022-08-14 /pmc/articles/PMC9408161/ /pubmed/36011656 http://dx.doi.org/10.3390/ijerph191610021 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Scala, Arianna
Loperto, Ilaria
Triassi, Maria
Improta, Giovanni
Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study
title Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study
title_full Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study
title_fullStr Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study
title_full_unstemmed Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study
title_short Risk Factors Analysis of Surgical Infection Using Artificial Intelligence: A Single Center Study
title_sort risk factors analysis of surgical infection using artificial intelligence: a single center study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408161/
https://www.ncbi.nlm.nih.gov/pubmed/36011656
http://dx.doi.org/10.3390/ijerph191610021
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