Evidence map›Paper›PMID 38523334›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2024

Effect of Standardized Bundle Care and Bundle Compliance on Reducing Surgical Site Infections: A Pragmatic Retrospective Cohort Study.

Yu-San Chien, Hsiang-Ting Chen, Hsiu-Tzy Chiang, Tz-Shin Luo, Hung-I Yeh, Jin-Cherng Sheu, Jiun-Yi Li

Open access · hybridAbstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Short-term clinical outcomes of changing CSF shunt valve type or shunt valve brand in revision surgeries for the management of pediatric hydrocephalus.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Yu-San ChienDepartment of Critical Care, Mackay Memorial Hospital, Taipei City, Taiwan.
Hsiang-Ting ChenDepartment of Medical Quality, Mackay Memorial Hospital, Taipei City, Taiwan.
Hsiu-Tzy ChiangInfection Control Center, Mackay Memorial Hospital, Taipei City, Taiwan.
Tz-Shin LuoDepartment of Cardiovascular Surgery, Mackay Memorial Hospital, Taipei City, Taiwan.
Hung-I YehDepartment of Internal Medicine, Mackay Memorial Hospital, Taipei City, Taiwan.
Jin-Cherng SheuDepartment of Pediatric Surgery, Mackay Memorial Hospital, Taipei City, Taiwan.
Jiun-Yi LiDepartment of Medicine, Mackay Medical College, Taipei City, Taiwan.
Mackay Memorial Hospital · TWMackay Medical College · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND Care bundles for infection control consist of a set of evidence-based measures to prevent infections. This retrospective study aimed to compare surgical site infections (SSIs) from a single hospital surveillance system between 2017 and 2020, before and after implementing a standardized care bundle across specialties in 2019. It also aimed to assess whether bundle compliance affects the rate of SSIs. MATERIAL AND METHODS A care bundle consisting of 4 components (peri-operative antibiotics use, peri-operative glycemic control, pre-operative skin preparation, and maintaining intra-operative body temperature) was launched in 2019. We compared the incidence rates of SSIs, standardized infection ratio (SIR), and clinical outcomes of surgical procedures enrolled in the surveillance system before and after introducing the bundle care. The level of bundle compliance, defined as the number of fully implemented bundle components, was evaluated. RESULTS We included 6059 procedures, with 2010 in the pre-bundle group and 4049 in the post-bundle group. Incidence rates of SSIs (1.7% vs 1.0%, P=0.013) and SIR (0.8 vs 1.48, P<0.01) were significantly lower in the post-bundle group. The incidence of SSIs was significantly lower when all bundle components were fully adhered to, compared with when only half of the components were adhered to (0.3% vs 4.0%, P<0.01). CONCLUSIONS SSIs decreased significantly after the application of a standardized care bundle for surgical procedures across specialties. Full adherence to all bundle components was the key to effectively reducing the risk of surgical site infections.

Indexed as

Patient Care BundlesSurgical Wound InfectionAnti-Bacterial AgentsHumansInfection ControlRetrospective StudiesAnti-Bacterial Agents

Identifiers

PMID38523334
PMCPMC10979649
OpenAlexW4392098897

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.