{"id":"https://openalex.org/W7225201691","doi":"https://doi.org/10.1111/iwj.71088","title":"Surgical Site Infection: Conditional Influence of Surgery Duration and ASA Classification in Major Procedures","display_name":"Surgical Site Infection: Conditional Influence of Surgery Duration and ASA Classification in Major Procedures","publication_year":2026,"publication_date":"2026-11-01","ids":{"openalex":"https://openalex.org/W7225201691","doi":"https://doi.org/10.1111/iwj.71088","pmid":"https://pubmed.ncbi.nlm.nih.gov/42972845","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13728313"},"language":"en","primary_location":{"id":"doi:10.1111/iwj.71088","doi":"https://doi.org/10.1111/iwj.71088","is_oa":true,"landing_page_url":"https://doi.org/10.1111/iwj.71088","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/iwj.71088","source":{"id":"https://openalex.org/S118780703","display_name":"International Wound Journal","issn_l":"1742-4801","issn":["1742-4801","1742-481X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Wound Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/iwj.71088","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030100175","display_name":"Adriana Cristina de Oliveira","orcid":"https://orcid.org/0000-0002-4821-6068","observed_orcids":["https://orcid.org/0000-0002-4821-6068"]},"institutions":[{"id":"https://openalex.org/I110200422","display_name":"Universidade Federal de Minas Gerais","ror":"https://ror.org/0176yjw32","country_code":"BR","type":"education","lineage":["https://openalex.org/I110200422"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Adriana Cristina Oliveira","raw_affiliation_strings":["School of Nursing Universidade Federal de Minas Gerais  Belo Horizonte Minas Gerais Brazil"],"raw_orcid":"https://orcid.org/0000-0002-4821-6068","affiliations":[{"raw_affiliation_string":"School of Nursing Universidade Federal de Minas Gerais  Belo Horizonte Minas Gerais Brazil","institution_ids":["https://openalex.org/I110200422"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5079729168","display_name":"Robert Aldo Iquiapaza","orcid":"https://orcid.org/0000-0003-1657-2823","observed_orcids":["https://orcid.org/0000-0003-1657-2823"]},"institutions":[{"id":"https://openalex.org/I110200422","display_name":"Universidade Federal de Minas Gerais","ror":"https://ror.org/0176yjw32","country_code":"BR","type":"education","lineage":["https://openalex.org/I110200422"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Robert Aldo Iquiapaza","raw_affiliation_strings":["Faculty of Economic Sciences Universidade Federal de Minas Gerais  Belo Horizonte Minas Gerais Brazil"],"raw_orcid":"https://orcid.org/0000-0003-1657-2823","affiliations":[{"raw_affiliation_string":"Faculty of Economic Sciences Universidade Federal de Minas Gerais  Belo Horizonte Minas Gerais Brazil","institution_ids":["https://openalex.org/I110200422"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5030100175"],"corresponding_institution_ids":["https://openalex.org/I110200422"],"apc_list":{"value":3580,"currency":"USD","value_usd":3580},"apc_paid":{"value":3580,"currency":"USD","value_usd":3580},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87305926,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"23","issue":"11","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11080","display_name":"Surgical site infection prevention","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11080","display_name":"Surgical site infection prevention","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11293","display_name":"Orthopedic Infections and Treatments","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11930","display_name":"Cardiac, Anesthesia and Surgical Outcomes","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/surgical-site-infection","display_name":"surgical site infection","score":1.0},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.8980000019073486},{"id":"https://openalex.org/keywords/asa-physical-status","display_name":"ASA physical status","score":0.753000020980835},{"id":"https://openalex.org/keywords/cardiac-surgery","display_name":"cardiac surgery","score":0.8519999980926514},{"id":"https://openalex.org/keywords/neurosurgery","display_name":"neurosurgery","score":0.9330000281333923},{"id":"https://openalex.org/keywords/orthopedic-surgery","display_name":"orthopedic surgery","score":1.0},{"id":"https://openalex.org/keywords/postoperative-mortality","display_name":"postoperative mortality","score":0.765999972820282},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.6669999957084656},{"id":"https://openalex.org/keywords/wound-classification","display_name":"wound classification","score":0.6430000066757202},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.6510000228881836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9883999824523926},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.7041000127792358},{"id":"https://openalex.org/C2992582194","wikidata":"https://www.wikidata.org/wiki/Q7168672","display_name":"Surgical site infection","level":2,"score":0.66839998960495},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6399000287055969},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5475999712944031},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5385000109672546},{"id":"https://openalex.org/C2779662715","wikidata":"https://www.wikidata.org/wiki/Q19596443","display_name":"Conditional logistic regression","level":3,"score":0.5077000260353088},{"id":"https://openalex.org/C112758219","wikidata":"https://www.wikidata.org/wiki/Q16038819","display_name":"Duration (music)","level":2,"score":0.44780001044273376},{"id":"https://openalex.org/C2993314993","wikidata":"https://www.wikidata.org/wiki/Q466833","display_name":"American society of anesthesiologists","level":2,"score":0.3684000074863434},{"id":"https://openalex.org/C3019611579","wikidata":"https://www.wikidata.org/wiki/Q6641956","display_name":"Surgical procedures","level":2,"score":0.35040000081062317},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.34610000252723694},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.3431999981403351},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.3237999975681305},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.3025999963283539},{"id":"https://openalex.org/C2777722626","wikidata":"https://www.wikidata.org/wiki/Q2902695","display_name":"Preoperative care","level":2,"score":0.2874999940395355},{"id":"https://openalex.org/C3020304732","wikidata":"https://www.wikidata.org/wiki/Q1671866","display_name":"Surgical wound","level":2,"score":0.27129998803138733},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.25459998846054077}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013530","descriptor_name":"Surgical Wound Infection","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D013530","descriptor_name":"Surgical Wound Infection","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019637","descriptor_name":"Orthopedic Procedures","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":false},{"descriptor_ui":"D061646","descriptor_name":"Operative Time","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1111/iwj.71088","doi":"https://doi.org/10.1111/iwj.71088","is_oa":true,"landing_page_url":"https://doi.org/10.1111/iwj.71088","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/iwj.71088","source":{"id":"https://openalex.org/S118780703","display_name":"International Wound Journal","issn_l":"1742-4801","issn":["1742-4801","1742-481X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Wound Journal","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13728313","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728313/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13728313/pdf/IWJ-23-e71088.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int Wound J","raw_type":"Text"},{"id":"pmid:42972845","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42972845","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International wound journal","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1111/iwj.71088","doi":"https://doi.org/10.1111/iwj.71088","is_oa":true,"landing_page_url":"https://doi.org/10.1111/iwj.71088","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/iwj.71088","source":{"id":"https://openalex.org/S118780703","display_name":"International Wound Journal","issn_l":"1742-4801","issn":["1742-4801","1742-481X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Wound Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322025","display_name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","ror":"https://ror.org/03swz6y49"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225201691.pdf","grobid_xml":"https://content.openalex.org/works/W7225201691.grobid-xml"},"referenced_works_count":15,"referenced_works":["https://openalex.org/W1547068196","https://openalex.org/W2079597817","https://openalex.org/W2109453182","https://openalex.org/W2148540129","https://openalex.org/W2610936380","https://openalex.org/W2943204414","https://openalex.org/W2947464247","https://openalex.org/W2987057345","https://openalex.org/W3164791831","https://openalex.org/W4296821492","https://openalex.org/W4367174704","https://openalex.org/W4375955494","https://openalex.org/W4390338727","https://openalex.org/W4408250521","https://openalex.org/W4410102459"],"related_works":["https://openalex.org/W2745694840","https://openalex.org/W6893019483","https://openalex.org/W2501889100","https://openalex.org/W2003467060","https://openalex.org/W2848510347","https://openalex.org/W2433859006","https://openalex.org/W2531307221","https://openalex.org/W4392232079","https://openalex.org/W7165542382","https://openalex.org/W2078317958"],"abstract_inverted_index":{"Surgical":[0],"site":[1],"infection":[2],"(SSI)":[3],"is":[4],"a":[5,125],"major":[6,183],"complication":[7],"in":[8,19,128,153,182],"surgical":[9,151],"patients.":[10,155],"This":[11],"study":[12],"aimed":[13],"to":[14,179],"investigate":[15],"predictors":[16],"of":[17,27,135],"SSI":[18,52,120,147,180],"cardiac,":[20],"neurological":[21],"and":[22,44,62,96,131,172],"orthopaedic":[23,122],"surgeries.":[24],"A":[25,137],"total":[26],"28,803":[28],"procedures":[29],"(2015-2021)":[30],"were":[31],"analysed.":[32],"Predictive":[33],"variables":[34],"included":[35],"age,":[36],"sex,":[37],"ASA":[38,141,168],"score,":[39],"wound":[40],"classification,":[41],"operative":[42,84],"duration":[43,139],"preoperative":[45,69,174],"stay.":[46],"Logistic":[47],"regression":[48],"was":[49,54,110,158],"applied.":[50],"Overall":[51],"rate":[53],"7.2%":[55],"(2062":[56],"cases):":[57],"47%":[58],"neurological,":[59],"39%":[60],"cardiac":[61],"15%":[63],"orthopaedic.":[64],"Infected":[65],"patients":[66,114,123],"had":[67,124],"longer":[68],"stays":[70,175],"(median":[71,86,99],"6":[72],"[IQR:":[73,78],"2-13]":[74],"vs.":[75,116],"3":[76],"days":[77],"1-9],":[79],"p":[80,93,106],"<":[81,94,107],"0.001),":[82,95],"extended":[83,173],"times":[85],"difference:":[87,100],"70":[88],"min,":[89],"95%":[90,103],"CI:":[91,104],"60-79,":[92],"prolonged":[97,170],"hospitalizations":[98],"14":[101],"days,":[102],"14-15,":[105],"0.001).":[108],"Mortality":[109],"higher":[111],"among":[112],"infected":[113],"(15%":[115],"8.2%).":[117],"Despite":[118],"lower":[119],"incidence,":[121],"3.0-fold":[126],"increase":[127],"median":[129],"stay":[130],"5.3-fold":[132],"increased":[133,149],"odds":[134],"death.":[136],"significant":[138,177],"\u00d7":[140],"(>":[142],"3)":[143],"interaction":[144],"indicated":[145],"that":[146],"risk":[148,181],"with":[150],"time":[152],"high-severity":[154],"Model":[156],"adequacy":[157],"confirmed":[159],"by":[160],"the":[161],"Hosmer-Lemeshow":[162],"test":[163],"(p":[164],"=":[165],"0.481).":[166],"Higher":[167],"scores,":[169],"surgeries,":[171],"are":[176],"contributors":[178],"procedures.":[184]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-04T00:00:00"}
