Risk Score of Leekha et al for Serious Surgical Site Infection (SSI) After Vascular Surgery

Description

Leekha et al developed a score for identifying a patient at risk for serious surgical site infection (SSI) after vascular surgery. This is based on preoperative findings and can help to identify a patient who may benefit from more aggressive management. The authors are from the University of Maryland and the Mayo Clinic.

Patient selection: vascular surgery

Outcome: hospitalization or reoperation for surgical site infection (SSI)

Parameters:

(1) critical ischemia

(2) COPD

(3) history of prior revascularization procedure

(4) history of previous surgical site infection

Parameter	Finding	Points
critical ischemia	no	0
	yes	1
COPD	no	0
	yes	1
history of revascularization procedure	no	0
	yes	1
history of SSI	no	0
	yes	2

total score =

= SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the greater the risk of SSI.

Total Score	Serious SSI
0	1.5%
1	3%
2	5.5%
3	12.4%
4	26%
5	47%

Performance:

• The area under the ROC curve was 0.73.

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Risk Score of Leekha et al for Serious Surgical Site Infection (SSI) After Vascular Surgery

Description

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