{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T13:38:45Z","timestamp":1789220325250,"version":"build-2803163510"},"reference-count":13,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T00:00:00Z","timestamp":1735084800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Managing open distal radius fractures (DRFs) poses challenges. While preventing surgical site infection (SSI) involves prompt antibiotic administration and thorough irrigation and debridement, the impact of urgent intervention on reducing postoperative infection rates is debated. We hypothesize that timing of surgery does not significantly affect the incidence of SSI in open DRF treated within or after 24 hours from time of injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively analyzed the American College of Surgeons Trauma Quality Improvement Program from 2011 to 2021. We focused on outcome variables, including superficial SSI and deep SSI or osteomyelitis. To evaluate the relationship between time to operative intervention and SSI rates, we employed least absolute shrinkage and selection operator and multivariate regression models, adjusting for patient-specific factors and injury severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 14\u2009486 patients were included. Regression modeling demonstrated a 23% increase in the odds of deep SSI with each 1-day delay in surgery (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .010). However, no association was found between time to surgery and superficial SSI (odds ratio [OR] = 0.96,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .768). Injury severity score (ISS) was associated with increased odds of superficial SSI (OR = 1.06,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) and deep SSI (OR = 1.06,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001) while diabetes (OR = 3.56,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .013) was significantly associated with increased rates of superficial SSI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Extended time to surgery correlates with a modest rise in deep SSI incidence in open DRF. However, there was no heightened risk of superficial SSI in patients with delayed surgery. Polytrauma, alcohol use disorder, and diabetes were linked to elevated SSI rates in open DRF.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447241305422","type":"journal-article","created":{"date-parts":[[2024,12,25]],"date-time":"2024-12-25T05:01:26Z","timestamp":1735102886000},"page":"358-364","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Time to Surgery on Surgical Site Infection in Open Distal Radius Fractures: A Review of the ACS Trauma Quality Improvement Program Database"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0754-2262","authenticated-orcid":false,"given":"Walter","family":"Sobba","sequence":"first","affiliation":[{"name":"NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence J.","family":"Lin","sequence":"additional","affiliation":[{"name":"NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4381-4656","authenticated-orcid":false,"given":"Gerardo E.","family":"Sanchez-Navarro","sequence":"additional","affiliation":[{"name":"NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jadie","family":"De Tolla","sequence":"additional","affiliation":[{"name":"NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omri","family":"Ayalon","sequence":"additional","affiliation":[{"name":"NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques H.","family":"Hacquebord","sequence":"additional","affiliation":[{"name":"NYU Langone Health, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,12,25]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2017.09.004"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944716643294"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.30073"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2023.04.029"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2021.10.029"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/bot.0000000000001700"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1558944720964965"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/15589447221131849"},{"key":"e_1_3_4_10_2","volume-title":"National Trauma Data Standard Data Dictionary","author":"Trauma ACoSCo","year":"2021","unstructured":"Trauma ACoSCo. National Trauma Data Standard Data Dictionary. American College of Surgeons; 2021."},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-2798-9"},{"key":"e_1_3_4_12_2","first-page":"12","article-title":"Outcomes following operative treatment of open fractures of the distal radius: a case control study","volume":"33","author":"MacKay BJ","year":"2013","unstructured":"MacKay BJ, Montero N, Paksima N, et al Outcomes following operative treatment of open fractures of the distal radius: a case control study. Iowa Orthop J. 2013;33:12-18.","journal-title":"Iowa Orthop J"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000063795.32430.4c"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsg.2021.12.011"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447241305422","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447241305422","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447241305422","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:29:54Z","timestamp":1777447794000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447241305422"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,25]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/15589447241305422"],"URL":"https:\/\/doi.org\/10.1177\/15589447241305422","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,25]]}}}