Abstract
Knowledge about gender risk factors associated with acquiring postoperative coronary artery bypass graft (CABG) surgical site infections (SSIs) is limited. Our objective was to determine whether the incidence of SSIs during 30 days postsurgery was greater among females compared with males who undergo primary (first time) CABG. A retrospective cohort study of 3878 patients who had primary CABG surgery between January 1, 1995, and December 31, 1998, at a cardiovascular center in the American Southwest. Multivariate techniques were used to analyze outcome risk differences by gender. The nosocomial SSI incidence rate among 957 females was 10.56%; among 2921 males, it was 7.57%; relative risk (RR) was 1.39 (95% confidence interval: 1.12-1.75), and Mantel-Haenszel chi2 test was 8.47 (P = .004). Four preoperative variables were independent predictors of acquiring SSI: female gender, diabetes, body mass index, and urgency of surgery. Females were at greater risk for acquiring SSIs postprimary CABG surgery in this cohort. Also, preoperative, perioperative, and postoperative control of glucose levels in diabetics and preoperative reduction of weight in obese patients may help to reduce SSIs post-CABG surgery. More studies are needed to u...Continue Reading
References
Oct 1, 1978·Anesthesiology·W D OwensE L Spitznagel
Sep 16, 1991·The American Journal of Medicine·R P GaynesJ M Hughes
Oct 11, 1991·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·J A SellickJ M Mylotte
Feb 1, 1988·American Journal of Infection Control·D E LilienfeldJ S McLaughlin
Sep 1, 1985·The British Journal of Surgery·M FarringtonI Phillips
Dec 1, 1995·Chest·B A Bergelson, C L Tommaso
Nov 1, 1995·Circulation·L L MickleboroughS Mohamed
Nov 1, 1996·Chest·A Zacharias, R H Habib
Dec 1, 1996·Journal of Cardiothoracic and Vascular Anesthesia·C G KochN J Starr
Apr 1, 1997·American Journal of Infection Control·T C Horan, T G Emori
May 1, 1997·Journal of Clinical Epidemiology·D J RamseyM Z Nichaman
May 16, 1998·The Annals of Thoracic Surgery·M A BorgerT E David
Aug 10, 1999·Journal of the American College of Cardiology·T HirotaniM Yamano
Dec 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·W E TrickW R Jarvis
Sep 2, 2000·The Annals of Thoracic Surgery·C E PalettaJ E Gardner
Citations
Apr 23, 2013·Journal of General Internal Medicine·Bevin CohenElaine Larson
May 26, 2009·The Annals of Thoracic Surgery·Piotr KnapikMarian Zembala
Apr 7, 2010·Journal of Neurosurgery·Sara J HardyRobert J Weil
Nov 26, 2010·The Journal of Thoracic and Cardiovascular Surgery·Judith ManniënBirgit H B van Benthem
Oct 28, 2015·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Emily T MartinLinda Jaber
Mar 11, 2008·The Journal of Hospital Infection·M E FalagasP I Rafailidis
Jan 21, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Michael S CalderwoodGrace M Lee
Nov 11, 2011·Journal of the American College of Cardiology·L David HillisUNKNOWN Society of Thoracic Surgeons
Jan 28, 2015·The Journal of Hospital Infection·K MorikaneS Suzuki
Nov 9, 2011·Circulation·L David HillisMichael D Winniford