Abstract
The objectives of this study are to determine risk factors associated with deep sternal wound infections (DSWIs) following cardiac surgery, and to describe their impact on long-term survival. Data was obtained from a departmental database. Analysis included 7,978 consecutive patients who underwent cardiac surgery between 1997 and 2003. To identify risk factors for DSWI, regression analysis was performed. The probability scores obtained from logistic regression were used for propensity analysis of 2 groups. Kaplan-Meier analysis with log-rank test and Cox proportional hazard models were then used in survival analysis. DSWI developed in 123 of 7,978 patients (1.5%). Preoperative predictors of DSWI were body mass index >30 kg/m(2) (odds ratio [OR], 1.6; 95% confidence interval [CI], 1.1 to 2.4; P < 0.05), diabetes mellitus (OR, 2.4; 95% CI, 1.6 to 3.4; P < 0.001), urgent operation (OR, 1.7; 95% CI, 1.2 to 2.6; P < 0.05), smoking history within past year (OR, 2.7; 95% CI, 1.5 to 4.9; P < 0.001), smoking history within past 2 weeks (OR, 2.6; 95% CI, 1.5 to 4.5; P < 0.001), and a history of stroke (OR, 1.9; 95% CI, 1.1 to 3.1; P < 0.005). In addition, total length of hospital stay (OR, 1.01; 95% CI, 1.01 to 1.02; P < 0.05) and sepsis...Continue Reading
References
Nov 1, 1978·The Annals of Thoracic Surgery·W S StoneyC S Thomas
Aug 1, 1992·American Journal of Public Health·B C WilliamsB E Fries
Dec 1, 1991·American Journal of Public Health·D W HosmerS Lemeshow
Feb 1, 1990·The Annals of Thoracic Surgery·D L GalbutT O Gentsch
Jun 1, 1988·American Journal of Infection Control·J S GarnerJ M Hughes
Jan 1, 1982·American Journal of Epidemiology·S Lemeshow, D W Hosmer
Apr 1, 1982·Radiology·J A Hanley, B J McNeil
Oct 15, 1995·Circulation·C A MilanoR H Jones
Jun 1, 1994·Plastic and Reconstructive Surgery·N E HugoE A Rose
Nov 1, 1993·The Annals of Thoracic Surgery·M S SlaughterH B Ward
Mar 1, 1996·The Annals of Thoracic Surgery·R M El Oakley, J E Wright
Jun 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·UNKNOWN Parisian Mediastinitis Study Group
Nov 1, 1996·Chest·A Zacharias, R H Habib
Jun 1, 1997·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·E StåhleH E Hansson
Apr 16, 1998·Scandinavian Cardiovascular Journal : SCJ·J SattaT Juvonen
May 16, 1998·The Annals of Thoracic Surgery·M A BorgerT E David
Oct 20, 1998·Heart & Lung : the Journal of Critical Care·L C HusseyL S Hynan
Nov 5, 1998·Statistics in Medicine·R B D'Agostino
Apr 10, 1999·The Annals of Thoracic Surgery·R J BaskettD B Ross
Sep 2, 1999·The Journal of Thoracic and Cardiovascular Surgery·A J CohenA Schachner
Dec 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·W E TrickW R Jarvis
Aug 11, 2000·Chest·C S HollenbeakV J Fraser
Jan 13, 2001·The Annals of Thoracic Surgery·J H BraxtonUNKNOWN Northern New England Cardiovascular Disease Study Group
Feb 24, 2001·The Annals of Thoracic Surgery·M De FeoM Cotrufo
Mar 30, 2001·The Journal of Thoracic and Cardiovascular Surgery·M MatsaR Mohr
Apr 18, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·L NoyezR M Brouwer
Nov 22, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·L RidderstolpeH Rutberg
Jun 14, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·B GårdlundJ Vaage
Jul 2, 2002·The Journal of Thoracic and Cardiovascular Surgery·Margaret A OlsenVictoria J Fraser
Jul 10, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Samer A M NashefUNKNOWN EurpSCORE Project Group
Nov 1, 2002·American Journal of Infection Control·Gwendolyn H UsryDawn Blackhurst
Feb 1, 2003·Annals of Surgery·Dmitry PevniItzhak Shapira
Jun 28, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·John C Y LuBrian M Fabri
Aug 20, 2004·Plastic and Reconstructive Surgery·Jeffrey A AschermanCraig R Smith
Feb 12, 2005·Chest·Ioannis K ToumpoulisDaniel G Swistel
Citations
Apr 30, 2013·Interactive Cardiovascular and Thoracic Surgery·Ludovic MellyMartin T R Grapow
May 19, 2011·Annals of Surgery·J Wesley AlexanderMichael J Edwards
Nov 16, 2011·Journal of Cardiothoracic Surgery·Ioanna LolaGeorge S Papadopoulos
Aug 15, 2013·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Sebastian ColombierDenis A Berdajs
Dec 14, 2011·European Journal of Plastic Surgery·Rutger M ScholsRené R W J van der Hulst
Oct 12, 2010·World Journal of Surgery·Sotirios PopeskouNicolas Demartines
Mar 1, 2014·The American Journal of Cardiology·Baron L HammanGiovanni Filardo
Feb 15, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Ronny Ben-AviAlexander Kogan
Jul 23, 2013·American Journal of Infection Control·Sarah Tschudin-SutterAndreas Franz Widmer
Mar 1, 2011·The Annals of Thoracic Surgery·Cathy S WoodwardS Adil Husain
Nov 26, 2010·The Journal of Thoracic and Cardiovascular Surgery·Judith ManniënBirgit H B van Benthem
Sep 16, 2015·The Journal of Surgical Research·Rose H FuChristine H Rohde
Dec 14, 2011·International Wound Journal·Alessandra BujaVincenzo Baldo
Dec 24, 2010·Journal of Internal Medicine·R HuttunenJ Syrjänen
Oct 6, 2010·Journal of Clinical Nursing·Ibtisam M Al-ZaruAnas A Amr
Dec 3, 2014·The Journal of Thoracic and Cardiovascular Surgery·Paul Kurlansky
Apr 10, 2016·Journal of Cardiothoracic Surgery·Wei Wang, Shaohua Wang
Oct 25, 2012·The Heart Surgery Forum·Shahzad G RajaMohamed Amrani
Dec 30, 2014·The Journal of Surgical Research·Jeffrey H KozlowDavid L Brown
Dec 11, 2014·Surgical Infections·Yu-Jen ShihYuan-Sheng Tzeng
May 9, 2016·Revista Española De Cardiología·Angels Figuerola-TejerinaManuel Durán-Poveda
Jun 17, 2016·Surgical Infections·Vic EtonPaul Brassard
Aug 25, 2016·The Journal of Thoracic and Cardiovascular Surgery·Harold L LazarSteven Gordon
Jan 21, 2017·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·A Figuerola-TejerinaJ Bustamante-Munguira
Nov 29, 2014·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Song WuJi-yan Xie
Apr 12, 2019·Journal of Clinical Medicine·Juan Bustamante-MunguiraAna Hernández-Aceituno
Mar 19, 2019·Annals of Plastic Surgery·Federico BarberaMarcello Pantaloni
Jul 11, 2019·Scandinavian Cardiovascular Journal : SCJ·Michael AbdelnoorIvar Risnes
Oct 28, 2019·Journal of Cardiac Surgery·George DrossosTheodoros Karaiskos
Dec 13, 2019·Surgical Infections·Aisha ZiaMohammad Adil Sheikh
Jun 27, 2013·Annals of Surgery·Marie GrønkjærTrine Flensborg-Madsen
Jan 13, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yasir Abu-OmarGiuseppe Cardillo
Aug 24, 2017·Journal of Cardiac Surgery·Siew S C Goh
Jul 25, 2019·Archives of Plastic Surgery·Luigi SchiraldiPietro Giovanni di Summa
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Adam S Levy, Jeffrey A Ascherman
Nov 27, 2020·Asian Cardiovascular & Thoracic Annals·Azhar HussainNeil Roberts
Oct 2, 2019·Journal of Cardiothoracic and Vascular Anesthesia·Alexander J GregoryJerrold H Levy
Apr 26, 2021·Journal of Cardiac Surgery·Mehmet Çeli KMurat Özkan
Jul 22, 2021·Journal of Cardiothoracic Surgery·Jef Van den EyndeWouter Oosterlinck
Sep 15, 2021·The Thoracic and Cardiovascular Surgeon·Heidi-Mari MyllykangasLeena T Berg