Multivariate analysis of risk factors for deep and superficial sternal infection after coronary artery bypass grafting at a tertiary care medical center

Seminars in Thoracic and Cardiovascular Surgery

Volumn 16, Issue 1, 2004, Pages 53-61

  Crabtree, Traves D ^a   Codd, John E ^a   Fraser, Victoria J ^a   Bailey, Marci S ^a   Olsen, Margaret A ^a   Damiano Jr , Ralph J ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Coronary artery bypass grafting; Multivariate analysis; Risk factors; Sternal infection

Indexed keywords

ANTIBIOTIC AGENT;

ADULT; AGED; ARTICLE; BLOOD GLUCOSE MONITORING; BODY MASS; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DIABETES MELLITUS; ERYTHROCYTE CONCENTRATE; ERYTHROCYTE TRANSFUSION; FEMALE; HEART DISEASE; HEART MUSCLE REVASCULARIZATION; HUMAN; INCIDENCE; INFECTION RISK; INTERNAL MAMMARY ARTERY; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; POSTOPERATIVE CARE; POSTOPERATIVE INFECTION; PREOPERATIVE CARE; RISK ASSESSMENT; RISK FACTOR; SEX DIFFERENCE; SMOKING; SMOKING CESSATION; STERNUM; SURGICAL TECHNIQUE; THROMBOCYTE TRANSFUSION; WEIGHT REDUCTION;

EID: 2642522238     PISSN: 10430679     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.semtcvs.2004.01.009     Document Type: Review

References (47)

1. Baskett RJ, MacDougall CE, Ross DB: Is mediastinitis a preventable complication? A 10-year review. Ann Thorac Surg 67:462-465, 1999
2. Bottio T, Rizzoli G, Vida V, et al: Double crisscross sternal wiring and chest wound infections: A prospective randomized Study. J Thorac Cardiovasc Surg 126:1352-1356, 2003
3. De Feo M, Renzulli A, Ismeno G, et al: Variables predicting adverse outcome in patients with deep sternal wound infection. Ann Thorac Surg 71:324-331, 2001
4. Kim J, Hammar N, Jakobsson K, et al: Obesity and the risk of early and late mortality after coronary artery bypass graft surgery. Am Heart J 146:555-560, 2003
5. Lu JC, Grayson AD, Jha P, et al: Risk factors for sternal Wound infection and mid-term survival following coronary artery bypass surgery. Eur J Cardiothorac Surg 23:943-949, 2003
6. Ridderstolpe L, Gill H, Granfeldt H, et al: Superficial and deep sternal wound complications: incidence, risk factors and mortality. Eur J Cardiothorac Surg 20:1168-1175, 2001
7. Wang FD, Chang CH: Risk factors of deep sternal wound infections in coronary artery bypass graft surgery. J Cardiovasc Surg (Torino) 41:709-713, 2000
8. Society of Thoracic Surgeons. STS NCD Executive Summary, Spring 2003
9. Olsen MA, Lock-Buckley P, Hopkins D, et al: The risk factors for deep and superficial chest surgical-site infections after coronary artery bypass graft surgery are different J Thorac Cardiovasc Surg 124:136-145, 2002
10. Slaughter MS, Olson MM, Lee JT, et al: A fifteen-year wound surveillance study after coronary artery bypass. Ann Thorac Surg 56:1063-1068, 1993
11. Sofer D, Gurevitch J, Shapira I, et al: Sternal wound infections in patients after coronary artery bypass grafting using bilateral skeletonized internal mammary arteries. Ann Surg 229:585-590, 1999
12. Ferguson TB, Hammill BG, Peterson ED, et al: A decade of change-risk profiles and outcomes for isolated coronary artery bypass grafting procedures, 1990-1999: A report from the STS National Database Committee and the Duke Clinical Research Institute. Society of Thoracic Surgeons. Ann Thorac Surg 73:480-490, 2002
13. Pevni D, Mohr R, Lev-Run O, et al: Influence of bilateral skeletonized harvesting on occurrence of deep sternal wound infection in 1,000 consecutive patients undergoing bilateral internal thoracic artery grafting. Ann Surg 237: 277-280, 2003
14. Gummert JF, Barten MJ, Hans C, et al: Mediastinitis and cardiac surgery - an updated risk factor analysis in 10,373 consecutive adult patients. Thorac Cardiovasc Surg 50: 87-91, 2002
15. El Oakley R, Paul E, Wong PS, et al: Mediastinitis in patients undergoing cardiopulmonary bypass: Risk analysis and midterm results. J Cardiovasc Surg (Torino) 38:595-600, 1997
16. Borger MA, Rao V, Weisel RD, et al: Deep sternal wound infection: Risk factors and outcomes. Ann Thorac Surg 65:1050-1056, 1998
17. Jakob HG, Borneff-Lipp M, Bach A, et al: The endogenous pathway is a major route for deep sternal wound infection. Eur J Cardiothorac Surg 17:154-160, 2000
18. Noyez L, van Druten JA, Mulder J, et al: Sternal wound complications after primary isolated myocardial revascularization: The importance of the post-operative variables. Eur J Cardiothorac Surg 19:471-476, 2001
19. Horan TC, Gaynes RP, Martone WJ, et al: CDC definitions of nosocomial surgical site infections, 1992: A modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 13:606-608, 1992
20. Shroyer AL, Plomondon ME, Grover FL, et al: The 1996 Coronary artery bypass risk model: The Society of Thoracic Surgeons Adult Cardiac National Database. Ann Thorac Surg 67:1205-1208, 1999
21. Zacharias A, Habib RH: Factors predisposing to median sternotomy complications. Deep vs superficial infection. Chest 110: 1173-1178, 1996
22. Prabhakar G, Haan CK, Peterson ED, et al: The risks of moderate and extreme obesity for coronary artery bypass grafting outcomes: A study from the Society of Thoracic Surgeons' database. Ann Thorac Surg 74:1125-1131, 2002
23. Kouchoukos NT, Wareing TH, Murphy SF, et al: Risks of bilateral internal mammary artery bypass grafting. Ann Thorac Surg 49:210-219, 1990
24. Birkmeyer NJ, Charlesworth DC, Hernandez F, et al: Obesity and risk of adverse outcomes associated with coronary artery bypass surgery. Northern New England Cardiovascular Disease Study Group. Circulation 97: 1689-1694, 1998
25. Spelman DW, Russo P, Harrington G, et al: Risk factors for surgical wound infection and bacteraemia following coronary artery bypass surgery. Aust N Z J Surg 70:47-51, 2000
26. Stahl KD, Moon HK, Gorensek MJ, et al: Association of sternal wound infection with parasternal muscle sutures. J Card Surg 17:498-501, 2002
27. Trick WE, Scheckler WE, Tokars JI, et al: Modifiable risk factors associated with deep sternal site infection after coronary artery bypass grafting. J Thorac Cardiovasc Surg 119:108-114, 2000
28. Zerr KJ, Furnary AP, Grunkemeier GL, et al: Glucose control lowers the risk of wound infection in diabetics after open heart operations. Ann Thorac Surg 63:356-361, 1997
29. Furnary AP, Zerr KJ, Grunkemeier GL, et al: Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures. Ann Thorac Surg 67:352-362, 1999
30. Furnary AP, Gao G, Grunkemeier GL, et al: Continuous insulin infusion reduces mortality in patients with diabetes undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg 125:1007-1021, 2003
31. The Parisian Mediastinitis Study Group: Risk factors for deep sternal wound infection after sternotomy: a prospective, multicenter study. J Thorac Cardiovasc Surg 111: 1200-1207, 1996
32. Buxton BF, Komeda M, Fuller JA, et al: Bilateral internal thoracic artery grafting may improve outcome of coronary artery surgery. Risk-adjusted survival. Circulation 98:II1-II6, 1998
33. Danzer D, Christenson JT, Kalangos A, et al: Impact of double internal thoracic artery grafts on long-term outcomes in coronary artery bypass grafting. Tex Heart Inst J 28:89-95, 2001
34. Hirotani T, Shirota S, Cho Y, et al: Feasibility and suitability of the routine use of bilateral internal thoracic arteries. Ann Thorac Surg 73:511-515, 2002
35. Lev-Ran O, Mohr R, Amir K, et al: Bilateral internal thoracic artery grafting in insulin-treated diabetics: Should it be avoided? Ann Thorac Surg 75:1872-1877, 2003
36. Matsa M, Paz Y, Gurevitch J, et al: Bilateral skeletonized internal thoracic artery grafts in patients with diabetes mellitus. J Thorac Cardiovasc Surg 121:668-674, 2001
37. Murphy J, Connery C, Hicks GL, et al: Homologous blood transfusion as a risk factor for postoperative infection after coronary artery bypass graft operations. J Thorac Cardiovasc Surg 104:1092-1099, 1992
38. Ottino G, De Paulis R, Pansini S, et al: Major sternal wound infection after open-heart surgery: a multivariate analysis of risk factors in 2,579 consecutive operative procedures. Ann Thorac Surg 44:173-179, 1987
39. Hill GE, Frawley WH, Griffith KE, et al: Allogeneic blood transfusion increases the risk of postoperative bacterial infection: a meta-analysis. J Trauma 54:908-914, 2003
40. Chang H, Hall GA, Geerts WH, et al: Allogeneic red blood cell transfusion is art independent risk factor for the development of postoperative bacterial infection. Vox Sang 78:13-18, 2000
41. Tartter PI, Mohandas K, Azar P, et al: Randomized trial comparing packed red cell blood transfusion with and without leukocyte depiction for gastrointestinal surgery. Am J Surg 176:462-466, 1998
42. Ford CD, VanMoorleghem G, Menlove RL: Blood transfusions and postoperative wound infection. Surgery 113: 603-607, 1993
43. Houbiers JG, van de Velde CJ, van de Watering LM, et al: Transfusion of red cells is associated with increased incidence of bacterial infection after colorectal surgery: A prospective study. Transfusion 37:126-134, 1997
44. Agarwal N, Murphy JG, Cayten CG, et al: Blood transfusion increases the risk of infection after trauma. Arch Surg 128:171-177, 1993
45. Edna TH, Bjerkeset T: Association between blood transfusion and infection in injured patients. J Trauma 33:659-661, 1992
46. Dellinger EP, Oreskovich MR, Wertz MJ, et al: Risk of infection following laparotomy for penetrating abdominal injury. Arch Surg 119:20-27, 1984
47. Rosemurgy AS, Hart MB, Murphy CG, et al: Infection after injury: Association with blood transfusion. Am Surg 58:104-107, 1992