Risk factors and mortality associated with deep sternal wound infections following coronary bypass surgery with or without concomitant procedures in a UK population: A basis for a new risk model?

Interactive Cardiovascular and Thoracic Surgery

Volumn 11, Issue 5, 2010, Pages 543-546

  Ariyaratnam, Priyadharshanan ^a   Bland, Martin ^b   Loubani, Mahmoud ^a  

^a CASTLE HILL HOSPITAL   (United Kingdom)

^b UNIVERSITY OF YORK   (United Kingdom)

Author keywords

Coronary artery surgery; Mediastinitis; Risk model

Indexed keywords

ADULT; AGE DISTRIBUTION; AGED; AORTA BALLOON; AREA UNDER THE CURVE; ARTICLE; BODY MASS; CARDIOGENIC SHOCK; CHRONIC LUNG DISEASE; CLINICAL TRIAL; CONGESTIVE HEART FAILURE; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BLOOD FLOW; CORONARY ARTERY BYPASS SURGERY; DIABETES MELLITUS; FEMALE; HEART INFARCTION; HEART VALVE REPLACEMENT; HUMAN; INCIDENCE; KIDNEY FAILURE; MAJOR CLINICAL STUDY; MALE; PERIPHERAL VASCULAR DISEASE; PREDICTION; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; SCORING SYSTEM; SEX DIFFERENCE; STERNUM; SURGICAL INFECTION; SURGICAL MORTALITY; SURGICAL RISK; UNITED KINGDOM;

AGE FACTORS; AGED; BODY MASS INDEX; CHRONIC DISEASE; CORONARY ARTERY BYPASS; DIABETES MELLITUS; ENGLAND; FEMALE; HUMANS; LOGISTIC MODELS; LUNG DISEASES; MALE; MEDIASTINITIS; MIDDLE AGED; ODDS RATIO; PROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; ROC CURVE; STERNOTOMY; SURGICAL WOUND INFECTION; TIME FACTORS; TREATMENT OUTCOME;

EID: 78149474003     PISSN: 15699293     EISSN: None     Source Type: Journal    
DOI: 10.1510/icvts.2010.237883     Document Type: Article

References (15)

1. Lepelletier D, Poupelin L, Corvec S, Bourigault C, Bizouarn P, Blanloeil Y, Reynaud A, Duveau D, Despins P. Risk factors for mortality in patients with mediastinitis after cardiac surgery. Arch Cardiovasc Dis 2009;102:119-125.
2. El Oakley RM, Wright JE. Postoperative mediastinitis: classification and management. Ann Thorac Surg 1996;61:1030-1036.
3. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections 1988. Am J Infect Control 1988;16:128-140.
4. Fowler VG, O'Brien SM, Muhlbaier H, Corey GR, Ferguson TB, Peterson ED. Clinical predictors of major infections after cardiac surgery. Circulation 2005;112:I358-I365.
5. Shahian DM, O'Brien SM, Filardo G, Ferraris VA, Haan CK, Rich JB, Normand SL, DeLong ER, Shewan CM, Dokholyan RS, Peterson ED, Edwards FH, Anderson RP, Society of Thoracic Surgeons Quality Measurement Task Force. The Society of Thoracic Surgeons 2008 Cardiac Surgery Risk Models: Part 1 - coronary artery bypass grafting surgery. Ann Thorac Surg 2009;88:S2-S22.
6. Nashef SA, Roques F, Michel P, Gauducheau E, Lemeshow S, Salamon R. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg 1999;16:9-13.
7. Filsoufi F, Castillo JG, Rahmanian PB, Broumand SR, Silvay G, Carpentier A, Adams DH. Epidemiology of deep sternal wound infection in cardiac surgery. J Cardiothorac Vasc Anesth 2009;23:488-494.
8. Salazard B, Niddam J, Ghez O, Metras D, Magalon G. Vacuum-assisted closure in the treatment of poststernotomy mediastinitis in the paediatric patient. J Plast Reconstr Aesthet Surg 2008;61:302-305.
9. Laupacis A, Sekar N, Stiell IG. Clinical prediction rules. A review and suggested modifications of methodological standards. J Am Med Assoc 1997;277:488-494.
10. Vergouwe Y, Royston P, Moons KG, Altman DG. Development and validation of a prediction model with missing predictor data: a practical approach. J Clin Epidemiol 2010;63:205-214.
11. Paul M, Raz A, Leibovici L, Madar H, Holinger R, Rubinovitch B. Sternal wound infection after coronary artery bypass graft surgery: validation of existing risk scores. J Thorac Cardiovasc Surg 2007;133:397-403.
12. Mauermann WJ, Sampathkumar P, Thompson RL. Sternal wound infections. Best Pract Res Clin Anaesthesiol 2008;22:423-436.
13. Steingrimsson S, Gottfredsson M, Kristinsson KG, Gudbjartsson T. Deep sternal wound infections following open heart surgery in Iceland: a population-based study. Scand Cardiovasc J 2008;42:208-213.
14. Lu JC, Grayson AD, Jha P, Srinivasan AK, Fabri BM. Risk factors for sternal wound infection and mid-term survival following coronary artery bypass surgery. Eur J Cardiothorac Surg 2003;23:943-949.
15. Sachithanandan A, Nanjaiah P, Nightingale P, Wilson IC, Graham TR, Rooney SJ, Keogh BE, Pagano D. Deep sternal wound infection requiring revision surgery: impact on mid-term survival following cardiac surgery. Eur J Cardiothorac Surg 2008;33:673-678.