Risk factors for sternal wound infections and application of the STS score in coronary artery bypass graft surgery;Fatores de risco para infecção de ferida esternal e aplicação do escore da STS em pacientes submetidos à cirurgia de revascularização miocárdica

Brazilian Journal of Cardiovascular Surgery

Volumn 26, Issue 4, 2011, Pages 624-629

  Farsky, Pedro Silvio ^a,b   Graner, Humberto ^b   Duccini, Pedro ^b   da Cassia Zandonadi, Eliana ^b   Amato, Vivian Lerner ^b   Anger, Jaime ^b   Sanches, Antonio Flavio de Almeida ^b   Abboud, Cely Saad ^b  

^a UNIVERSITY OF SÃO PAULO   (Brazil)

^b INSTITUTO DANTE PAZZANESE DE CARDIOLOGIA   (Brazil)

Author keywords

Infection; Mediastinitis; Myocardial revascularization; Risk factors

Indexed keywords

ARTICLE; BODY MASS; CORONARY ARTERY BYPASS GRAFT; DIABETES MELLITUS; EPIDEMIOLOGY; FEMALE; HUMAN; MALE; METHODOLOGY; MICROBIOLOGY; MIDDLE AGED; RISK ASSESSMENT; STANDARD; STERNUM; SURGICAL INFECTION;

BODY MASS INDEX; CORONARY ARTERY BYPASS; DIABETES COMPLICATIONS; EPIDEMIOLOGIC METHODS; FEMALE; HUMANS; MALE; MIDDLE AGED; RISK ASSESSMENT; STERNUM; SURGICAL WOUND INFECTION;

EID: 84857547649     PISSN: 01027638     EISSN: 16789741     Source Type: Journal    
DOI: 10.5935/1678-9741.20110054     Document Type: Article

References (32)

1. Abboud CS, Wey SB, Baltar VT. Risk factors for mediastinitis after cardiac surgery. Ann Thorac Surg. 2004;77(2):676-83.
2. Braxton JH, Marrin CA, McGrath PD, Morton JR, Norotsky M, Charlesworth DC, et al. 10-year follow-up of patients with and without mediastinitis. Semin Thorac Cardiovasc Surg. 2004;16(1):70-6.
3. Sá MPBO, Silva DO, Lima ÉNS, Lima RC, Silva FPV, Rueda FG, et al. Postoperative mediastinitis in cardiovascular surgery. Analysis of 1038 consecutive surgeries. Rev Bras Cir Cardiovasc. 2010;25(1):19-24
4. Loop FD, Lytle BW, Cosgrove DM, Mahfood S, McHenry MC, Goormastic M, et al. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg. 1990;49(2):179-86.
5. Milano CA, Kesler K, Archibald N, Sexton DJ, Jones RH. Mediastinitis after coronary artery bypass graft surgery. Risk factors and long-term survival. Circulation. 1995;92(8):2245-51.
6. Barbosa TM, Sgarbieri RN, Moreira Neto FF, Vieira FF, Pereira GA, Rezende Filho AV, et al. Evaluation of the NNECDSG Score in a Brazilian public hospital. Rev Bras Cir Cardiovasc. 2007;22(2):212-7.
7. Ledur P, Almeida L, Pellanda LC, Schaan BD. Predictors of infection in post-coronary artery bypass graft surgery. Rev Bras Cir Cardiovasc. 2011;26(2):190-6.
8. Diez C, Koch D, Kuss O, Silber RE, Friedrich I, Boergermann J. Risk factors for mediastinitis after cardiac surgery: a retrospective analysis of 1700 patients. J Cardiothorac Surg. 2007;2:23.
9. Fariñas MC, Gald Peralta F, Bernal JM, Rabasa JM, Revuelta JM, González-Macías J. Suppurative mediastinitis after openheart surgery: a case-control study covering a seven-year period in Santander, Spain. Clin Infect Dis. 1995;20(2):272-9.
10. Toumpoulis IK, Anagnostopoulos CE, Derose JJ Jr, Swistel DG. The impact of deep sternal wound infection on long-term survival after coronary artery bypass grafting. Chest. 2005;127(2):464-71.
11. Gardlund B, Bitkover CY, Vaage J. Postoperative mediastinitis in cardiac surgery: microbiology and pathogenesis. Eur J Cardiothorac Surg. 2002;21(5):825-30.
12. Fowler VG Jr, O'Brien SM, Muhlbaier LH, Corey GR, Ferguson TB, Peterson ED. Clinical predictors of major infections after cardiac surgery. Circulation. 2005;112(9 Suppl):I358-65.
13. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control. 1988;16(3):128-40.
14. Brito JD, Assumpção CR, Murad H, Jazbik AP, Sá MPL, Bastos ES, et al. One-stage management of infected sternotomy wounds using bilateral pectoralis major myocutaneous advancement flap. Rev Bras Cir Cardiovasc. 2009;24(1):58-63.
15. Ascherman JA, Patel SM, Malhotra SM, Smith CR. Management of sternal wounds with bilateral pectoralis major myocutaneous advancement flaps in 114 consecutively treated patients: refinements in technique and outcomes analysis. Plast Reconstr Surg. 2004;114(3):676-83.
16. Anger J, Farsky PS, Amato VL, Abboud CS, Almeida AF, Arnoni RT, et al. Use of a flap composed of skin and breast tissue for repairing a recalcitrant wound resulting from dehiscence of sternotomy in cardiac surgery. Arq Bras Cardiol. 2004;83(Spec No):43-5.
17. Ariyaratnam P, Bland M, Loubani M. 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? Interact Cardiovasc Thorac Surg. 2010;11(5):543-6.
18. Risnes I, Abdelnoor M, Almdahl SM, Svennevig JL. Mediastinitis after coronary artery bypass grafting risk factors and long-term survival. Ann Thorac Surg. 2010;89(5):1502-9.
19. Bitkover CY, Gardlund B. Mediastinitis after cardiovascular operations: a case-control study of risk factors. Ann Thorac Surg. 1998;65(1):36-40.
20. Stahle E, Tammelin A, Bergstrom R, Hambreus A, Nystrom SO, Hansson HE. Sternal wound complications: incidence, microbiology and risk factors. Eur J Cardiothorac Surg. 1997;11(6):1146-53.
21. Walkes JC, Earle N, Reardon MJ, Glaeser DH, Wall MJ Jr, Huh J, et al. Outcomes in single versus bilateral internal thoracic artery grafting in coronary artery bypass surgery. Curr Opin Cardiol. 2002;17(6):598-601.
22. Toumpoulis IK, Theakos N, Dunning J. Does bilateral internal thoracic artery harvest increase the risk of mediastinitis? Interact Cardiovasc Thorac Surg. 2007;6(6):787-91.
23. Choo SJ, Lee SK, Chung SW, Kim JW, Sung SC, Kim YD, et al. Does bilateral pedicle internal thoracic artery harvest increase the risk of mediastinitis? Yonsei Med J. 2009;50(1):78-82.
24. Milani R, Brofman PR, Guimarães M, Barboza L, Tchaick RM, Meister Filho H, et al. Double skeletonized internal thoracic artery vs. double conventional internal thoracic artery in diabetic patients submitted to OPCAB. Rev Bras Cir Cardiovasc. 2008;23(3):351-7.
25. Sá MPBO, Soares EF, Santos CA, Figueiredo OJ, Lima ROA, Escobar RR, et al. Risk factors for mediastinitis after coronary artery bypass grafting surgery. Rev Bras Cir Cardiovasc. 2011;26(1):27-35.
26. Sá MPBO, Soares EF, Santos CA, Figueiredo OJ, Lima ROA, Escobar RR, et al. Skeletonized left internal thoracic artery is associated with lower rates of mediastinitis in diabetic patients. Rev Bras Cir Cardiovasc. 2011;26(2):183-9.
27. Santos Filho EC, Moraes Neto FR, Silva RAM, Moraes CRR. Should the diabetics have the internal thoracic artery skeletonized? Assessment of sternal perfusion by scintillography. Rev Bras Cir Cardiovasc. 2009;24(2):157-64.
28. Magedanz EH, Bodanese LC, Guaragna JC, Albuquerque LC, Martins V, Minossi SD, et al. Risk score elaboration for mediastinitis after coronary artery bypass grafting. Rev Bras Cir Cardiovasc. 2010;25(2):154-9.
29. Sá MPBO, Figueira ES, Santos CA, Figueiredo OJ, Lima ROA, Rueda FG, et al. Validation of MagedanzSCORE as a predictor of mediastinitis after coronary artery bypass graft surgery. Rev Bras Cir Cardiovasc. 2011;26(3):386-92.
30. Volpe MA, Martinez JDG. Geli Putty®: a new alternative on sternal hemostasis in cardiac surgery. Rev Bras Cir Cardiovasc. 2011;26(3):485-7.
31. Laizo A, Delgado FEF, Rocha GM. Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery. Rev Bras Cir Cardiovasc. 2010;25(2):166-71.
32. Dorneles CC, Bodanese LC, Guaragna JCVC, Macagnan FE, Coelho JC, Borges AP, et al. The impact of blood transfusion on morbidity and mortality after cardiac surgery. Rev Bras Cir Cardiovasc. 2011;26(2):222-9.