Preoperative hospital length of stay as a modifiable risk factor for mediastinitis after cardiac surgery

Journal of Cardiothoracic Surgery

Volumn 8, Issue 1, 2013, Pages

  Leung Wai Sang, Stephane ^a   Chaturvedi, Rakesh ^a   Alam, Ahsan ^a   Samoukovic, Gordan ^a   de Varennes, Benoit ^a   Lachapelle, Kevin ^a  

^a ROYAL VICTORIA HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; BACTERIA; CANADA; FEMALE; HEART SURGERY; HUMAN; INCIDENCE; ISOLATION AND PURIFICATION; LENGTH OF STAY; MALE; MEDIASTINITIS; MICROBIOLOGY; MIDDLE AGED; MORTALITY; RETROSPECTIVE STUDY; RISK FACTOR; STATISTICS AND NUMERICAL DATA; ARTICLE; BACTERIUM; STATISTICS;

AGED; BACTERIA; CANADA; CARDIAC SURGICAL PROCEDURES; FEMALE; HOSPITAL MORTALITY; HUMANS; INCIDENCE; LENGTH OF STAY; MALE; MEDIASTINITIS; MIDDLE AGED; RETROSPECTIVE STUDIES; RISK FACTORS;

EID: 84874772510     PISSN: None     EISSN: 17498090     Source Type: Journal    
DOI: 10.1186/1749-8090-8-45     Document Type: Article

References (28)

1. Risnes I, Abdelnoor M, Almdahl SM, Svennevig JL. Mediastinitis after coronary artery bypass grafting risk factors and long-term survival. Ann Thorac Surg 2010, 89:1502-1509. 10.1016/j.athoracsur.2010.02.038, 20417768.
2. 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. 10.1186/1749-8090-2-23, 1891287, 17511885.
3. Elenbaas TW, Soliman Hamad MA, Schonberger JP, Martens EJ, van Zundert AA, van Straten AH. Preoperative atrial fibrillation and elevated C-reactive protein levels as predictors of mediastinitis after coronary artery bypass grafting. Ann Thorac Surg 2010, 89:704-709. 10.1016/j.athoracsur.2009.12.013, 20172114.
4. Toumpoulis IK, Anagnostopoulos CE, Derose JJ, Swistel DG. The impact of deep sternal wound infection on long-term survival after coronary artery bypass grafting. Chest 2005, 127:464-471. 10.1378/chest.127.2.464, 15705983.
5. 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. 10.1080/14017430801919557, 18569953.
6. Gummert JF, Barten MJ, Hans C, Kluge M, Doll N, Walther T, Hentschel B, Schmitt DV, Mohr FW, Diegeler A. Mediastinitis and cardiac surgery-an updated risk factor analysis in 10,373 consecutive adult patients. Thorac Cardiovasc Surg 2002, 50:87-91. 10.1055/s-2002-26691, 11981708.
7. Abboud CS, Wey SB, Baltar VT. Risk factors for mediastinitis after cardiac surgery. Ann Thorac Surg 2004, 77:676-683. 10.1016/S0003-4975(03)01523-6, 14759458.
8. Speir AM, Kasirajan V, Barnett SD, Fonner E. Additive costs of postoperative complications for isolated coronary artery bypass grafting patients in Virginia. Ann Thorac Surg 2009, 88:40-45. discussion 45-46, 10.1016/j.athoracsur.2009.03.076, 19559186.
9. Eklund AM, Lyytikainen O, Klemets P, Huotari K, Anttila VJ, Werkkala KA, Valtonen M. Mediastinitis after more than 10,000 cardiac surgical procedures. Ann Thorac Surg 2006, 82:1784-1789. 10.1016/j.athoracsur.2006.05.097, 17062248.
10. Antunes PE, Bernardo JE, Eugenio L, de Oliveira JF, Antunes MJ. Mediastinitis after aorto-coronary bypass surgery. Eur J Cardiothorac Surg 1997, 12:443-449. 10.1016/S1010-7940(97)00179-6, 9332924.
11. Borger MA, Rao V, Weisel RD, Ivanov J, Cohen G, Scully HE, David TE. Deep sternal wound infection: risk factors and outcomes. Ann Thorac Surg 1998, 65:1050-1056. 10.1016/S0003-4975(98)00063-0, 9564926.
12. Toumpoulis IK, Theakos N, Dunning J. Does bilateral internal thoracic artery harvest increase the risk of mediastinitis?. Interact Cardiovasc Thorac Surg 2007, 6:787-791. 10.1510/icvts.2007.164343, 17704121.
13. Fidelman C. Cardiac Patients Living in Fear. Montreal Gazette 2011, December 21. 2010 Accessed February 14, 2011.
14. Garner JS, Jarvis WR, Emori TG, Horan TC, Hughes JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988, 16:128-140. 10.1016/0196-6553(88)90053-3, 2841893.
15. Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF, Feldman HI, Kusek JW, Eggers P, Van Lente F, Greene T, Coresh J. A new equation to estimate glomerular filtration rate. Ann Intern Med 2009, 150:604-612. 2763564, 19414839.
16. Bernstein AD, Parsonnet V. Bedside estimation of risk as an aid for decision-making in cardiac surgery. Ann Thorac Surg 2000, 69:823-828. 10.1016/S0003-4975(99)01424-1, 10750767.
17. O'Connor GT, Plume SK, Olmstead EM, Coffin LH, Morton JR, Maloney CT, Nowicki ER, Tryzelaar JF, Hernandez F, Adrian L. A regional prospective study of in-hospital mortality associated with coronary artery bypass grafting. The Northern New England Cardiovascular Disease Study Group. JAMA 1991, 266:803-809. 10.1001/jama.1991.03470060065028, 1907669.
18. Julian OC, Lopez-Belio M, Dye WS, Javid H, Grove WJ. The median sternal incision in intracardiac surgery with extracorporeal circulation; a general evaluation of its use in heart surgery. Surgery 1957, 42:753-761.
19. Braxton JH, Marrin CA, McGrath PD, Morton JR, Norotsky M, Charlesworth DC, Lahey SJ, Clough R, Ross CS, Olmstead EM, O'Connor GT. 10-year follow-up of patients with and without mediastinitis. Semin Thorac Cardiovasc Surg 2004, 16:70-76. 10.1053/j.semtcvs.2004.01.006, 15366690.
20. Braxton JH, Marrin CA, McGrath PD, Ross CS, Morton JR, Norotsky M, Charlesworth DC, Lahey SJ, Clough RA, O'Connor GT. Mediastinitis and long-term survival after coronary artery bypass graft surgery. Ann Thorac Surg 2000, 70:2004-2007. 10.1016/S0003-4975(00)01814-2, 11156110.
21. Guvener M, Pasaoglu I, Demircin M, Oc M. Perioperative hyperglycemia is a strong correlate of postoperative infection in type II diabetic patients after coronary artery bypass grafting. Endocr J 2002, 49:531-537. 10.1507/endocrj.49.531, 12507271.
22. Lipshutz AK, Gropper MA. Perioperative glycemic control: an evidence-based review. Anesthesiology 2009, 110:408-421.
23. Wouters R, Wellens F, Vanermen H, De Geest R, Degrieck I, De Meerleer F. Sternitis and mediastinitis after coronary artery bypass grafting. Analysis of risk factors. Tex Heart Inst J 1994, 21:183-188. 325162, 8000263.
24. 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, 92:2245-2251. 10.1161/01.CIR.92.8.2245, 7554208.
25. Ottino G, De Paulis R, Pansini S, Rocca G, Tallone MV, Comoglio C, Costa P, Orzan F, Morea M. Major sternal wound infection after open-heart surgery: a multivariate analysis of risk factors in 2,579 consecutive operative procedures. Ann Thorac Surg 1987, 44:173-179. 10.1016/S0003-4975(10)62035-8, 3619541.
26. Conklin CM, Gray RJ, Neilson D, Wong P, Tomita DK, Matloff JM. Determinants of wound infection incidence after isolated coronary artery bypass surgery in patients randomized to receive prophylactic cefuroxime or cefazolin. Ann Thorac Surg 1988, 46:172-177. 10.1016/S0003-4975(10)65891-2, 3261159.
27. Hennessey DB, Burke JP, Ni-Dhonochu T, Shields C, Winter DC, Mealy K. Preoperative hypoalbuminemia is an independent risk factor for the development of surgical site infection following gastrointestinal surgery: a multi-institutional study. Ann Surg 2010, 252:325-329. 10.1097/SLA.0b013e3181e9819a, 20647925.
28. Engelman R, Shahian D, Shemin R, Guy TS, Bratzler D, Edwards F, Jacobs M, Fernando H, Bridges C. The society of thoracic surgeons practice guideline series: antibiotic prophylaxis in cardiac surgery, part II: antibiotic choice. Ann Thorac Surg 2007, 83:1569-1576. 10.1016/j.athoracsur.2006.09.046, 17383396.