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Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis

BACKGROUND AND AIM: Deep sternal wound infection (DSWI) is a serious complication following cardiac surgery, and demands early intervention as any delay in diagnosis and management may lead to increased morbidity and mortality. DSWI is associated with increased length of hospitalization (LOH) and ec...

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Autores principales: Arazi, Mattan, Grosman‐Rimon, Liza, Yehezkeel, Shachar, Rimon, Jordan, Gohari, Jacob, Gleitman, Sagi, Kachel, Erez
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099381/
https://www.ncbi.nlm.nih.gov/pubmed/36378944
http://dx.doi.org/10.1111/jocs.17099
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author Arazi, Mattan
Grosman‐Rimon, Liza
Yehezkeel, Shachar
Rimon, Jordan
Gohari, Jacob
Gleitman, Sagi
Kachel, Erez
author_facet Arazi, Mattan
Grosman‐Rimon, Liza
Yehezkeel, Shachar
Rimon, Jordan
Gohari, Jacob
Gleitman, Sagi
Kachel, Erez
author_sort Arazi, Mattan
collection PubMed
description BACKGROUND AND AIM: Deep sternal wound infection (DSWI) is a serious complication following cardiac surgery, and demands early intervention as any delay in diagnosis and management may lead to increased morbidity and mortality. DSWI is associated with increased length of hospitalization (LOH) and economic burden in this patient population. The aim of this study was to determine predictors for increased length of hospitalization in patients who underwent the Modified Sternoplasty technique for deep sternal wound infection following cardiac surgery. METHODS: A retrospective study was undertaken on data from patients who underwent the Modified Sternoplasty surgery for DSWI between September 2010 and January 2020. Patients' characteristics that were recorded included medical history, type of the original heart surgery, length of hospitalizations, and risk factors including hyperlipidemia, diabetes mellitus and hypertension, and morbidity and mortality rates following the Modified Sternoplasty. RESULTS: Sixty‐eight patients underwent the Modified Sternoplasty surgery with an average length of hospitalization of 24.63 + 22.09 days. Multivariable analysis showed that only gender was considered a predictor of length of hospitalization when controlling for comorbidities, with average length of hospitalization longer for women than men (35.4 vs. 20.9, p = .04). CONCLUSION: The Modified Sternoplasty surgery is a novel surgical technique for managing DSWI complicated by sternal dehiscence with exposed heart and great vessels. Female gender was associated with increased length of hospitalization in our patient cohort, with average length of hospitalization for women almost twice that of males.
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spelling pubmed-100993812023-04-14 Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis Arazi, Mattan Grosman‐Rimon, Liza Yehezkeel, Shachar Rimon, Jordan Gohari, Jacob Gleitman, Sagi Kachel, Erez J Card Surg Regular Issue Papers BACKGROUND AND AIM: Deep sternal wound infection (DSWI) is a serious complication following cardiac surgery, and demands early intervention as any delay in diagnosis and management may lead to increased morbidity and mortality. DSWI is associated with increased length of hospitalization (LOH) and economic burden in this patient population. The aim of this study was to determine predictors for increased length of hospitalization in patients who underwent the Modified Sternoplasty technique for deep sternal wound infection following cardiac surgery. METHODS: A retrospective study was undertaken on data from patients who underwent the Modified Sternoplasty surgery for DSWI between September 2010 and January 2020. Patients' characteristics that were recorded included medical history, type of the original heart surgery, length of hospitalizations, and risk factors including hyperlipidemia, diabetes mellitus and hypertension, and morbidity and mortality rates following the Modified Sternoplasty. RESULTS: Sixty‐eight patients underwent the Modified Sternoplasty surgery with an average length of hospitalization of 24.63 + 22.09 days. Multivariable analysis showed that only gender was considered a predictor of length of hospitalization when controlling for comorbidities, with average length of hospitalization longer for women than men (35.4 vs. 20.9, p = .04). CONCLUSION: The Modified Sternoplasty surgery is a novel surgical technique for managing DSWI complicated by sternal dehiscence with exposed heart and great vessels. Female gender was associated with increased length of hospitalization in our patient cohort, with average length of hospitalization for women almost twice that of males. John Wiley and Sons Inc. 2022-11-15 2022-12 /pmc/articles/PMC10099381/ /pubmed/36378944 http://dx.doi.org/10.1111/jocs.17099 Text en © 2022 The Authors. Journal of Cardiac Surgery published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Regular Issue Papers
Arazi, Mattan
Grosman‐Rimon, Liza
Yehezkeel, Shachar
Rimon, Jordan
Gohari, Jacob
Gleitman, Sagi
Kachel, Erez
Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
title Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
title_full Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
title_fullStr Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
title_full_unstemmed Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
title_short Predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
title_sort predictors of prolonged hospitalization in modified sternoplasty following postoperative mediastinitis
topic Regular Issue Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10099381/
https://www.ncbi.nlm.nih.gov/pubmed/36378944
http://dx.doi.org/10.1111/jocs.17099
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