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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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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. |
format | Online Article Text |
id | pubmed-10099381 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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