Epidemiology of deep sternal wound infection in cardiac surgery.

摘要: Objectives The aim of this study was to investigate the incidence and predictors deep sternal wound infection (DSWI) in a contemporary cohort patients undergoing cardiac surgery. early late outcomes with complication also were analyzed. Design A retrospective consecutive surgery using computerized database based on New York State Department Health registry. Data collection performed prospectively. Setting university hospital (single institution). Participants Five thousand seven hundred ninety-eight who underwent between January 1998 December 2005 including isolated coronary artery bypass graft (CABG) (n = 2,749, 47%), single- or multiple-valve 1,280, 22%), combined valve CABG procedures 934, 16%), involving ascending aorta aortic arch 835, 15%). Interventions None. Measurements Main Results overall DSWI 1.8% 106). highest rate occurred after valve/CABG (2.4%, n 22) 19). Multivariate analysis revealed 11 DSWI: obesity (odds ratio [OR] 2.2), previous myocardial infarction (OR 2.1), diabetes 1.7), chronic obstructive pulmonary disease 2.3), preoperative length stay >3 days 1.9), calcification 2.7), 2.4), cardiopulmonary time 1.8), re-exploration for bleeding 6.3), respiratory failure 3.2). mortality 14.2% 15) versus 3.6% 205) control group (p Conclusion remains rare but devastating is associated significant comorbidity, increased mortality, reduced long-term survival.