Journal article
Recent experience with major sternal wound complications
The Annals of thoracic surgery, v 49(3), pp 458-462
1990
PMID: 2310254
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
During a recent 1-year period, 31 patients sustained a major sternal wound infection and sternal dehiscence developed in 6 patients. Multiple potential risk factors were tabulated in these patients and in a control group selected from 1,521 patients undergoing stemotomy during the same time period. The overall infection rate was 2.1%, and the mortality rate in the patients with sternal infection or dehiscence was 16.2%. Chronic obstructive pulmonary disease, prolonged intensive care unit stay, respiratory failure, connective tissue disease, and male sex were significantly higher in the group with sternal infection or dehiscence (
p < 0.05). Advanced age and low cardiac output episodes were more frequent in this group, but only approached statistical significance. Although several risk factors may have been interrelated, male sex and the presence of pulmonary disease were statistically independent predictors of sternal wound infection. Risk factors may be helpful in identifying high-risk patients for additional prophylactic measures.
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Details
- Title
- Recent experience with major sternal wound complications
- Creators
- Todd L. Demmy - Allegheny General HospitalSang B. Park - Allegheny General HospitalGeorge A. Liebler - Allegheny General HospitalJohn A. Burkholder - Allegheny General HospitalThomas D. Maher - Allegheny General HospitalDaniel H. Benckart - Allegheny General HospitalGeorge J. Magovern - Allegheny General HospitalGeorge J. Magovern - Allegheny General Hospital
- Publication Details
- The Annals of thoracic surgery, v 49(3), pp 458-462
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Cardiothoracic Surgery
- Web of Science ID
- WOS:A1990CU42900020
- Scopus ID
- 2-s2.0-0025248039
- Other Identifier
- 991019184030904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Cardiac & Cardiovascular Systems
- Respiratory System
- Surgery