Your browser doesn't support javascript.
loading
Risk Factors for Deep Sternal Wound Infection after Off-Pump Coronary Artery Bypass Grafting: a Case-Control Study
Enginoev, Soslan; Rad, Arian Arjomandi; Ekimov, Sergey; Kondratev, Dmitry; Magomedov, Gasan; Amirhanov, Alan; Tsaroev, Bashir; Ziankou, Alexander; Motreva, Anna; Chernov, Igor; Tarasov, Dmitry; Kadyraliev, Bakytbek; Sá, Michel Pompeu B. O..
  • Enginoev, Soslan; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Rad, Arian Arjomandi; Imperial College London. Department of Medicine. Faculty of Medicine. London. GB
  • Ekimov, Sergey; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Kondratev, Dmitry; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Magomedov, Gasan; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Amirhanov, Alan; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Tsaroev, Bashir; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Ziankou, Alexander; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Motreva, Anna; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Chernov, Igor; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Tarasov, Dmitry; Federal Center for Cardiovascular Surgery. Department of Cardiac Surgery. Astrakhan. RU
  • Kadyraliev, Bakytbek; S. G. Sukhanov Federal Center of Cardiovascular Surgery. Perm. RU
  • Sá, Michel Pompeu B. O.; Pronto Socorro Cardiológico de Pernambuco (PROCAPE). Department of Cardiovascular Surgery. Recife. BR
Rev. bras. cir. cardiovasc ; 37(1): 13-19, Jan.-Feb. 2022. tab
Article in English | LILACS-Express | LILACS | ID: biblio-1365547
ABSTRACT
Abstract

Introduction:

The objective of this study was to identify risk factors for deep sternal wound infection (DSWI) after off-pump coronary artery bypass (OPCAB) grafting surgery.

Methods:

A total of 8,442 patients undergoing OPCAB from April 1, 2009 to December 31, 2018 were retrospectively analyzed. A total of 956 were eventually enrolled on this study based on our exclusion criteria. All subjects were divided into two groups group 1 (n=63) - DSWI; group 2 (n=893) - without DSWI. Patients were excluded if they had one of the following acute coronary syndrome, conversion to OPCAB grafting surgery, redo procedure, concomitant cardiac surgery procedures.

Results:

The prevalence of body mass index (BMI) ≥40 kg/m2 (7.9% vs. 1.9%, respectively; P=0.01), lower extremity atherosclerotic artery disease (23.8% vs. 7.2%, respectively; P=0.001) and use of bilateral internal thoracic artery (19.5% vs. 2.5%, respectively; P=0.008) was significantly higher in patients with DSWI. The incidence of morbidities, including reoperation for bleeding (26.4% vs. 2.1%, respectively; P<0.001), stroke (4.8% vs. 0.8%, respectively; P=0.02), acute renal failure (7.9% vs. 0.8%, respectively; P=0.001), delirium (7.9% vs. 1.7%, respectively; P=0.008) and blood transfusion (30.6% vs. 9.8%, respectively; P<0.001) was significantly higher in patients with DSWI.

Conclusions:

A BMI of >40 kg/m2, lower extremity artery disease, use of bilateral internal thoracic artery (BITA) graft, postoperative stroke, sepsis, reoperation due to postoperative complications and blood product requirement significantly increased the risk of sternal infection after OPCAB.


Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2022 Type: Article Affiliation country: Brazil / RUSSIA / United kingdom Institution/Affiliation country: Federal Center for Cardiovascular Surgery/RU / Imperial College London/GB / Pronto Socorro Cardiológico de Pernambuco (PROCAPE)/BR / S. G. Sukhanov Federal Center of Cardiovascular Surgery/RU

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Type of study: Etiology study / Observational study / Prognostic study / Risk factors Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2022 Type: Article Affiliation country: Brazil / RUSSIA / United kingdom Institution/Affiliation country: Federal Center for Cardiovascular Surgery/RU / Imperial College London/GB / Pronto Socorro Cardiológico de Pernambuco (PROCAPE)/BR / S. G. Sukhanov Federal Center of Cardiovascular Surgery/RU