Risk analysis and outcome of mediastinal wound and deep mediastinal wound infections with specific emphasis to omental transposition

Hdl Handle:
http://hdl.handle.net/10147/145024
Title:
Risk analysis and outcome of mediastinal wound and deep mediastinal wound infections with specific emphasis to omental transposition
Authors:
Parissis, Haralabos; Al-Alao, Bassel; Soo, Alan; Orr, David; Young, Vincent
Citation:
Journal of Cardiothoracic Surgery. 2011 Sep 19;6(1):111
Issue Date:
19-Sep-2011
URI:
http://hdl.handle.net/10147/145024
Abstract:
Abstract Background To report our experience, with Deep mediastinal wound infections (DMWI). Emphasis was given to the management of deep infections with omental flaps Methods From February 2000 to October 2007, out of 3896 cardiac surgery patients (prospective data collection) 120 pts (3.02%) developed sternal wound infections. There were 104 males & 16 females; (73.7%) CABG, (13.5%) Valves & (9.32%) CABG and Valve. Results Superficial sternal wound infection detected in 68 patients (1.75%) and fifty-two patients (1.34%) developed DMWI. The incremental risk factors for development of DMWI were: Diabetes (OR = 3.62, CI = 1.2-10.98), Pre Op Creatinine > 200 μmol/l (OR = 3.33, CI = 1.14-9.7) and Prolong ventilation (OR = 4.16, CI = 1.73-9.98). Overall mortality for the DMWI was 9.3% and the specific mortality of the omental flap group was 8.3%. 19% of the "DMWI group", developed complications: hematoma 6%, partial flap loss 3.0%, wound dehiscence 5.3%. Mean Hospital Stay: 59 ± 21.5 days. Conclusion Post cardiac surgery sternal wound complications remain challenging. The role of multidisciplinary approach is fundamental, as is the importance of an aggressive early wound exploration especially for deep sternal infections.
Item Type:
Journal Article

Full metadata record

DC FieldValue Language
dc.contributor.authorParissis, Haralabos-
dc.contributor.authorAl-Alao, Bassel-
dc.contributor.authorSoo, Alan-
dc.contributor.authorOrr, David-
dc.contributor.authorYoung, Vincent-
dc.date.accessioned2011-10-12T15:37:57Z-
dc.date.available2011-10-12T15:37:57Z-
dc.date.issued2011-09-19-
dc.identifierhttp://dx.doi.org/10.1186/1749-8090-6-111-
dc.identifier.citationJournal of Cardiothoracic Surgery. 2011 Sep 19;6(1):111-
dc.identifier.urihttp://hdl.handle.net/10147/145024-
dc.description.abstractAbstract Background To report our experience, with Deep mediastinal wound infections (DMWI). Emphasis was given to the management of deep infections with omental flaps Methods From February 2000 to October 2007, out of 3896 cardiac surgery patients (prospective data collection) 120 pts (3.02%) developed sternal wound infections. There were 104 males & 16 females; (73.7%) CABG, (13.5%) Valves & (9.32%) CABG and Valve. Results Superficial sternal wound infection detected in 68 patients (1.75%) and fifty-two patients (1.34%) developed DMWI. The incremental risk factors for development of DMWI were: Diabetes (OR = 3.62, CI = 1.2-10.98), Pre Op Creatinine > 200 μmol/l (OR = 3.33, CI = 1.14-9.7) and Prolong ventilation (OR = 4.16, CI = 1.73-9.98). Overall mortality for the DMWI was 9.3% and the specific mortality of the omental flap group was 8.3%. 19% of the "DMWI group", developed complications: hematoma 6%, partial flap loss 3.0%, wound dehiscence 5.3%. Mean Hospital Stay: 59 ± 21.5 days. Conclusion Post cardiac surgery sternal wound complications remain challenging. The role of multidisciplinary approach is fundamental, as is the importance of an aggressive early wound exploration especially for deep sternal infections.-
dc.titleRisk analysis and outcome of mediastinal wound and deep mediastinal wound infections with specific emphasis to omental transposition-
dc.typeJournal Article-
dc.language.rfc3066en-
dc.rights.holderParissis et al.; licensee BioMed Central Ltd.-
dc.description.statusPeer Reviewed-
dc.date.updated2011-09-29T19:11:06Z-
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