Elaboração de escore de risco para mediastinite pós-cirurgia de revascularização do miocárdio

Preditores de infecção no pós-operatório de cirurgia de revascularização miocárdica

“…Specifically, the number of patients who developed deep wound infection was similar to that observed in other studies [7,8,14,[17][18][19][20][21], with some exceptions [22][23][24]. The expectation that new preventive and therapeutic approaches focusing on the prevention of surgical infection could reduce the incidence of infections over the past years did not occur in most of the studies cited, probably because more patients that underwent CABG during that period were elderly of high surgical risk and higher surgical complexity [25].…”

“…A study in our group has not demonstrated this association [14], but it must be considered the possibility of measurement bias, since the data were collected retrospectively and the evaluation of the presence of DM was performed only by the patient's history, since the patient is unaware of carrying this disease in 46% of cases [26]. The fact that there was no difference between the capillary blood glucose in the immediate 48 hours after surgery and the presence of infection in our patients, unlike what was previously shown [18.27], may be due to the small number of patients with DM evaluated and the retrospective nature of this study, in addition to the average of postoperative glucose not having been as high as that described by Jones et al [27].…”

“…Based on information from the registry of infections in post-CABG developed in Australia, it has been developed a risk score for infections that could be applied aiming to identify the patients most prone to this complication, acting preventively more intensively in the latter [13], which was also been suggested in a Brazilian study [14]. The identification of clinical and laboratory factors evaluated in the preoperative of patients who are treated at institutions that perform CABG and its relationship with outcomes after surgery, especially the risk of infection, are essential for the implementation of measures aimed at preventing these outcomes improving prognosis and reducing costs.…”

Pulmonary complications in patients undergoing coronary artery bypass grafting at a hospital in Maceio, Brazil

“…Cardiovascular diseases are the major cause of mortality, accounting for approximately 25% of deaths in developed countries, while in Brazil, atherosclerosis is responsible for around 40% (1). One way to improve the quality of life of patients affected by atherosclerosis is coronary artery bypass grafting (CABG).…”

“…One way to improve the quality of life of patients affected by atherosclerosis is coronary artery bypass grafting (CABG). In the United States approximately 450.000 of these surgeries are performed every year, with mortality of around 8% (1).…”