A Risk Index for Sternal Surgical Wound Infection After Cardiovascular Surgery

Abstract

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

“…The score was developed from the choice of variables based on several previously published studies [2,4,6,13], as well as the experience in cardiac surgery and its postoperative period at the PUCRS Sao Lucas Hospital. This score, unlike other previously published scores [14,15], the presence of diabetes was not an independent risk predictor of mediastinitis. Tight glucose control and the use of continuous insulin may contribute to better outcomes of patients undergoing CABG at our institution.…”

“…The reintervention as risk predictor is a part of most risk scores for mediastinitis in the literature [6,13,16]. A study that developed a risk model for mediastinitis after cardiac surgery in a hospital in Toronto, Canada, showed that the reintervention is a significant risk factor for development of infection, with 4 points in the score and OR 4.34 (1.94 -8.45) in the logistic regression [15]. Obesity was also an important risk predictor for mediastinitis, adding two points to the score, with OR 2.8, 95% CI 1.7 to 4.5.…”

Preoperative risk factors for mediastinitis after cardiac surgery: analysis of 2768 patients

“…Different studies were designed to establish risk scores for mediastinitis and, thus, act preemptively, decreasing morbidity and mortality, in addition to hospital costs resulting from prolonged hospitalization [31][32][33][34].…”

Patient selection in ambulatory anesthesia — An evidence-based review: part II

“…5 Critical respiratory events are more common [relative risk (RR) 2.08, 95% CI 1.42-3.04] among diabetics. 6 Wound infections are more prevalent in diabetics following both cardiac 7 and noncardiac 8 surgery. Blood glucose readings on the first postoperative day > 12.2 mmol·L -1 are associated with a 2.7 fold increased risk of infection (P < 0.05).…”