Impact of Complications After Cardiac Operation on One-Year Patient-Reported Outcomes

Mehaffey, J. Hunter; Hawkins, Robert B.; Charles, Eric J.; Krön, Irving L.; Ailawadi, Gorav; Kern, John A.; Roeser, Mark E.; Kozower, Benjamin D.; Teman, Nicholas R.

doi:10.1016/j.athoracsur.2019.05.067

Cited by 6 publications

(3 citation statements)

References 25 publications

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“…However, many preoperative risk factors will still reduce the primary healing rate of wound reconstruction, increase the number of operations and prolong the hospital stay. [22][23][24] This increases the risk of death. PRP-based treatment to treat chronic wounds and bone defects has been well-known and recognised by clinicians.…”

Section: Discussionmentioning

confidence: 99%

“…Although DSWI patients who still have serious heart disease or severe systemic infection may not be the first choice for plastic surgery to reconstruct the wound. However, many preoperative risk factors will still reduce the primary healing rate of wound reconstruction, increase the number of operations and prolong the hospital stay 22‐24 . This increases the risk of death.…”

Section: Discussionmentioning

confidence: 99%

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A study on the preoperative risk factors for primary healing failure in the reconstruction of deep sternal wound infection with platelet‐rich plasma and negative pressure trauma therapy

Song

Chu

Zhang

et al. 2023

International Wound Journal

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Deep sternal wound infection (DSWI) is a relatively complex wound in wound reconstruction surgery. Because plastic surgeons deal with DSWI patients late. The primary healing (healing by first intention) after reconstruction of DSWI is restricted by many preoperative risk factors. The purpose of this study is to explore and analyse the risk factors of primary healing failure in patients with DSWI treated with platelet‐rich plasma (PRP) and negative pressure trauma therapy (NPWT). 115 DSWI patients treated with the PRP and NPWT (PRP + NPWT) modality were retrospectively (2013‐2021) analysed. They were divided into two groups according to primary healing results after the first PRP + NPWT treatment. Univariate and multivariate analyses were used to compare the data of the two groups to find out the risk factors and their optimal cut‐off values were identified by ROC analysis. The primary healing results, debridement history, wound size, sinus, osteomyelitis, renal function, bacterial culture, albumin (ALB), platelet (PLT) between the two groups were significantly different (P < 0.05). Binary logistic regression showed that osteomyelitis, sinus, ALB and PLT were the risk factors affecting primary healing outcomes (P < 0.05). ROC analysis showed that AUC for ALB in the non‐primary healing group was 0.743 (95% CI: 0.650‐0.836, P < 0.05) and its optimal cutoff value of 31 g/L was associated with primary healing failure with a sensitivity of 96.9% and specificity of 45.1%. AUC for PLT in the non‐primary healing group was 0.670 (95% CI: 0.571 ~ 0.770, P < 0.05) its optimal cutoff value of 293 × 109/L was associated with primary healing failure with a sensitivity of 72.5% and specificity of 56.3%. In the cases included in this study, the success rate of primary healing of DSWI treated with PRP + NPWT was not affected by the most common preoperative risk factors for wound non‐union. It is indirectly confirmed that PRP + NPWT is an ideal treatment. However, it should be noted that it will still be adversely affected by sinus osteomyelitis, ALB and PLT. The patients need to be carefully evaluated and corrected before reconstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A study on the preoperative risk factors for primary healing failure in the reconstruction of deep sternal wound infection with platelet‐rich plasma and negative pressure trauma therapy

Song

Chu

Zhang

et al. 2023

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…[26][27][28] Previous research suggested decreased patient-reported outcomes (ie, physical health, global mental health scores, and physical functioning) in patients with deep sternal wound infections, prolonged ventilation, stroke, and renal failure. 29 SSIs remain a significant burden for cardiac surgery patients and their caregivers and a valued component of enhanced recovery protocols. Systematic delirium screening was recognized as a top priority within the postoperative ERAS-CS guidelines.…”

Section: Diet and Bowel Regimen And Postoperative Nausea And Vomiting*mentioning

confidence: 99%

Putting patient value first: Using a modified nominal group technique for the implementation of enhanced recovery after cardiac surgery recommendations

BKin¹,

Chudyk²,

Oravec³

et al. 2022

JTCVS Open

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Quality of Life Is Improved 1 Year After Cardiac Surgery

Curcio

Hebeler

Warren

et al. 2021

The Annals of Thoracic Surgery

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Impact of Complications After Cardiac Operation on One-Year Patient-Reported Outcomes

Cited by 6 publications

References 25 publications

A study on the preoperative risk factors for primary healing failure in the reconstruction of deep sternal wound infection with platelet‐rich plasma and negative pressure trauma therapy

A study on the preoperative risk factors for primary healing failure in the reconstruction of deep sternal wound infection with platelet‐rich plasma and negative pressure trauma therapy

Putting patient value first: Using a modified nominal group technique for the implementation of enhanced recovery after cardiac surgery recommendations

Quality of Life Is Improved 1 Year After Cardiac Surgery

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