Risk factors for mediastinitis after coronary artery bypass grafting surgery

Sá, Michel Pompeu Barros de Oliveira; Soares, Evelyn Figueira; Santos, Cecília Andrade; Figueiredo, Omar Jacobina; Lima, Renato Oliveira Albuquerque; Escobar, Rodrigo; Rueda, Fábio Gonçalves de; Lima, Ricardo de Carvalho

doi:10.1590/s0102-76382011000100008

Cited by 59 publications

(58 citation statements)

References 34 publications

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“…A retrospective study 16 that evaluated the risk of mediastinitis in 500 patients undergoing myocardial revascularization surgery, the incidence of mediastinitis was 28 (5.6%) with a mortality rate of eight (1.8%), with smoking conferring a two-fold higher risk for this outcome.…”

Section: Prado Et Al Overview On Tobacco Smoking 2010-2012mentioning

confidence: 99%

Tabagismo: o que tem sido abordado em periódicos brasileiros

Prado¹,

Lombardi²,

Miethke-Morais³

et al. 2012

Arq. Bras. Cardiol.

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Section: Prado Et Al Overview On Tobacco Smoking 2010-2012mentioning

confidence: 99%

Tabagismo: o que tem sido abordado em periódicos brasileiros

Prado¹,

Lombardi²,

Miethke-Morais³

et al. 2012

Arq. Bras. Cardiol.

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“…29 Tabela 2 -Distribuição das publicações incluídas na revisão integrativa segundo o ano de publicação, país onde o estudo foi realizado, autor e periódico, Ribeirão Preto-SP, Brasil Acredita-se que o enfermeiro, ao compreender e se empoderar da temática, poderá construir saberes científicos baseados em evidências e, assim, agregá-los na sua prática clínica no manejo do cuidado a esse paciente, com vistas à assistência segura. Na literatura, evidenciam-se altas taxas de mediastinite 12,16,21,25,28 e por isso a preocupação crescente com essa complicação infecciosa que eleva o tempo de permanência hospitalar, aumenta os custos hospitalares, o número de procedimentos e exames, além das repercussões negativas na qualidade de vida dos pacientes acometidos por ela.…”

Section: Discussionunclassified

Risk factors for mediastinitis after coronary artery bypass grafting surgery: An integrative review

Silva¹,

Canini²,

Silveira³

et al. 2015

REME: Revista Mineira De Enfermagem

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“…In a recent publication of our institution [1], we have demonstrated that in patients undergoing CABG who do not undergo bilateral ITA, the problem seems to be unrelated to use or not use unilateral ITA, but related to how ITA is harvested (with favorable results to skeletonized ITA in comparison to pedicled ITA).…”

Section: Introductionmentioning

confidence: 99%

“…Mediastinitis is a deep wound infection after median sternotomy, with clinical evidence and / or microbiological commitment of the retrosternal space, associated with sternal osteomyelitis with or without its instability [1][2][3][4]. It is one of the most serious complications of median sternotomy and is associated to significant morbidity and mortality [5].…”

Section: Introductionmentioning

confidence: 99%

Artéria torácica interna esqueletizada está associada a menores taxas de mediastinite em idosos submetidos à cirurgia de revascularização miocárdica

Sá¹,

Santos²,

Figueiredo³

et al. 2011

Rev Bras Cir Cardiovasc

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Artéria torácica interna esqueletizada está associada a menores taxas de mediastinite em idosos submetidos à cirurgia de revascularização miocárdicaSkeletonized internal thoracic artery is associated with lower rates of mediastinitis in elderly undergoing coronary artery bypass grafting surgery Abstract Background and Objectives: Mediastinitis is a serious complication of median sternotomy and is associated to significant morbidity and mortality. The aim of this study is to identify which option of harvesting internal thoracic artery (ITA), pedicled or skeletonized, is associated with lower rates of mediastinitis after coronary artery bypass grafting surgery (CABG) in elderly, in the Division of Cardiovascular Surgery of PROCAPE.Methods: Retrospective study of 160 elderly who underwent consecutive CABG between May 2007 and June 2011. Eleven preoperative variables, four intraoperative variables and eight postoperative variables possibly involved in the development of postoperative mediastinitis were evaluated between two groups: CABG with skeletonized ITA (n=80) and pedicled ITA (n=80). Univariate and multivariate logistic regression analyses were applied.Results: The incidence of mediastinitis was 6.8% (n=11), with a lethality rate of 54.5% (n=6). The skeletonized ITA group were more exposed than pedicled ITA group to obesity (n=12 vs. n=4; 15% vs. 5%; P=0.035) and multiple transfusions (n=25 vs. n=11; 31.2% vs. 13.7%; P=0.008). The pedicled ITA group presented a greater risk of mediastinitis after CABG than skeletonized ITA group (n=10 vs. n=1; 12.5% vs. 1.2%; Unadjusted OR 11.3; 95% CI 1.4 -241.5; P=0.008). In multivariate analysis, this difference maintained statistically significant (Adjusted OR 5.2; 95% CI 1.5-495.8; P=0.012), being considered an independent association.Conclusions: We suggest that elderly should be considered for strategies to minimize risk of infection. In elderly that undergo unilateral ITA, the problem seems to be related to how ITA is harvested. Elderly should always be considered for use of skeletonized ITA. 618Sá MPBO, et al. -Skeletonized internal thoracic artery is associated with lower rates of mediastinitis in elderly undergoing coronary artery bypass grafting surgery Bras Cir Cardiovasc 2011;26(4):617-23 Rev

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Risk factors for mediastinitis after coronary artery bypass grafting surgery

Abstract: 28SÁ, MPBO ET AL -Risk factors for mediastinitis after coronary artery bypass grafting surgery Bras Cir Cardiovasc 2011; 26.1: 27-35 Rev

Cited by 59 publications

References 34 publications

Tabagismo: o que tem sido abordado em periódicos brasileiros

Tabagismo: o que tem sido abordado em periódicos brasileiros

Risk factors for mediastinitis after coronary artery bypass grafting surgery: An integrative review

Artéria torácica interna esqueletizada está associada a menores taxas de mediastinite em idosos submetidos à cirurgia de revascularização miocárdica

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