The association between preoperative length of hospital stay and deep sternal wound infection: A scoping review

Storey, Annmarie; MacDonald, Brendan; Rahman, Muhammad Aziz

doi:10.1016/j.aucc.2020.12.010

Cited by 10 publications

(12 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It had a relatively small sample size to make strong and generalizable interpretations. Preoperative length of stay is known as a modifiable risk factor for DSWI development in open heart surgery 21 . In this respect, it is another limitation that the preoperative length of stay status of the patients was not added to the analyses.…”

Section: Discussionmentioning

confidence: 99%

The ımportance of ınflammatory parameters ın predıctıng deep sternal wound ınfectıons after open heart surgery

Parla

Tatli

Pala

et al. 2022

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

OBJECTIVE:The aim of this study was to investigate the relationship between the development of deep sternal wound infection after open heart surgery and inflammatory parameters obtained from routine biochemical tests. METHODS: A total of 280 patients who underwent cardiac surgery with median sternotomy between January 2015 and January 2020 were examined retrospectively. Patients who developed deep sternal wound infection were identified as "Group 1, " and those who did not develop deep sternal wound infection were identified as "Group 2. " RESULTS: There were 70 patients with a mean age of 61.6±9.9 years in Group 1 and 210 patients with a mean age of 62.7±9.8 years in Group 2. As a result of the analysis, it was found that the presence of concomitant chronic obstructive pulmonary disease, concomitant diabetes mellitus, blood and blood product transfusion, postoperative 2 nd day C-reactive protein, postoperative 1 st day neutrophil-to-lymphocyte ratio, and delta neutrophilto-lymphocyte ratio was found as independent predictive factors of postoperative deep sternal wound infection development (p=0. 043, p=0.012, p=0.029, p=0.009, p=0.002, and p<0.001; respectively). As a predictor of deep sternal wound infections development, postoperative 1 st day neutrophilto-lymphocyte ratio cutoff value was 11.2 (area under the curve [AUC] 0.598; p=0.014; 60% sensitivity, and 65.2% specificity), and delta neutrophilto-lymphocyte ratio cutoff value was 9.6 (AUC 0.716; p<0.001; 57.1% sensitivity, and 73.8% specificity). CONCLUSIONS: Deep sternal wound infection development can be predicted with inflammatory parameters such as neutrophil-to-lymphocyte ratio and C-reactive protein that are obtained from cheap and easily available routine biochemical tests.

show abstract

Section: Discussionmentioning

confidence: 99%

The ımportance of ınflammatory parameters ın predıctıng deep sternal wound ınfectıons after open heart surgery

Parla

Tatli

Pala

et al. 2022

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

show abstract

“…The infection of sternal wounds by sternotomy incision is an important and dangerous complication of thoracic and cardiac surgery (1)(2)(3). Patients undergoing cardiac surgery are at significant risk of sternal wound infections that develops in the cutaneous and subcutaneous tissue (4,5) along with complications such as osteomyelitis and mediastinitis (1). The prevalence of this infection can be attributed to a variety of causes, including factors related to the hospital environment, health settings, and length of hospital stay among patients (2,6,7).…”

Section: Introductionmentioning

confidence: 99%

Fungal and bacterial co-infection in the superficial and deep sternal wound after open cardiac surgery

Riahi,

Koohsari,

Hosseini

2023

IJM

View full text Add to dashboard Cite

Background and Objectives: Sternum infection increases the time of the patients stay in the hospital and, as a result, increases the treatment costs. This study aimed to evaluate the fungal and bacterial co-infection in the superficial and deep sternal wounds after open cardiac surgery and its relationship with risk factors, as sternal infection increases the time of the patient's stay in the hospital and, as a result, increases the treatment costs. Materials and Methods: Data were collected using a questionnaire and sampling with two swabs after open heart surgery and hospitalization from 21 March 2018 to 20 March 2019 and sent to the laboratory for diagnosis of microorganisms effective in wound infection. Susceptibility testing for fluconazole and specific antibiotics was performed by the disk diffusion method. Results: Out of 210 patients studied, 2% of patients had deep sternal wound infections. The most common coinfection fungal and bacterial agents in sternal wounds were caused by Staphylococcus aureus with Candida glabrata 4% and Escherichia coli with Candida albicans 2%. S. aureus and E. coli showed the highest antibiotic susceptibility to the antibiotics ciproflox- acin, norfloxacin, meropenem, and imipenem. Candida glabrata and Candida albicans had the highest rate of resistance to fluconazole. Conclusion: According to the results of this study, patients on the 7th day in the cardiac care unit (CCU) and the 28th day are at higher risk of getting confection of fungi with bacteria in the sternal wound. Therefore, timely and appropriate antibiotic therapy, including the use of appropriate antibiotics, can be an important step in the patient's recovery.

show abstract

“…ELOHS has been linked to increased hospitalization and decreased survival rate after carotid endarterectomy while being influenced by risk factors such as history of congestive heart failure, chronic obstructive pulmonary disease, total time in operating room, number of hospital visits, Intensive Care Unit (ICU) transfers, and placement of Foley catheter over [11]. Patients with deep sternal wound infection have been identified to overstay in hospitals due to factors that include diabetes, obesity, heart failure, renal impairment, and complex surgical procedures [12]. Patients with unruptured adult cerebral aneurysms have risk factors of ELOHS that comprise demographics factors, preadmission comorbidities, choice of procedures, and inpatient complications [3].…”

Section: Introductionmentioning

confidence: 99%

Extended Length of Hospital Stay for Surgical and Medical Patients – Insights from Hospital and Psychosocial Predictors

Ossai¹,

Wickramasinghe²

2022

Proceedings of the Annual Hawaii International Conference on System Sciences

View full text Add to dashboard Cite

Ensuring that patients do not overstay the expected Length of Stay (LOS) in the hospital is an important indicator of the quality of care and helps to reduce the cost of healthcare. This study identifies the predictors of Extended Length of Hospital Stay (ELOHS) for surgical and medical patients to include LOS (>20 days), Age (> 40 years), Hour to Surgery (HTS) -within 4 hours of admission, zero and one Rapid Response Team (RRT) calls, Average Operating Room Time (AORT) of 0 -120 minutes and one Theatre Session (TS). Apart from the "ear, nose, mouth & throat", "kidney and urinary tract", "circulatory system", "nervous system" and "digestive system" Major Diagnostic Categories (MDCs), other considered MDCs have significant differences in the

show abstract

The association between preoperative length of hospital stay and deep sternal wound infection: A scoping review

Cited by 10 publications

References 46 publications

The ımportance of ınflammatory parameters ın predıctıng deep sternal wound ınfectıons after open heart surgery

The ımportance of ınflammatory parameters ın predıctıng deep sternal wound ınfectıons after open heart surgery

Fungal and bacterial co-infection in the superficial and deep sternal wound after open cardiac surgery

Extended Length of Hospital Stay for Surgical and Medical Patients – Insights from Hospital and Psychosocial Predictors

Contact Info

Product

Resources

About