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Titolo:
Sternal wound complications after primary isolated myocardial revascularization: the importance of the post-operative variables
Autore:
Noyez, L; van Druten, JAM; Mulder, J; Schroen, AMA; Skotnicki, SH; Brouwer, RMHJ;
Indirizzi:
Univ Nijmegen Hosp, Dept Thorac & Cardiac Surg, NL-6500 HB Nijmegen, Netherlands Univ Nijmegen Hosp Nijmegen Netherlands NL-6500 HB Nijmegen, Netherlands Univ Nijmegen, Dept Med Informat Epidemiol & Stat 152, NL-6500 HB Nijmegen, Netherlands Univ Nijmegen Nijmegen Netherlands NL-6500 HB 0 HB Nijmegen, Netherlands
Titolo Testata:
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
fascicolo: 4, volume: 19, anno: 2001,
pagine: 471 - 476
SICI:
1010-7940(200104)19:4<471:SWCAPI>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-BYPASS SURGERY; INFECTION; DEEP;
Keywords:
myocardial revascularization; postoperative morbidity; sternum; wound complication;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Noyez, L Univ Nijmegen Hosp, Dept Thorac & Cardiac Surg, POB 9101, NL-6500HB Nijmegen, Netherlands Univ Nijmegen Hosp POB 9101 Nijmegen NetherlandsNL-6500 HB ands
Citazione:
L. Noyez et al., "Sternal wound complications after primary isolated myocardial revascularization: the importance of the post-operative variables", EUR J CAR-T, 19(4), 2001, pp. 471-476

Abstract

Objective: Select pre-, peri-, and post-operative variables, predictive for sternal wound complications (SWC), in a clinical setting. Methods: We analyzed pre-, per-, and post-operative data of 3815 patients who underwent a primary isolated bypass grafting. 100 patients (2.6%) had post-operative SWC. Unifactor and multifactor risk analysis, were used for statistical analysis. Results: Unifactor analysis identified age (P = 0.05), obesity (P = 0.001), lung disease (p = 0.001), extracorporeal circulation > 100 min (P = 0.02), graft choice (p = 0.01), post-operative low cardiac output, reoperation, nephrological, pulmonary problems (P < 0.001) as risk factors. Multifactor analysis, identified obesity (P = 0.005), reoperation (P = 0.001), nephrological (P = 0.0001), pulmonary problems (P = 0.001) and No-IMA-use (P = 0.05) as independent predictors. Age <50 years (P = 0.04) decreased the risk for SWC. There is, however, an interaction of the graft-use and the pre-operative and post-operative predictors, that can mask the precise effect ofthe graft-use. Conclusion: Reoperation, nephrological and pulmonary problems are strong predictors, obesity and age independent preoperative risk factors for sternal wound complications. (C) 2001 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 10:52:40