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Titolo:
Cardiac reoperation in the intensive care unit
Autore:
Fiser, SM; Tribble, CG; Kern, JA; Long, SM; Kaza, AK; Kron, IL;
Indirizzi:
Univ Virginia, Hlth Sci Ctr, Dept Thorac & Cardiovasc Surg, Charlottesville, VA 22908 USA Univ Virginia Charlottesville VA USA 22908 Charlottesville, VA 22908 USA
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 6, volume: 71, anno: 2001,
pagine: 1888 - 1892
SICI:
0003-4975(200106)71:6<1888:CRITIC>2.0.ZU;2-4
Fonte:
ISI
Lingua:
ENG
Soggetto:
STERNAL WOUND-INFECTION; RISK-FACTORS; REEXPLORATION; OPERATIONS; OUTCOMES; DEEP;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Kron, IL Univ Virginia, Hlth Sci Ctr, Dept Thorac & Cardiovasc Surg, Lee St,Rm 2753, Charlottesville, VA 22908 USA Univ Virginia Lee St,Rm 2753 Charlottesville VA USA 22908 908 USA
Citazione:
S.M. Fiser et al., "Cardiac reoperation in the intensive care unit", ANN THORAC, 71(6), 2001, pp. 1888-1892

Abstract

Background. At our institution, cardiac reoperations are routinely performed in the cardiac intensive care unit, as opposed to taking these patients back to the operating room. Our hypothesis was that reoperation in a cardiac intensive care unit does not increase sternal infection rate. Methods. A retrospective analysis was performed on 6,908 adult patients undergoing cardiac operation over a 9-year period. Excluding those in cardiacarrest, 340 (4.9%) patients underwent reoperation in the cardiac intensivecare unit, of which 289 survived (85%). Results. Of the 289 patients who survived reoperation in the intensive care unit, 6 developed wound infections that required operative debridement (2.1%), which was not significantly different from those patients not requiring reoperation (1.9%, 121 of 6,497, p = 0.70). Hospital charges for a 2-hour reoperation in the intensive care unit and operating room are approximately $1,972/patient and $5,832/patient, respectively. Conclusions. Reoperation in the intensive care unit does not increase wound infection rate compared to those without reoperation. Decreased charges, avoiding transport of potentially unstable patients, quicker time to intervention, and convenience are advantages of reoperation in an intensive care unit.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 16/07/20 alle ore 17:58:00