Deep Sternal Wound Infection after Coronary Artery Bypass Surgery: Management and Risk Factor Analysis for Mortality

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dc.authorid0000-0002-1503-329X
dc.authorid0000-0002-0820-3879
dc.authorid0000-0001-8098-4393
dc.authorscopusid23391660500
dc.authorscopusid39361319600
dc.authorscopusid37027244600
dc.authorscopusid6602388898
dc.authorscopusid24069725600
dc.authorscopusid19739091000
dc.authorscopusid56951712300
dc.authorwosidYumun, Gunduz/M-1768-2015
dc.authorwosidToktaş, Faruk/AAH-3495-2019
dc.authorwosidAS, Ahmet Kagan/AAD-1695-2022
dc.authorwosidAS, AHMET KAGAN/ABG-9688-2021
dc.contributor.authorYümün, Gündüz
dc.contributor.authorErdolu, Burak
dc.contributor.authorToktaş, Faruk
dc.contributor.authorEriş, Cüneyt
dc.contributor.authorAy, Derih
dc.contributor.authorTürk, Tamer
dc.contributor.authorAs, Ahmet Kağan
dc.date.accessioned2022-05-11T14:35:58Z
dc.date.available2022-05-11T14:35:58Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground: Deep sternal wound infection is a life-threatening complication after cardiac surgery. The aim of this study was to investigate the factors leading to mortality, and to explore wound management techniques on deep sternal wound infection after coronary artery bypass surgery. Methods: Between 2008 and 2013, 58 patients with deep sternal wound infection were analyzed. Risk factors for mortality and morbidity including age, gender, body mass index, smoking status, chronic renal failure, hypertension, diabetes, and treatment choice were investigated. Results: In this study, 19 patients (32.7%) were treated by primary surgical closure (PSC), and 39 patients (67.3%) were treated by delayed surgical closure following a vacuum-assisted closure system (VAC). Preoperative patient characteristics were similar between the groups. Fourteen patients (24.1%) died in the postoperative first month. The mortality rate and mean duration of hospitalization in the PSC group was higher than in the VAC group (P = .026, P = .034). Significant risk factors for mortality were additional operation, diabetes mellitus, and a high level of EuroSCORE. Conclusions: Delayed surgical closure following VAC therapy may be associated with shorter hospitalization and lower mortality in patients with deep sternal wound infection. Additional operation, diabetes mellitus, and a high level of EuroSCORE were associated with mortality.
dc.identifier.doi10.1532/HSF98.2014346
dc.identifier.endpageE216
dc.identifier.issn1098-3511
dc.identifier.issn1522-6662
dc.identifier.issue4en_US
dc.identifier.pmid25179975
dc.identifier.scopus2-s2.0-84907518622
dc.identifier.scopusqualityQ3
dc.identifier.startpageE212
dc.identifier.urihttps://doi.org/10.1532/HSF98.2014346
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8316
dc.identifier.volume17
dc.identifier.wosWOS:000347913500008
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYümün, Gündüz
dc.language.isoen
dc.publisherForum Multimedia Publishing, Llc
dc.relation.ispartofHeart Surgery Forum
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectVacuum-Assisted Closure
dc.subjectCardiac-Surgery
dc.subjectOpen Packing
dc.subjectMediastinitis
dc.subjectTherapy
dc.subjectSternotomy
dc.titleDeep Sternal Wound Infection after Coronary Artery Bypass Surgery: Management and Risk Factor Analysis for Mortality
dc.typeArticle

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