Sternal Wound Infections in Pediatric Congenital Cardiac Surgery: A Survey of Incidence and Preventative Practice  Cathy S. Woodward, DNP, RN, Minnette.

Slides:



Advertisements
Similar presentations
Changes in Risk Profile Over Time in the Population of a Pediatric Heart Transplant Program Olaf Reinhartz, MD, Katsuhide Maeda, MD, Bruce A. Reitz, MD,
Advertisements

What Predicts Long-Term Survival After Heart Transplantation
Cumulative Corticosteroid Exposure and Infection Risk After Complex Pediatric Cardiac Surgery  Christopher W. Mastropietro, MD, Renee Barrett, MD, Maria.
Giant Transdiaphragmatic Intercostal Hernia
Impact of Delayed Sternal Closure on Postoperative Infection or Wound Dehiscence in Patients With Congenital Heart Disease  Hong Ju Shin, MD, Won Kyoung.
Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery  Ming Liu, MS, MA, Charlotte M. Druschel,
Robert L. Smith, MD, Morley A. Herbert, PhD, Todd M
Liver and Cardiac Function in the Long Term After Fontan Operation
Trevor Williams, MD, MPH, Brian C
Superior Sternal Cleft Repair Using Autologous Rib Grafts in an Infant with Complex Congenital Heart Disease  Charles A. Hill, BS, Louis C. Argenta, MD,
The Annals of Thoracic Surgery
Comparison of Three Measurements of Cardiac Surgery Mortality for the Northern New England Cardiovascular Disease Study Group  Donald S. Likosky, PhD,
Burdens Without Blessings: Peer Reviewers Get No Respect
Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava
John S. Ikonomidis, MD, PhD, Niv Ad, MD, Gabriel S
Michelle C. Ellis, MD, Brian S. Diggs, PhD, John T. Vetto, MD, Paul H
Risk Factors for Sternal Wound Infection After Open Heart Operations Vary According to Type of Operation  Katharina Meszaros, MD, Urs Fuehrer, MD, Sina.
Simple Index to Predict Likelihood of Skilled Nursing Facility Admission After Coronary Artery Bypass Grafting Among Older Patients  David C. Chang, PhD,
Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD 
Pleural Metastasis of Osteosarcoma
Surgical Repair of a Chronic Traumatic Sternal Fracture
Trevor Williams, MD, MPH, Brian C
Public policy and the practicing physician
Aaron H. Healy, MD, Bruce B. Reid, MD, Bryce D. Allred, MD, John R
Twisted Wire Stent Technique for Delayed Sternal Closure After Congenital Heart Operations  Ersin Erek, MD, Mehmet Kaya, MD, Cansaran Tanidir, MD, Ozgen.
Origins of the Cardiothoracic Surgery Network (CTSNet)
James D. St. Louis, MD  The Annals of Thoracic Surgery 
Who Do You Say You Are? The Annals of Thoracic Surgery
Congenital Absence of Bilateral Common Carotid Arteries
Use of Amiodarone After Major Lung Resection
Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma
Impact of Blood Product Transfusion on Short and Long-Term Survival After Cardiac Surgery: More Evidence  Balu Bhaskar, MD, FCICM, Joel Dulhunty, PhD,
Sternal Closure With Tie Bands: A Word of Caution
Mallory L. Irons, MD, MBE, J. William Gaynor, MD, Thomas L
Risk Factors for Atrial Fibrillation After Lung Cancer Surgery: Analysis of The Society of Thoracic Surgeons General Thoracic Surgery Database  Mark Onaitis,
Electric Suction-Lavage Device for Video-Assisted Thoracoscopic Surgery Treatment of Empyema and Hemothorax  Alon Ben-Nun, MD, PhD, Avi Waknin, RN, Michalle.
Primary Cardiac Sarcoma
Coronary Artery Bypass Revascularization Using Bilateral Internal Thoracic Arteries in Diabetic Patients: A Systematic Review and Meta-Analysis  Kan Kajimoto,
Percutaneous Transcatheter Closure of the Aortic Valve
Neurofibromatosis of the Esophagus
Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty
Michael J. Wolf, MD, Kirk R. Kanter, MD, Paul M. Kirshbom, MD, Brian E
Editorial Board, January 2010
Sarah C. Huen, MD, Chirag R. Parikh, MD, PhD 
Randomized Study of a New Noninvasive Skin Closure Device for Use After Congenital Heart Operations  Yuki Tanaka, MD, Takashi Miyamoto, MD, PhD, Yuji.
Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor
Predictors and Outcomes of Seizures After Cardiac Surgery: A Multivariable Analysis of 2,578 Patients  Andrew B. Goldstone, BA, David J. Bronster, MD,
An Unusual Cause of Hemoptysis in a Young Woman
Vacuum-Assisted Closure for the Treatment of Complex Chest Wounds
Current Assessment of Mortality Rates in Congenital Cardiac Surgery
Specialty Training and Mortality After Esophageal Cancer Resection
The Removal of Chest Tubes Despite an Air Leak or a Pneumothorax
Scott B. Johnson, MD, Anna M. Allred, BS, Adam M. Cline, MD, Luis F
Dana Y. Fuhrman, DO, MS, Lan G
Invited Commentary The Annals of Thoracic Surgery
Robert Lee Replogle, September 30, 1931–May 9, 2016
“Early” Delayed Sternal Closure Following Pediatric Cardiac Surgery
The American Board of Thoracic Surgery: Update
Lower sternal reinforcement improves the stability of sternal closure
“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:
Are There Enough Jobs in Cardiothoracic Surgery
Wartime Thoracic Injury: Perspectives in Modern Warfare
Late Consequences of a Much Earlier Decision
Bicuspid Aortic Valves and Dilatation of the Ascending Aorta: Reply
The Impact of New Technology on Cardiothoracic Surgical Practice
Short Operation Time: An Important Element to Reduce Operative Invasiveness in Pediatric Cardiac Surgery  Makoto Ando, MD, Yukihiro Takahashi, MD, Toshio.
Cardiac Morphologic Changes After the Nuss Operation for Correction of Pectus Excavatum  Jin Yong Jeong, MD, Hyung Joo Park, MD, Jongho Lee, MD, Jae Kil.
J. Alberto Lopez, MD  The Annals of Thoracic Surgery 
David S. Mulder, MD  The Annals of Thoracic Surgery 
Factors in the Selection and Management of Chest Tubes After Pulmonary Lobectomy: Results of a National Survey of Thoracic Surgeons  Samuel S. Kim, MD,
Presentation transcript:

Sternal Wound Infections in Pediatric Congenital Cardiac Surgery: A Survey of Incidence and Preventative Practice  Cathy S. Woodward, DNP, RN, Minnette Son, MD, John Calhoon, MD, Joel Michalek, PhD, S. Adil Husain, MD  The Annals of Thoracic Surgery  Volume 91, Issue 3, Pages 799-804 (March 2011) DOI: 10.1016/j.athoracsur.2010.10.030 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Number of operations stratified by infection rate. The approximate means of the infection rate and the number of operations performed are indicated with vertical and horizontal dashed straight lines, respectively. The correlation between the number of operations and infection rate is −0.03 (p = 0.84). Simple linear regression gives the following equation: Infection rate = 1.62 − 0.0004 * (number of surgeries performed) (represented in the figure as the thick black line). The R2 for this equation is 0.001. The Annals of Thoracic Surgery 2011 91, 799-804DOI: (10.1016/j.athoracsur.2010.10.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Percentage of infections stratified to number of delayed sternal closures. The approximate mean of the infection rate is indicated with a horizontal dashed straight line. The correlation between the percentage of operations with a delayed sternal closure and infection rate is 0.05 (p = 0.76). Simple linear regression gives the following equation: Infection rate = 1.40 + 0.016 * (percentage of delayed sternal closures) (represented in the figure as the thick black line). The R2 for this equation is 0.003. The Annals of Thoracic Surgery 2011 91, 799-804DOI: (10.1016/j.athoracsur.2010.10.030) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions