Sternal bone anatomy on preoperative imaging as an independent predictor of deep sternal dehiscence following median sternotomy
Complications following median sternotomy are associated with morbidity, mortality, and major healthcare costs. With plastic surgeons being increasingly consulted to close complex sternotomy wounds, a more accurate risk stratification tool for this comorbid patient population is warranted. This stud...
Gespeichert in:
| Veröffentlicht in: | Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2024-01, Vol.88, p.306-309 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 309 |
|---|---|
| container_issue | |
| container_start_page | 306 |
| container_title | Journal of plastic, reconstructive & aesthetic surgery |
| container_volume | 88 |
| creator | Jia, Emmeline Morgenstern, Monica Barron, Sivana Chen, Amy Garvey, Shannon R. Park, John B. Rahmani, Benjamin Adebagbo, Oluwaseun D. Nwokedi, Josephine Chu, Louis Cauley, Ryan P. |
| description | Complications following median sternotomy are associated with morbidity, mortality, and major healthcare costs. With plastic surgeons being increasingly consulted to close complex sternotomy wounds, a more accurate risk stratification tool for this comorbid patient population is warranted. This study examines the association of preoperative radiologic sternal measurements and deep sternal dehiscence, comparing this with other known clinical risk factors.
A decreased manubrium sternal thickness relative to body weight ( |
| doi_str_mv | 10.1016/j.bjps.2023.11.033 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2896806640</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1748681523007556</els_id><sourcerecordid>2896806640</sourcerecordid><originalsourceid>FETCH-LOGICAL-c222t-c0b16bc64c21a9715eda748737ce6abe57c3abeda31a7539bffc46208fd4d5873</originalsourceid><addsrcrecordid>eNp9kD1PwzAURS0EglL4AwzII0uCPxInlVgQ4ktCYgBmy7FfiqvUDnZa1Im_jkMLI4ufh_OufQ9CZ5TklFBxucibRR9zRhjPKc0J53toQuuqzkjJZ_vpXhV1JmpaHqHjGBeEFJwW5SE64jXhs4qRCfp6GSA41eHGO8DKqcEvN9g73AfwPQQ12DVgu1Rz6-ZYxYRg6wz0kA43jJixevAB-xYbgB7HXaCBdxs1OA249V3nP8eAZaJTwg_jx6dO0EGruginuzlFb3e3rzcP2dPz_ePN9VOmGWNDpklDRaNFoRlVs4qWYFQqV_FKg1ANlJXmaRjFqapS-aZtdSEYqVtTmDJxU3Sxze2D_1hBHORy_F3XKQd-FSWrZ6ImQhQkoWyL6uBjDNDKPiQBYSMpkaN4uZCjeDmKl5TKJD4tne_yV00q-bfyazoBV1sAUsu1hSCjtqMdYwPoQRpv_8v_BsZOmAs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2896806640</pqid></control><display><type>article</type><title>Sternal bone anatomy on preoperative imaging as an independent predictor of deep sternal dehiscence following median sternotomy</title><source>Elsevier ScienceDirect Journals Complete</source><creator>Jia, Emmeline ; Morgenstern, Monica ; Barron, Sivana ; Chen, Amy ; Garvey, Shannon R. ; Park, John B. ; Rahmani, Benjamin ; Adebagbo, Oluwaseun D. ; Nwokedi, Josephine ; Chu, Louis ; Cauley, Ryan P.</creator><creatorcontrib>Jia, Emmeline ; Morgenstern, Monica ; Barron, Sivana ; Chen, Amy ; Garvey, Shannon R. ; Park, John B. ; Rahmani, Benjamin ; Adebagbo, Oluwaseun D. ; Nwokedi, Josephine ; Chu, Louis ; Cauley, Ryan P.</creatorcontrib><description>Complications following median sternotomy are associated with morbidity, mortality, and major healthcare costs. With plastic surgeons being increasingly consulted to close complex sternotomy wounds, a more accurate risk stratification tool for this comorbid patient population is warranted. This study examines the association of preoperative radiologic sternal measurements and deep sternal dehiscence, comparing this with other known clinical risk factors.
A decreased manubrium sternal thickness relative to body weight (<0.13 mm/kg) and an absolute inferior sternal width ≤13.8 mm had a significant association with the development of deep sternal dehiscence, even with adjustment for known clinical risk factors. With such measurements assisting in further risk stratification, the opportunity to improve risk assessment holds value for plastic and reconstructive surgeons who are consulted to close extensive sternotomy wounds.</description><identifier>ISSN: 1748-6815</identifier><identifier>ISSN: 1878-0539</identifier><identifier>EISSN: 1878-0539</identifier><identifier>DOI: 10.1016/j.bjps.2023.11.033</identifier><identifier>PMID: 38039720</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Deep sternal dehiscence ; Prophylactic plastic surgery ; Risks stratification ; Sternal thickness ; Sternotomy wounds</subject><ispartof>Journal of plastic, reconstructive & aesthetic surgery, 2024-01, Vol.88, p.306-309</ispartof><rights>2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons</rights><rights>Copyright © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c222t-c0b16bc64c21a9715eda748737ce6abe57c3abeda31a7539bffc46208fd4d5873</cites><orcidid>0000-0003-4283-6984 ; 0000-0002-6909-4135 ; 0000-0002-7879-6892 ; 0000-0003-4363-7135 ; 0000-0002-7122-1658</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1748681523007556$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38039720$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jia, Emmeline</creatorcontrib><creatorcontrib>Morgenstern, Monica</creatorcontrib><creatorcontrib>Barron, Sivana</creatorcontrib><creatorcontrib>Chen, Amy</creatorcontrib><creatorcontrib>Garvey, Shannon R.</creatorcontrib><creatorcontrib>Park, John B.</creatorcontrib><creatorcontrib>Rahmani, Benjamin</creatorcontrib><creatorcontrib>Adebagbo, Oluwaseun D.</creatorcontrib><creatorcontrib>Nwokedi, Josephine</creatorcontrib><creatorcontrib>Chu, Louis</creatorcontrib><creatorcontrib>Cauley, Ryan P.</creatorcontrib><title>Sternal bone anatomy on preoperative imaging as an independent predictor of deep sternal dehiscence following median sternotomy</title><title>Journal of plastic, reconstructive & aesthetic surgery</title><addtitle>J Plast Reconstr Aesthet Surg</addtitle><description>Complications following median sternotomy are associated with morbidity, mortality, and major healthcare costs. With plastic surgeons being increasingly consulted to close complex sternotomy wounds, a more accurate risk stratification tool for this comorbid patient population is warranted. This study examines the association of preoperative radiologic sternal measurements and deep sternal dehiscence, comparing this with other known clinical risk factors.
A decreased manubrium sternal thickness relative to body weight (<0.13 mm/kg) and an absolute inferior sternal width ≤13.8 mm had a significant association with the development of deep sternal dehiscence, even with adjustment for known clinical risk factors. With such measurements assisting in further risk stratification, the opportunity to improve risk assessment holds value for plastic and reconstructive surgeons who are consulted to close extensive sternotomy wounds.</description><subject>Deep sternal dehiscence</subject><subject>Prophylactic plastic surgery</subject><subject>Risks stratification</subject><subject>Sternal thickness</subject><subject>Sternotomy wounds</subject><issn>1748-6815</issn><issn>1878-0539</issn><issn>1878-0539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kD1PwzAURS0EglL4AwzII0uCPxInlVgQ4ktCYgBmy7FfiqvUDnZa1Im_jkMLI4ufh_OufQ9CZ5TklFBxucibRR9zRhjPKc0J53toQuuqzkjJZ_vpXhV1JmpaHqHjGBeEFJwW5SE64jXhs4qRCfp6GSA41eHGO8DKqcEvN9g73AfwPQQ12DVgu1Rz6-ZYxYRg6wz0kA43jJixevAB-xYbgB7HXaCBdxs1OA249V3nP8eAZaJTwg_jx6dO0EGruginuzlFb3e3rzcP2dPz_ePN9VOmGWNDpklDRaNFoRlVs4qWYFQqV_FKg1ANlJXmaRjFqapS-aZtdSEYqVtTmDJxU3Sxze2D_1hBHORy_F3XKQd-FSWrZ6ImQhQkoWyL6uBjDNDKPiQBYSMpkaN4uZCjeDmKl5TKJD4tne_yV00q-bfyazoBV1sAUsu1hSCjtqMdYwPoQRpv_8v_BsZOmAs</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Jia, Emmeline</creator><creator>Morgenstern, Monica</creator><creator>Barron, Sivana</creator><creator>Chen, Amy</creator><creator>Garvey, Shannon R.</creator><creator>Park, John B.</creator><creator>Rahmani, Benjamin</creator><creator>Adebagbo, Oluwaseun D.</creator><creator>Nwokedi, Josephine</creator><creator>Chu, Louis</creator><creator>Cauley, Ryan P.</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4283-6984</orcidid><orcidid>https://orcid.org/0000-0002-6909-4135</orcidid><orcidid>https://orcid.org/0000-0002-7879-6892</orcidid><orcidid>https://orcid.org/0000-0003-4363-7135</orcidid><orcidid>https://orcid.org/0000-0002-7122-1658</orcidid></search><sort><creationdate>202401</creationdate><title>Sternal bone anatomy on preoperative imaging as an independent predictor of deep sternal dehiscence following median sternotomy</title><author>Jia, Emmeline ; Morgenstern, Monica ; Barron, Sivana ; Chen, Amy ; Garvey, Shannon R. ; Park, John B. ; Rahmani, Benjamin ; Adebagbo, Oluwaseun D. ; Nwokedi, Josephine ; Chu, Louis ; Cauley, Ryan P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c222t-c0b16bc64c21a9715eda748737ce6abe57c3abeda31a7539bffc46208fd4d5873</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Deep sternal dehiscence</topic><topic>Prophylactic plastic surgery</topic><topic>Risks stratification</topic><topic>Sternal thickness</topic><topic>Sternotomy wounds</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jia, Emmeline</creatorcontrib><creatorcontrib>Morgenstern, Monica</creatorcontrib><creatorcontrib>Barron, Sivana</creatorcontrib><creatorcontrib>Chen, Amy</creatorcontrib><creatorcontrib>Garvey, Shannon R.</creatorcontrib><creatorcontrib>Park, John B.</creatorcontrib><creatorcontrib>Rahmani, Benjamin</creatorcontrib><creatorcontrib>Adebagbo, Oluwaseun D.</creatorcontrib><creatorcontrib>Nwokedi, Josephine</creatorcontrib><creatorcontrib>Chu, Louis</creatorcontrib><creatorcontrib>Cauley, Ryan P.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jia, Emmeline</au><au>Morgenstern, Monica</au><au>Barron, Sivana</au><au>Chen, Amy</au><au>Garvey, Shannon R.</au><au>Park, John B.</au><au>Rahmani, Benjamin</au><au>Adebagbo, Oluwaseun D.</au><au>Nwokedi, Josephine</au><au>Chu, Louis</au><au>Cauley, Ryan P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sternal bone anatomy on preoperative imaging as an independent predictor of deep sternal dehiscence following median sternotomy</atitle><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle><addtitle>J Plast Reconstr Aesthet Surg</addtitle><date>2024-01</date><risdate>2024</risdate><volume>88</volume><spage>306</spage><epage>309</epage><pages>306-309</pages><issn>1748-6815</issn><issn>1878-0539</issn><eissn>1878-0539</eissn><abstract>Complications following median sternotomy are associated with morbidity, mortality, and major healthcare costs. With plastic surgeons being increasingly consulted to close complex sternotomy wounds, a more accurate risk stratification tool for this comorbid patient population is warranted. This study examines the association of preoperative radiologic sternal measurements and deep sternal dehiscence, comparing this with other known clinical risk factors.
A decreased manubrium sternal thickness relative to body weight (<0.13 mm/kg) and an absolute inferior sternal width ≤13.8 mm had a significant association with the development of deep sternal dehiscence, even with adjustment for known clinical risk factors. With such measurements assisting in further risk stratification, the opportunity to improve risk assessment holds value for plastic and reconstructive surgeons who are consulted to close extensive sternotomy wounds.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>38039720</pmid><doi>10.1016/j.bjps.2023.11.033</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0003-4283-6984</orcidid><orcidid>https://orcid.org/0000-0002-6909-4135</orcidid><orcidid>https://orcid.org/0000-0002-7879-6892</orcidid><orcidid>https://orcid.org/0000-0003-4363-7135</orcidid><orcidid>https://orcid.org/0000-0002-7122-1658</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1748-6815 |
| ispartof | Journal of plastic, reconstructive & aesthetic surgery, 2024-01, Vol.88, p.306-309 |
| issn | 1748-6815 1878-0539 1878-0539 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2896806640 |
| source | Elsevier ScienceDirect Journals Complete |
| subjects | Deep sternal dehiscence Prophylactic plastic surgery Risks stratification Sternal thickness Sternotomy wounds |
| title | Sternal bone anatomy on preoperative imaging as an independent predictor of deep sternal dehiscence following median sternotomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T20%3A05%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Sternal%20bone%20anatomy%20on%20preoperative%20imaging%20as%20an%20independent%20predictor%20of%20deep%20sternal%20dehiscence%20following%20median%20sternotomy&rft.jtitle=Journal%20of%20plastic,%20reconstructive%20&%20aesthetic%20surgery&rft.au=Jia,%20Emmeline&rft.date=2024-01&rft.volume=88&rft.spage=306&rft.epage=309&rft.pages=306-309&rft.issn=1748-6815&rft.eissn=1878-0539&rft_id=info:doi/10.1016/j.bjps.2023.11.033&rft_dat=%3Cproquest_cross%3E2896806640%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2896806640&rft_id=info:pmid/38039720&rft_els_id=S1748681523007556&rfr_iscdi=true |