Secondary surgical-site infection after coronary artery bypass grafting: A multi-institutional prospective cohort study

To analyze patient risk factors and processes of care associated with secondary surgical-site infection (SSI) after coronary artery bypass grafting (CABG). Data were collected prospectively between February and October 2010 for consenting adult patients undergoing CABG with saphenous vein graft (SVG...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 2018-04, Vol.155 (4), p.1555-1562.e1
Hauptverfasser:	Gulack, Brian C., Shi, Wei, Gelijns, Annetine C., Thourani, Vinod H., Greenberg, Ann, Goldfarb, Seth D., Mayer, Mary Lou, Miller, Marissa A., Taddei-Peters, Wendy C., Buxton, Dennis, Caulder, Ron, Geller, Nancy L., Jeffries, Neal O., Moy, Claudia S., Gombos, Ilana Kogan, Ralph, Jennifer, Gardner, Timothy J., Parides, Michael K., Ascheim, Deborah D., Moskowitz, Alan J., Rose, Eric A., Chase, Melissa, Gagliardi, Rosemarie, Gupta, Lopa, Santos, Milerva, Wood, Carrie, Ye, Xia, Blackstone, Eugene H., Gillinov, A. Marc, Lackner, Pamela, Berroteran, Leoma, Dolney, Diana, Fleming, Suzanne, Palumbo, Roberta, Whitman, Christine, Sankovic, Kathy, Pattakos, Gregory, Clarke, Pamela A., Williams, Mathew, Smith, Craig R., Naka, Yoshifumi, Schwartz, Allan, Bell, Daniel, Van Patten, Danielle, Welsh, Stacey, Alexander, John H., Milano, Carmelo A., Glower, Donald D., Mathew, Joseph P., Berry, Mark F., Tong, Betty C., Williams, Judson B., Ferguson, T. Bruce, Kypson, Alan P., Rodriguez, Evelio, Akers, Brenda, Puskas, John D., Guyton, Robert, Baio, Kim, D'Alessandro, David A., Bello, Ricardo, Garcia, Mario, Spevak, Daniel, Swayze, Roger, Perrault, Louis P., Basmadjian, Arsène-Joseph, Bouchard, Denis, Carrier, Michel, Pellerin, Michel, El-Hamamsy, Ismael, Denault, André, Robichaud, Sophie, Siegenthaler, Michael P., Murphy, Mandy, Iraola, Margaret, Acker, Michael A., Woo, Y. Joseph, Johnston, Karen, Dent, John M., Sandra Burks, Jessica Keim, Gahring, Kim, Bull, David A., Desvigne-Nickens, Patrice, Dixon, Dennis O., Haigney, Mark, Holubkov, Richard, Miller, Frank, Murkin, John M., McDonald, Cheryl L., Byington, Robert, Ikonomidis, John S., Yancy, Clyde W., Fang, James C., Richenbacher, Wayne, Rao, Vivek, Miller, Rachel, Pinney, Sean
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Anti-Bacterial Agents - administration & dosage Body Mass Index Coronary Artery Bypass - adverse effects coronary artery bypass grafting Erythrocyte Transfusion - adverse effects Female Humans Incidence Length of Stay Male Middle Aged Patient Readmission postoperative length of stay postoperative readmission Prospective Studies red blood cell transfusion Risk Assessment Risk Factors Saphenous Vein - transplantation saphenous vein graft surgical site infection Surgical Wound Infection - diagnosis Surgical Wound Infection - epidemiology Surgical Wound Infection - microbiology Surgical Wound Infection - therapy Time Factors Tissue and Organ Harvesting - adverse effects Treatment Outcome United States - epidemiology
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Beschreibung
Zusammenfassung:	To analyze patient risk factors and processes of care associated with secondary surgical-site infection (SSI) after coronary artery bypass grafting (CABG). Data were collected prospectively between February and October 2010 for consenting adult patients undergoing CABG with saphenous vein graft (SVG) conduits. Patients who developed a deep or superficial SSI of the leg or groin within 65 days of CABG were compared with those who did not develop a secondary SSI. Among 2174 patients identified, 65 (3.0%) developed a secondary SSI. Median time to diagnosis was 16 days (interquartile range 11-29) with the majority (86%) diagnosed after discharge. Gram-positive bacteria were most common. Readmission was more common in patients with a secondary SSI (34% vs 17%, P
ISSN:	0022-5223 1097-685X
DOI:	10.1016/j.jtcvs.2017.10.078