Risk factors for deep sternal wound infections after cardiac surgery in Jordan

Al-Zaru, Ibtisam; Ammouri, Ali Ahmad; Al‐Hassan, Mousa A.; Amr, Anas A

doi:10.1111/j.1365-2702.2010.03193.x

Cited by 15 publications

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References 37 publications

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“…Previous studies explained that infections post-CABG affect the patient's mortality, morbidity and length of stay. Obese patients, diabetes mellitus, and COPD are considered risk factors associated with an increase of post-surgical infections [25,26]. Another confounder of the higher readmission rates amongst Palestinian patients might be the fact that their length of hospital stay was significantly lower (IQR = 6 -10).…”

Section: Discussionmentioning

confidence: 99%

Genuine Palestinian cabbage: Myth or fact. Comparison between Palestinian and Belgian coronary artery bypass grafting

Salameh¹,

Darwazah²,

Verhaaren³

et al. 2013

WJCD

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Background: Outcomes post-CABG serves as an indicator of the quality and effectiveness of care given by health care providers. The primary aim of this study is to describe outcomes such as mortality, morbidity, length of hospitalization and hospital readmission post-CABG between Ramallah Ministry of Health Hospital and Ghent University hospital. Methods: A retrospective study is conducted on 200 matched patients who underwent isolated CABG in Ramallah hospital and Ghent University hospital between 2009 and 2011. Both groups were followed up in the post-operative period for minimum one year. Inferential statistics were performed to find the presence of relationship among variables. Kaplan-Meyer was performed to compare overall survival rates and freedom from adverse events. The logistic model was used to assess all factors that associated with readmission, mortality, morbidity and hospital stay. Findings: Both groups had comparable patient characteristics and operative data. Risk factors of diabetes (50%) and smoking (60%) were higher in Palestinian patients compared to (29%) and (31%) in Belgian patients. The mortality rate slightly, being higher among the Palestinian group, was 4% compared to 2% among the Belgium group. Occurrence of morbidity was less noted among Palestinian patients compared to Belgium patients (23%, 36%, P = 0.044 respectively). Palestinian patients had shorter hospital stay (IQR = 6 - 10, P < 0.001). However, they had significantly higher rate of re-admission within 30 days of the operation (P = 0.007). Moreover, the overall infection experience in the Palestinian group was higher after adjustment for the confounding effect of smoking and diabetes (P = 0.046 and P = 0.042 respectively). In Ramallah hospital, diabetes (P = 0.011) and smoking (P = 0.012) were significantly associated with higher readmission rate. Interpretation: Finding indicates that although in-hospital adverse events didn’t statistically differ, 30-day mortality rate and re-admission were slightly higher among Palestinian patients, while the incidence of atrial fibrillation was increased and hospital stay was prolonged in the Belgium group. Diabetes and smoking in Palestinewere found to be independent risk factors for higher readmission rate and infection.

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Section: Discussionmentioning

confidence: 99%

Genuine Palestinian cabbage: Myth or fact. Comparison between Palestinian and Belgian coronary artery bypass grafting

Salameh¹,

Darwazah²,

Verhaaren³

et al. 2013

WJCD

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“…Quadro1-Fatores de risco para a ocorrência de ISC em pacientes submetidos à cirurgia cardíaca. DM AHMED et al, 2011;AL-ZARU et al, 2010;ANTUNES;ANTUNES et al, 2009;ARIYARATNAM;BLAND;MAHMOUD, 2010;ARRUDA et al, 2008;BAILLOT et al, 2010;BANBURY et al, 2006;CAYCI et al, 2008;DE SANTO et al, 2008;ENNKER et al, 2009;FILSOUFI et al, 2009;GATTI et al, 2016;GHOTASLOU et al, 2008;ITAGAKI et al, 2013;MANNIEM et al, 2011;MUNOZ et al, 2008;NAKATSU et al, 2010;NGAAGE et al, 2008;RISNES et al, 2010;ROBINSON et al, 2007;SA et al, 2011a;SACHITHANANDAN et al, 2008. Obesidade AHMED et al, 2011AL-ZARU et al, 2010; ANTUNES; OLIVEIRA; ANTUNES et al, 2009;…”

Section: Infecção Do Sítio Cirúrgicounclassified

“…Al-Zaru et al (2010), descreveram que pacientes obesos possuem mais tecido adiposo no tórax, o que limita a oferta de oxigênio e favorece má perfusão nesta região. Dessa forma, recomenda-se, quando possível, que pacientes obesos sejam encorajados a perder peso antes da cirurgia e consequentemenete tenha reduzido o risco de ISC (AL-ZARU et al, 2010;GUDE et al, 2006).…”

Section: Fatores De Risco Relacionados à Hospitalizaçãounclassified

“…Em outras publicações, o tempo médio foi de 100 a 200 minutos (AL-ZARU et al, 2010;DOHMEN et al, 2011;OMAR et al, 2015;MANNIEM et al, 2011;MATROS et al, 2010;McGUINNESS et al, 2016). (HAMOUDA et al, 2015;LORUSSO et al, 2015;McGUINNESS et al, 2016, OMAR et al, 2015SILVEIRA et al, 2016).…”

Section: Fatores De Risco Relacionados à Hospitalizaçãounclassified

“…Ressalta-se que tempo de cirurgia prolongado constituiu-se num importante fator de risco para a ocorrência de ISC (AL-ZARU et al, 2010;FAKI et al, 2007;GUPTA et al, 2010;SIMSEK YAVUZ et al, 2006) A avaliação do resultado da HbA1C pré-operatória é provavelmente um bom preditor para o controle de glicemia no paciente diabético (SAAGER et al, 2015).…”

Section: Fatores De Risco Relacionados à Hospitalizaçãounclassified

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Fatores associados à ocorrência de infecções relacionadas à assistência a saúde em pacientes submetidos a cirurgia cardíaca

Silva¹

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Meu querido pai Alfredo, Pelo sentimento tímido de amor, pelo apoio e companhia na estrada para Ribeirão Preto, me mostrando que mesmo sem títulos acadêmicos podemos ser nobres em nossas ações. Obrigada pelo apoio constante. Te amo! Minha amada mãe Maria José (in memorian), Que mesmo tendo partido durante esta trajetória do doutorado, mostrou-me um amor incondicional, humildade, sabedoria e mesmo ainda no momento difícil da doença, teve fé, serenidade e aceitação. Obrigada por ter sido minha mãe, você me faz muita falta. Te amarei eternamente! Meu esposo Gil, Pelo incentivo constante, pela compreensão nas ausências, por me ouvir, me incentivar e me dar asas para sonhar. Obrigada por trilhar comigo esse longo caminho com amor e cumplicidade. Te amo! Meu filho Arthur, Minha fonte de inspiração, amor e alegria; me fez conhecer o amor da forma mais sublime. Seu nome diz "nobreza e generosidade" e isso foi o que você me concedeu. Meu maior e melhor projeto. Mamãe te ama muito! Meu pequeno anjinho, Que permaneceu em meu ventre durante 8 semanas, mesmo assim trouxe à nossa família luz, esperança, força e sonhos no fim dessa trajetória. Mostrou-me que o futuro nem sempre é como queríamos que fosse, mas reaprendemos e nos fortalecermos para seguir em frente e sermos felizes. .

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Etiología de las infecciones del sitio quirúrgico en pacientes intervenidos de cirugía cardiaca

Múñez

Ramos

Espejo

et al. 2013

Cirugía Cardiovascular

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Risk factors for deep sternal wound infections after cardiac surgery in Jordan

Abstract: Determining patients who are at risk of developing deep sternal wound infection after cardiac surgeries is the first step towards its prevention.

Cited by 15 publications

References 37 publications

Genuine Palestinian cabbage: Myth or fact. Comparison between Palestinian and Belgian coronary artery bypass grafting

Genuine Palestinian cabbage: Myth or fact. Comparison between Palestinian and Belgian coronary artery bypass grafting

Fatores associados à ocorrência de infecções relacionadas à assistência a saúde em pacientes submetidos a cirurgia cardíaca

Etiología de las infecciones del sitio quirúrgico en pacientes intervenidos de cirugía cardiaca

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