Risk Analysis and Outcomes of Mediastinal Wound Infections
Author Information
Author(s): Parissis Haralabos, Al-Alao Bassel, Soo Alan, Orr David, Young Vincent
Primary Institution: Royal Victoria Hospital, Belfast, UK
Hypothesis
To report our experience with deep mediastinal wound infections and the management of these infections using omental flaps.
Conclusion
Post cardiac surgery sternal wound complications remain challenging, and a multidisciplinary approach is essential for effective management.
Supporting Evidence
- 120 out of 3896 cardiac surgery patients developed sternal wound infections.
- Overall mortality for the DMWI group was 9.3%.
- Complications occurred in 19% of the DMWI group.
Takeaway
This study looked at patients who got infections after heart surgery and found that using a special type of tissue called an omental flap can help treat these infections better.
Methodology
Data was collected from 3896 cardiac surgery patients over a period from February 2000 to October 2007, focusing on those who developed sternal wound infections.
Potential Biases
The study may have biases due to its retrospective nature and the lack of a control group.
Limitations
The study is observational and retrospective, with a small number of patients and limited follow-up.
Participant Demographics
Out of 120 patients with sternal wound infections, 104 were males and 16 were females.
Statistical Information
P-Value
0.001
Confidence Interval
1.2-10.98
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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