Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations

Introduction: Mediastinitis is a multifactorial entity which occurs in up to 4% of patients undergoing coronary artery bypass graft (CABG). It has a hospital mortality of 14% to 47%, which generates increased costs of care and deterioration of the quality of life and patient survival in the long ter...

Descripción completa

Detalles Bibliográficos
Autores Principales: Parada, Julián M., Carreño, Marisol, Camacho, Jaime, Sandoval, Néstor F., Umaña, Juan P.
Formato: Artículo (Article)
Lenguaje:Español (Spanish)
Publicado: Sociedad Colombiana de Cardiologia y Cirugia Cardiovascular 2014
Materias:
Age
Acceso en línea:https://repository.urosario.edu.co/handle/10336/22990
https://doi.org/10.1016/S0120-5633(14)70264-5
id ir-10336-22990
recordtype dspace
spelling ir-10336-229902022-05-02T12:37:19Z Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations Factores asociados a la aparición de mediastinitis en 2.073 revascularizaciones miocárdicas Parada, Julián M. Carreño, Marisol Camacho, Jaime Sandoval, Néstor F. Umaña, Juan P. Age Article Case control study Clinical article Controlled study Coronary artery bypass graft Diabetes mellitus Extracorporeal circulation Heart muscle revascularization Human Mediastinitis Risk factor Cardiac surgery Complications Coronary artery disease Introduction: Mediastinitis is a multifactorial entity which occurs in up to 4% of patients undergoing coronary artery bypass graft (CABG). It has a hospital mortality of 14% to 47%, which generates increased costs of care and deterioration of the quality of life and patient survival in the long term. Objective: To determine which clinical antecedents and factors related to the surgical procedure are associated with the occurrence of mediastinitis. Materials and methods: A nested case control study in a historical cohort of patients undergoing CABG in the period January 2005 to July 2011. Patients with mediastinitis were compared with a control group without mediastinitis taken from the same risk group in a 1:4 ratio and matched for date of surgery. The diagnosis of mediastinitis was made on clinical and laboratory criteria and surgical findings. Results: Thirty cases were identified in the related period. Factors associated with the occurrence of the event were: diabetes mellitus OR 2.3 (1.1 to 4.9), use of extracorporeal circulation OR 2.4 (1.1-5.5), OR 1 perfusion time, 1 (1.1 to 1.3) and patients older than 70 years OR 1.1 (1.2-1.4). Conclusions: Mediastinitis remains complications of low prevalence with devastating consequences. The clinical and economic impact of this complication should compel surgical groups to create prevention strategies based on knowledge of the risk factors of the population. © 2012 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular. Published by Elsevier España, S.L. All rights reserved. 2014 2020-05-25T23:59:08Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 1205633 https://repository.urosario.edu.co/handle/10336/22990 https://doi.org/10.1016/S0120-5633(14)70264-5 spa info:eu-repo/semantics/openAccess application/pdf Sociedad Colombiana de Cardiologia y Cirugia Cardiovascular instname:Universidad del Rosario
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Age
Article
Case control study
Clinical article
Controlled study
Coronary artery bypass graft
Diabetes mellitus
Extracorporeal circulation
Heart muscle revascularization
Human
Mediastinitis
Risk factor
Cardiac surgery
Complications
Coronary artery disease
spellingShingle Age
Article
Case control study
Clinical article
Controlled study
Coronary artery bypass graft
Diabetes mellitus
Extracorporeal circulation
Heart muscle revascularization
Human
Mediastinitis
Risk factor
Cardiac surgery
Complications
Coronary artery disease
Parada, Julián M.
Carreño, Marisol
Camacho, Jaime
Sandoval, Néstor F.
Umaña, Juan P.
Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations
description Introduction: Mediastinitis is a multifactorial entity which occurs in up to 4% of patients undergoing coronary artery bypass graft (CABG). It has a hospital mortality of 14% to 47%, which generates increased costs of care and deterioration of the quality of life and patient survival in the long term. Objective: To determine which clinical antecedents and factors related to the surgical procedure are associated with the occurrence of mediastinitis. Materials and methods: A nested case control study in a historical cohort of patients undergoing CABG in the period January 2005 to July 2011. Patients with mediastinitis were compared with a control group without mediastinitis taken from the same risk group in a 1:4 ratio and matched for date of surgery. The diagnosis of mediastinitis was made on clinical and laboratory criteria and surgical findings. Results: Thirty cases were identified in the related period. Factors associated with the occurrence of the event were: diabetes mellitus OR 2.3 (1.1 to 4.9), use of extracorporeal circulation OR 2.4 (1.1-5.5), OR 1 perfusion time, 1 (1.1 to 1.3) and patients older than 70 years OR 1.1 (1.2-1.4). Conclusions: Mediastinitis remains complications of low prevalence with devastating consequences. The clinical and economic impact of this complication should compel surgical groups to create prevention strategies based on knowledge of the risk factors of the population. © 2012 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular. Published by Elsevier España, S.L. All rights reserved.
format Artículo (Article)
author Parada, Julián M.
Carreño, Marisol
Camacho, Jaime
Sandoval, Néstor F.
Umaña, Juan P.
author_facet Parada, Julián M.
Carreño, Marisol
Camacho, Jaime
Sandoval, Néstor F.
Umaña, Juan P.
author_sort Parada, Julián M.
title Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations
title_short Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations
title_full Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations
title_fullStr Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations
title_full_unstemmed Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations
title_sort factors associated with the onset of mediastinitis in 2073 myocardial revascularizations
publisher Sociedad Colombiana de Cardiologia y Cirugia Cardiovascular
publishDate 2014
url https://repository.urosario.edu.co/handle/10336/22990
https://doi.org/10.1016/S0120-5633(14)70264-5
_version_ 1740172423657947136
score 12,131701