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...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2014
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- spa
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22990
- Acceso en línea:
- https://doi.org/10.1016/S0120-5633(14)70264-5
https://repository.urosario.edu.co/handle/10336/22990
- Palabra clave:
- 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
- Rights
- License
- Abierto (Texto Completo)
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f180ab9f-66ef-47c2-be66-678dee3e980d-1e432f51e-a3dc-4f59-a994-5a08a9460475-1c446979e-84bb-4b30-9ac3-4173a732f9c0-13448b6e1-13d5-4ddb-ad75-9732e70e9a13-15ca93083-85cb-4c64-b896-cf19fd1bb342-12020-05-25T23:59:08Z2020-05-25T23:59:08Z2014Introduction: 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.application/pdfhttps://doi.org/10.1016/S0120-5633(14)70264-51205633https://repository.urosario.edu.co/handle/10336/22990spaSociedad Colombiana de Cardiologia y Cirugia Cardiovascular124No. 2119Revista Colombiana de CardiologiaVol. 21Revista Colombiana de Cardiologia, ISSN:1205633, Vol.21, No.2 (2014); pp. 119-124https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904462200&doi=10.1016%2fS0120-5633%2814%2970264-5&partnerID=40&md5=8bb153b5bac65063d2cd183cadb5fcbfAbierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURAgeArticleCase control studyClinical articleControlled studyCoronary artery bypass graftDiabetes mellitusExtracorporeal circulationHeart muscle revascularizationHumanMediastinitisRisk factorCardiac surgeryComplicationsCoronary artery diseaseFactors associated with the onset of mediastinitis in 2073 myocardial revascularizationsFactores asociados a la aparición de mediastinitis en 2.073 revascularizaciones miocárdicasarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Parada, Julián M.Carreño, MarisolCamacho, JaimeSandoval, Néstor F.Umaña, Juan P.ORIGINAL1-s2-0-S0120563314702645.pdfapplication/pdf232665https://repository.urosario.edu.co/bitstreams/c728e5db-116c-4a08-b77d-3104cec58ef5/download9c89f1eb7393fd8af3cab855acf29967MD51TEXT1-s2-0-S0120563314702645.pdf.txt1-s2-0-S0120563314702645.pdf.txtExtracted texttext/plain30718https://repository.urosario.edu.co/bitstreams/83d04685-2540-480a-97d7-1e4d8513fa4e/downloadceb76c7c1061b397ac90b048b5c5e175MD52THUMBNAIL1-s2-0-S0120563314702645.pdf.jpg1-s2-0-S0120563314702645.pdf.jpgGenerated Thumbnailimage/jpeg4192https://repository.urosario.edu.co/bitstreams/6afd5867-f518-46cf-b5b3-e01fb61ec60f/download1603a88fbcf8fa502364193813308fb3MD5310336/22990oai:repository.urosario.edu.co:10336/229902022-05-02 07:37:19.144889https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co |
dc.title.spa.fl_str_mv |
Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations |
dc.title.TranslatedTitle.spa.fl_str_mv |
Factores asociados a la aparición de mediastinitis en 2.073 revascularizaciones miocárdicas |
title |
Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations |
spellingShingle |
Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations 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 |
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 |
dc.subject.keyword.spa.fl_str_mv |
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 |
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 |
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. |
publishDate |
2014 |
dc.date.created.spa.fl_str_mv |
2014 |
dc.date.accessioned.none.fl_str_mv |
2020-05-25T23:59:08Z |
dc.date.available.none.fl_str_mv |
2020-05-25T23:59:08Z |
dc.type.eng.fl_str_mv |
article |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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http://purl.org/coar/resource_type/c_6501 |
dc.type.spa.spa.fl_str_mv |
Artículo |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.1016/S0120-5633(14)70264-5 |
dc.identifier.issn.none.fl_str_mv |
1205633 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/22990 |
url |
https://doi.org/10.1016/S0120-5633(14)70264-5 https://repository.urosario.edu.co/handle/10336/22990 |
identifier_str_mv |
1205633 |
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spa |
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spa |
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124 |
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No. 2 |
dc.relation.citationStartPage.none.fl_str_mv |
119 |
dc.relation.citationTitle.none.fl_str_mv |
Revista Colombiana de Cardiologia |
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Vol. 21 |
dc.relation.ispartof.spa.fl_str_mv |
Revista Colombiana de Cardiologia, ISSN:1205633, Vol.21, No.2 (2014); pp. 119-124 |
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https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904462200&doi=10.1016%2fS0120-5633%2814%2970264-5&partnerID=40&md5=8bb153b5bac65063d2cd183cadb5fcbf |
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Sociedad Colombiana de Cardiologia y Cirugia Cardiovascular |
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