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...

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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
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License
Abierto (Texto Completo)
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spelling 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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dc.type.spa.spa.fl_str_mv Artículo
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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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dc.relation.citationEndPage.none.fl_str_mv 124
dc.relation.citationIssue.none.fl_str_mv No. 2
dc.relation.citationStartPage.none.fl_str_mv 119
dc.relation.citationTitle.none.fl_str_mv Revista Colombiana de Cardiologia
dc.relation.citationVolume.none.fl_str_mv 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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