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Risk Factors of Ariyaratnam et al for Deep Sternal Wound Infection (DSWI) Following Cardiac Bypass Surgery

Description

Ariyaratnam et al identified risk factors for deep sternal wound infection (DSWI) following coronary bypass surgery. These can help to identify a patient who may benefit from more aggressive management. The authors are from Castle Hill Hospital and University of York.


Patient selection: cardiac bypass surgery with or without concomitant procedures

 

Risk factors for deep sternal wound infection from a logistic regression model:

(1) older age (odds ratio 1.055 per year)

(2) body mass index (BMI; odds ratio 1.076)

(3) diabetes mellitus (odds ratio 2.0)

(4) chronic lung disease (odds ratio 2.5)

 

Morbidity and mortality are higher in patients requiring re-opening for DSWI.


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