Risk Factors of Fu et al for Sterile Sternal Dehiscence Following Cardiac Surgery

Description

Fu et al identified risk factors for sterile dehiscence of the sternal wound following open cardiac surgery. These can help to identify a patient who may benefit from more aggressive management to avoid the complication. The authors are from New York-Presbyterian Hospital and Columbia University Medical Center in New York City.

Patient selection: median sternotomy for open heart surgery

Parameters from multivariate analysis:

(1) body mass index (BMI) in kilograms per square meter

(2) diabetes mellitus

(3) respiratory failure

Parameter	Finding	Points
body mass index	<= 30 kg per square m	0
	> 30 kg per square m	1
diabetes mellitus	absent	0
	not requiring medication	0
	requires medication	1
respiratory failure	absent	0
	present	1

number of risk factors =

= SUM(points for all 3 parameters)

Interpretation:

• minimum number of risk factors: 0

• maximum number of risk factors: 3

• The risk increases with the number of risk factors present.

Additional factors from univariate analysis:

(1) prior surgery during this admission

(2) unplanned cardiac reoperation

(3) >= 2 arterial conduits

To read more or access our algorithms and calculators, please log in or register.

Risk Factors of Fu et al for Sterile Sternal Dehiscence Following Cardiac Surgery

Description

Specialty