Grossi et al identified risk factors associated with major infections of median sternotomy wounds. These can help identify patients who may require closer monitoring and more aggressive management. The authors are from New York University Medical Center.


Significant risk factors for sternal wound infection:

(1) re-operation for hemorrhage (more than 1,000 to 1,500 mL) or tamponade

(2) low cardiac output requiring circulatory support (balloon pump, other)

(3) ventilatory support > 24 hours after surgery

(4) severe infection elsewhere, especially pneumonia or urinary tract infection


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