Faculty of Medicine and Health TechnologyTampere UniversityArvo Ylpön katu 34 33500 TampereFinland.
Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Scand J Surg. 2023 Mar;112(1):41-47. doi: 10.1177/14574969221139709. Epub 2022 Dec 1.
A deep sternal wound infection is a life-threatening complication after cardiac surgery. This study was conducted to describe the mortality associated with postoperative deep sternal wound infections after cardiac surgery and to find risk factors linked to increased mortality in 1 year follow-up.
A total of 7973 open-heart surgeries were performed at Tampere University Hospital. Deep sternal wound infection patients were identified, their 1-year mortality status was recorded, and the related risk factors were analyzed.
We detected a total of 129 (1.6%) postoperative deep sternal wound infection patients. The 1-year mortality associated with a postoperative deep sternal wound infection was 20.2%. No preoperative or perioperative, statistically significant factors associated with increased 1-year mortality were found. A prolonged stay in an intensive care unit after surgery as well as stroke, delirium, wound secretion, and co-infection were associated with increased 1-year mortality.
The risk factors found for increased 1-year mortality were all postoperative. The quality of surgical treatment as well as precise postoperative care and evaluation remain the most important factors to decrease later mortality due to deep sternal wound infections.
心脏手术后发生深部胸骨伤口感染是一种危及生命的并发症。本研究旨在描述心脏手术后深部胸骨伤口感染的术后死亡率，并寻找与 1 年随访期间死亡率增加相关的风险因素。
坦佩雷大学医院共进行了 7973 例开胸手术。确定了深部胸骨伤口感染患者，记录了他们的 1 年死亡率，并分析了相关的风险因素。
我们共发现 129 例（1.6%）术后深部胸骨伤口感染患者。术后深部胸骨伤口感染的 1 年死亡率为 20.2%。未发现与 1 年死亡率增加相关的术前或围手术期有统计学意义的因素。手术后在重症监护病房的停留时间延长以及中风、谵妄、伤口分泌物和合并感染与 1 年死亡率增加相关。
发现的与 1 年死亡率增加相关的风险因素均为术后因素。手术治疗的质量以及精确的术后护理和评估仍然是降低深部胸骨伤口感染后死亡率的最重要因素。
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