Evidence map›Paper›PMID 23678210›Full record

ReviewTexas Heart Institute journal2013

Preventing deep wound infection after coronary artery bypass grafting: a review.

Charles S Bryan, William M Yarbrough

Open access · greenAbstract readReview
In one paragraph

Review in Texas Heart Institute journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Article
  7. Article
  8. Surgical Site Infection in Cardiac Surgery.Journal of clinical medicine · 2022
    Review
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  16. Review
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  20. Medanta insulin protocols in patients undergoing cardiac surgery.Indian journal of endocrinology and metabolism · 2014
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Charles S BryanSisters of Charity Providence Hospitals, Columbia, South Carolina 29204, USA. charles.bryan@providencehospitals.com
William M Yarbrough
Providence Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The consequences of deep wound infections before, during, and after coronary artery bypass grafting have prompted research to clarify risk factors and explore preventive measures to keep infection rates at an irreducible minimum. An analysis of 42 studies in which investigators used multivariate logistic regression analysis revealed that diabetes mellitus and obesity are by far the chief preoperative risk factors. A 4-point preoperative scoring system based on a patient's body mass index and the presence or absence of diabetes is one practical way to determine the risk of mediastinitis, and other risk-estimate methods are being refined. Intraoperative risk factors include prolonged perfusion time, the use of one or more internal mammary arteries as grafts, blood transfusion, and mechanical circulatory assistance. The chief postoperative risk factor is reoperation, usually for bleeding. Unresolved issues include the optimal approach to Staphylococcus aureus nasal colonization and the choice of a prophylactic antibiotic regimen. We recommend that cardiac surgery programs supplement their audit processes and ongoing vigilance for infections with periodic, multidisciplinary reviews of best-practice standards for preoperative, intraoperative, and postoperative patient care.

Indexed as

Infection ControlAntibiotic ProphylaxisCoronary Artery BypassGuideline AdherenceHumansLogistic ModelsMediastinitisMultivariate AnalysisPractice Guidelines as TopicPractice Patterns, Physicians'Quality of Health CareRisk AssessmentRisk FactorsSurgical Wound InfectionTreatment OutcomeAnti-bacterial agents/administration & dosage/therapeutic useantibiotic prophylaxis/methods/standardsbacterial infections/prevention & controlclinical trials as topiccoronary artery bypass/adverse effectsmediastinitis/prevention & controlpostoperative complications/prevention & controlquality assurance/health care/methodsrisk factorssurgical wound infection/prevention & control

Identifiers

PMID23678210
PMCPMC3649789
OpenAlexW1563371287

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.