ArticleWorld journal of surgery2016
The Impact of Deep Sternal Wound Infection on Mortality and Resource Utilization: A Population-based Study.
Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic literature review evaluating evidence and mechanisms of action for platelet-rich plasma as an antibacterial agent.Journal of cardiothoracic surgery · 2021Pooled it
- The impact of incisional negative pressure wound therapy on the wound healing process after midline sternotomy.International wound journal · 2021Trial
- Plasma and parasternal subcutaneous tissue pharmacokinetics of ceftaroline fosamil in cardiac surgery with cardiopulmonary bypass.Frontiers in pharmacology · 2026Article
- Vancomycin wound penetration in open-heart surgery patients receiving negative pressure wound therapy for deep sternal wound infection.Annals of medicine · 2025Observational
- When Rewiring Fails-The Enduring Role of the Pectoralis Major Flap in Sternal Wound Reconstruction.Journal of clinical medicine · 2025Article
- The wound microbiome associated with deep sternal wound infection: a scoping review.Journal of thoracic disease · 2025Review
- Development of a clinical metagenomics workflow for the diagnosis of wound infections.BMC medical genomics · 2024Article
- Sternal Wound Reconstruction Following Deep Sternal Wound Infection: Past, Present and Future: A Literature Review.Journal of cardiovascular development and disease · 2024Review
- Can machine learning models improve the prediction of surgical site infection in abdominal surgery than traditional statistical models?The Journal of international medical research · 2024Article
- Effectiveness of rigid plate fixation for sternal closure in patients with a high risk of deep sternal wound infection.The Journal of international medical research · 2024Observational
- Infectious Mediastinitis: A Retrospective Cohort Study.Open forum infectious diseases · 2024Article
- How effective is simple mechanical wound debridement in reducing bacterial colonisation? Results of a prospective clinical study.International wound journal · 2024Article
- The impact of two radical sternectomy surgical techniques on the outcome of deep sternal wound infections.Journal of cardiothoracic surgery · 2024Article
- The Impact of Gender and Age in Obese Patients on Sternal Instability and Deep-Sternal-Wound-Healing Disorders after Median Sternotomy.Journal of clinical medicine · 2023Article
- Review on risk factors, classification, and treatment of sternal wound infection.Journal of cardiothoracic surgery · 2023Review
- Optimal Timing of Multidisciplinary Management of Sternal Wound Complications.Annals of thoracic surgery short reports · 2023Article
- Predictors of sternal wound infection post cardiac surgery in a Saudi Centre: a case control study.Journal of cardiothoracic surgery · 2023Article
- Treatment of Complex Two-Vessel Coronary Heart Disease with Single Left Internal Mammary Artery as T-Graft with Itself-A Retrospective Double Center Analysis of Short-Term Outcomes.Medicina (Kaunas, Lithuania) · 2022Review
- Incidence and risk factors for sternal osteomyelitis after median sternotomy.Journal of thoracic disease · 2022Article
- The management of deep sternal wound infection: Literature review and reconstructive algorithm.JPRAS open · 2021Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundRecent national infection control efforts have been directed at reducing postsurgical infection rates, related morbidity, and cost. We sought to evaluate population-level rates of deep sternal wound infection (DSWI) after cardiac surgery, associated mortality, and resource use compared to patients undergoing cardiac surgery without postoperative DSWI relative to historical trends.
methodsWe analyzed the MarketScan
resultsIn this cohort, 176,537 patients underwent one or more cardiac surgery procedures. DSWI occurred in 2835 (1.6 %) patients. One-year mortality for patients with DSWI was 10.7 versus 2.5 % (P < 0.001) in patients without DSWI. Mean hospital days in patients with DSWI were 33 versus 9 days for patients without DSWI (P < 0.001). Mean cost for patients with DSWI was greater than 2.5 times that of patients without DSWI ($211,478 vs $82,089, P < 0.001).
conclusionsTreatment of DSWI results in substantial morbidity, mortality, and excess cost for treating facilities. The rates of DSWI have not decreased dramatically over the last 10-20 years. Thus, more attention needs to be focused toward understanding treatment variation that exists in patients diagnosed with DSWI.
Indexed as
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Registered trials
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.