Evidence map›Paper›PMID 28350561›Full record

Trial reportPediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies2017

Reducing Pediatric Sternal Wound Infections: A Quality Improvement Project.

Claudia Delgado-Corcoran, Charlotte S Van Dorn, Charles Pribble, Emily A Thorell, Andrew T Pavia, Camille Ward, Randall Smout, Susan L Bratton, Phillip T Burch

Abstract readClinical Trial
In one paragraph

Trial report in Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 22 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Claudia Delgado-Corcoran1Division of Critical Care, Department of Pediatrics, University of Utah, Salt Lake City, UT. 2Divisions of Pediatric Critical Care Medicine and Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Mayo Clinic, Rochester, MN. 3Division of Infectious Disease, Department of Pediatrics, University of Utah, Salt Lake City, UT. 4Pediatric Intensive Care Department, Primary Children's Hospital, Intermountain Healthcare, Salt Lake City, UT. 5Information Technology Department, Primary Children's Hospital, Intermountain Healthcare, Salt Lake City, UT. 6Division of Cardiothoracic Surgery, Department of Surgery, University of Utah, Salt Lake City, UT.
Charlotte S Van Dorn
Charles Pribble
Emily A Thorell
Andrew T Pavia
Camille Ward
Randall Smout
Susan L Bratton
Phillip T Burch
University of Utah · US

Funding

Performance Validation of a Multiplexed IVD System for Gastrointestinal PathogensR01AI104593 · NIAID · BIOFIRE DIAGNOSTICS, LLC · PI BOURZAC, KEVIN M · 2013 to 2015
$3.6M
Risk Stratification and Decision Support to Improve Care and Outcomes in Children with PneumoniaR01AI125642 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2017 to 2021
$3.3M
NIAID NIH HHS R01 AI104593NIAID NIH HHS R01 AI125642
6 · The paper itself

Abstract

objectivesTo evaluate whether a quality improvement intervention reduces sternal wound infection rates in children after cardiac surgery.

designThis is a pre- and postintervention quality improvement study.

settingA 16-bed cardiac ICU in a university-affiliated pediatric tertiary care children's hospital. PATIENTS: All patients undergoing cardiac surgery via median sternotomy from January 2010 to December 2014 are included. The sternal wound infection rates for primary closure and delayed sternal closure are reported per 100 sternotomies. The hospital-acquired infection records were used to identify preintervention cases, while postintervention cases were collected prospectively.

interventionImplementation of a sternal wound prevention bundle during the preoperative, intraoperative, and postoperative periods for cardiac surgical cases. MEASUREMENTS AND MAIN

resultsDuring the preintervention period, 32 patients (3.8%) developed sternal wound infection, whereas only 19 (2.1%) developed sternal wound infection during the postintervention period (p = 0.04). The rates of sternal wound infection following primary closure were not significantly different pre- and postintervention (2.4% vs 1.6%; p = 0.35). However, patients with delayed sternal closure had significantly lower postintervention infection rates (10.6% vs 3.9%; p = 0.02).

conclusionsImplementation of a sternal wound prevention bundle during the perioperative period was associated with lower sternal wound infection rates in surgeries with delayed sternal closure.

Indexed as

Cardiac Surgical ProceduresSternotomyChild, PreschoolFemaleGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHumansInfantInfant, NewbornMalePatient Care BundlesPerioperative CareProspective StudiesQuality ImprovementRetrospective StudiesSurgical Wound Infection

Identifiers

PMID28350561
PMCPMC5419877
OpenAlexW2601782427

What OpenQuestion holds

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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.