Evidence map›Paper›PMID 32409758›Full record

ArticleScientific reports2020

An Extended Duration of the Pre-Operative Hospitalization is Associated with an Increased Risk of Healthcare-Associated Infections after Cardiac Surgery.

Patrick Sulzgruber, Sebastian Schnaubelt, Lorenz Koller, Günther Laufer, Arnold Pilz, Niema Kazem, Max-Paul Winter, Barbara Steinlechner, Martin Andreas, Tatjana Fleck and 5 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Surgical Site Infection in Coronary Artery Bypass: Observational Study.International journal of nursing practice · 2026
    Observational
  5. Article
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  7. Article
  8. Article
  9. Common Bacterial Infections in Persons Who Inject Drugs.Medicines (Basel, Switzerland) · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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

15 authors at 1 institution in 1 country.

Patrick Sulzgruber *Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria. patrick.sulzgruber@muv.ac.at.
Sebastian Schnaubelt *Department of Emergency Medicine, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-0057-8200
Lorenz KollerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Günther LauferDivision of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Arnold PilzDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Niema KazemDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Max-Paul WinterDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Barbara SteinlechnerDepartment of Anesthesia, General Intensive Care and Pain Management, Medical University of Vienna, Vienna, Austria.
Martin AndreasDivision of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Tatjana FleckDivision of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Klaus DistelmaierDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Georg GoliaschDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Aurel TomaDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Christian HengstenbergDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Alexander NiessnerDivision of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nosocomial infections are a common complication in clinical practice with major impact on surgical success and patient outcome. The probability of nosocomial infections is rapidly increasing during hospitalization. Therefore, we investigated the impact of a prolonged pre-operative hospital stay on the development of post-operative infection. Within this prospective observational study, 200 patients scheduled for elective cardiac surgery were enrolled. Patients were followed during hospital admission and screened for the development of nosocomial infection. Logistic regression analysis was used to assess the impact of a prolonged pre-operative hospital stay on the development of infection. A total of 195 patients were suitable for the final analysis. We found a strong and direct association of the duration of pre-operative hospital stay and the number of patients developing infection (+23.5%; p = 0.006). Additionally, the length of patients' pre-operative hospital stay was independently associated with the development of post-operative nosocomial infection, with an adjusted OR per day of 1.38 (95%CI: 1.02-1.86; p = 0.036). A prolonged pre-operative hospital stay was significantly associated with the development of nosocomial infection after cardiac surgery. Those findings need to be considered in future clinical patient management in order to prevent unnecessary antibiotic use and potential harm to patients.

Indexed as

HospitalizationPreoperative PeriodCardiac Surgical ProceduresCross InfectionFemaleHospital MortalityHumansIncidenceLength of StayMaleOdds RatioPostoperative Complications

Identifiers

PMID32409758
PMCPMC7224271
OpenAlexW3025263421

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.