Evidence map›Paper›PMID 37445306›Full record

ArticleJournal of clinical medicine2023

The Impact of Gender and Age in Obese Patients on Sternal Instability and Deep-Sternal-Wound-Healing Disorders after Median Sternotomy.

Christian Braun, Filip Schroeter, Magdalena Lydia Laux, Ralf-Uwe Kuehnel, Roya Ostovar, Martin Hartrumpf, Anna-Maria Necaev, Viyan Sido, Johannes Maximilian Albes

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Observational
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.

Christian BraunDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.
Filip SchroeterDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.ORCID 0000-0002-9625-3066
Magdalena Lydia LauxDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.
Ralf-Uwe KuehnelDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.
Roya OstovarDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.
Martin HartrumpfDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.ORCID 0000-0003-1889-6039
Anna-Maria NecaevDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.
Viyan SidoDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.ORCID 0009-0001-3147-4415
Johannes Maximilian AlbesDepartment of Cardiovascular Surgery, Heart Center Brandenburg, Faculty of Health Sciences Brandenburg, University Hospital Brandenburg Medical School "Theodor Fontane", Ladeburger Str. 17, 16321 Bernau bei Berlin, Germany.ORCID 0000-0003-4722-3896
Universitätsklinikum Brandenburg an der Havel · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the relationship between age and sex in regard to the development of deep sternal wound infections and sternal instability following median sternotomy.

methodsA propensity-score-matching analysis was conducted on 4505 patients who underwent cardiac surgery between 2009 and 2021, all of whom had a BMI of ≥30 kg/m

resultsThe 30-day in-hospital mortality was found to be similar in the older and younger groups (8.149% vs. 8.35%,

conclusionsIn conclusion, this study found that sternal instability and deep-wound-healing problems occur with equal frequency in older and younger patients and in men and women following median sternotomy. However, the likelihood of postoperative delirium is significantly higher in older patients and in men. These findings suggest that a higher level of monitoring and care may be required for these high-risk patient groups to reduce the incidence of postoperative delirium and improve outcomes following median sternotomy.

Indexed as

agemediastinitisosteomyelitisrisk factorssexsternal dehiscencesternal wound healingsternotomysternum instabilitysurgical-site infectionwound management

Identifiers

PMID37445306
PMCPMC10342909
OpenAlexW4382141131

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.