Evidence map›Paper›PMID 41527653›Full record

ArticleCureus2025

Association of Obesity and Prolonged Hospital Stay With Surgical Site Infections After Coronary Artery Bypass Grafting in Intermediate- to High-Risk Patients: Insights From a Single-Center Study.

Paraskevi Kyriazi, Athina Patelarou, Theodoros A Katsoulas, Evridiki Patelarou, Loukia Alexopoulou-Prounia, John Kokotsakis, Samiotis Ilias, Eleni Dokoutsidou, Despoina Alamanou, Konstantinos Giakoumidakis

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Paraskevi KyriaziDepartment of Nursing, School of Health Sciences, Hellenic Mediterranean University, Heraklion, GRC.
Athina PatelarouDepartment of Nursing, School of Health Sciences, Hellenic Mediterranean University, Heraklion, GRC.
Theodoros A KatsoulasDepartment of Nursing, National and Kapodistrian University of Athens, Athens, GRC.
Evridiki PatelarouDepartment of Nursing, School of Health Sciences, Hellenic Mediterranean University, Heraklion, GRC.
Loukia Alexopoulou-ProuniaDepartment of Cardiothoracic Surgery, Evangelismos General Hospital, Athens, GRC.
John KokotsakisDepartment of Cardiothoracic Surgery, Evangelismos General Hospital, Athens, GRC.
Samiotis IliasDepartment of Cardiothoracic Surgery, Evangelismos General Hospital, Athens, GRC.
Eleni DokoutsidouDepartment of Nursing, University of West Attica, Athens, GRC.
Despoina AlamanouDepartment of Cardiology, 417 Veteran Hospital of Athens, Athens, GRC.
Konstantinos GiakoumidakisDepartment of Nursing, School of Health Sciences, Hellenic Mediterranean University, Heraklion, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery bypass grafting (CABG) is one of the most common surgical procedures, contributing to improved long-term survival and quality of life for patients with coronary artery disease (CAD). However, surgical site infections (SSIs) remain a serious complication, increasing mortality, morbidity, and hospital length of stay. BACKGROUND/

objectivesThe study aimed to determine the incidence of SSIs and to identify factors associated with their development in patients at intermediate- to high-risk of infection undergoing CABG. It also aimed to provide context-specific evidence to inform targeted preventive strategies.

methodsThe study included 51 patients (39 (76.5%) men, 12 (23.5%) women; mean age 67.2 ± eight years) who underwent CABG via median sternotomy. Patients were preoperatively stratified for SSI risk using the Brompton Harefield Infection Score (BHIS), and only those classified as intermediate or high risk were included. The occurrence of SSIs was evaluated postoperatively using the Additional treatment, Serous discharge, Erythema, Purulent exudate, Separation of deep tissues, Isolation of bacteria, and Stay as inpatient prolonged over 14 days (ASEPSIS) scoring system. Data were analyzed using SPSS Statistics version 26.0 (IBM Corp., Armonk, NY, USA).

resultsInfections were observed in 17 (33%) patients. The occurrence of SSIs was positively associated with prolonged hospital stay (ρ = 0.512, p < 0.001) and obesity (f = 0.348, p = 0.013). Age, gender, smoking, diabetes mellitus, and ejection fraction were not statistically significantly associated with infection occurrence.

conclusionsObesity and prolonged hospital stay were significantly associated with higher SSI rates in patients after CABG. The high incidence of SSIs highlights the urgent need for targeted interventions in patients at increased risk. Early identification and proactive management of patients at increased risk may help reduce infection rates, improving postoperative outcomes and patient quality of life. The small sample size of this study, the data collection from a single cardiothoracic surgery center, and the limited number of examined variables are limitations that indicate the need for further research.

Indexed as

coronary artery bypass grafting (cabg)length of hospital stayobesityrisk factorssurgical site infections (ssis)

Identifiers

PMID41527653
PMCPMC12790610

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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.