دورية أكاديمية
أعرض في EDS

Risk Factors for Postoperative Infections in Cardiac Surgery Patients: A Retrospective Study.

التفاصيل البيبلوغرافية
العنوان: Risk Factors for Postoperative Infections in Cardiac Surgery Patients: A Retrospective Study.
المؤلفون: Abukhodair A; Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU., Alqarni MS; Internal Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Internal Medicine, National Guard Hospital, King Abdulaziz Medical City, Jeddah, SAU., Alzahrani A; Radiology, King Faisal Specialist Hospital and Research Center, Jeddah, SAU., Bukhari ZM; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Jeddah, SAU., Kadi A; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.; Medicine, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU., Baabbad FM; Emergency Medicine, Ministry of National Guard Health Affairs, Riyadh, SAU., Algarni A; Pathology and Laboratory Medicine, National Guard Hospital, King Abdulaziz Medical City, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU., Jamalallail S; Pathology and Laboratory Medicine, National Guard Hospital, King Abdulaziz Medical City, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU., Almohammadi M; Hematopathology and Transfusion Medicine, National Guard Hospital, King Abdulaziz Medical City, Jeddah, SAU.; Medicine, King Abdullah International Medical Research Center, Jeddah, SAU., Bennett SR; Anesthesiology/Cardiac and Intensive Care, University Hospital Southampton NHS Foundation Trust, Southampton, GBR.
المصدر: Cureus [Cureus] 2023 Aug 17; Vol. 15 (8), pp. e43614. Date of Electronic Publication: 2023 Aug 17 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background and objective Cardiac surgery is one of the most common surgical procedures globally; its incidence has been on the rise due to the faster pace of population aging thanks to technological and epidemiological advances. Patients who undergo cardiac surgeries may face various postoperative complications that might affect their survival, and one of these major complications is infection. Nosocomial pneumonia, surgical site infection (SSI), mediastinitis, bacteremia, and sepsis are common infections encountered after surgeries. In this study, we aimed to determine the common risk factors related to postoperative infections at the King Faisal Cardiac Center from January 2014 to September 2020. Materials and methods  Records from 364 patients who underwent cardiac surgery and were aged above 18 years were assessed for postoperative infections in this retrospective cohort study. Patients who were immunosuppressed or had active systemic infections were excluded. Consent was waived by the Institutional Review Board. All procedures were performed at the King Faisal Cardiac Center, National Guard Hospital, Jeddah. Results Of the total 364 patients, 105 were women and 259 were men. The mean age of the cohort was 59 years (SD = 13) and the mean BMI was 29.1 kg/m 2 (SD = 5.3). The study population showed a high prevalence of cardiac risk factors and diseases: diabetes (n = 244, 67%), hypertension (n = 230, 63%), dyslipidemia (n = 144, 40%), smoking (n = 80, 22%), heart failure (n = 41, 11%), and chronic obstructive pulmonary disease (n = 6, 1.6%). The overall rate of postoperative infection was 32.7% (n = 120), and 17 (14%) of these infected patients underwent reoperations for infection. Conclusion Based on a thorough analysis of 364 patients undergoing various cardiac surgical procedures, including a multivariate analysis accounting for preoperative factors, there was a significant association between postoperative infections and hypertension, diabetes, increased preoperative activated partial thromboplastin time, and elevated HbA1c.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Abukhodair et al.)
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فهرسة مساهمة: Keywords: blood transfusion; cardiac surgery; copd; heart failure; hypertension; infection
تواريخ الأحداث: Date Created: 20230918 Latest Revision: 20230919
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10504570
DOI: 10.7759/cureus.43614
PMID: 37719533
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.43614