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Factors associated with the onset of mediastinitis in 2073 myocardial revascularizations

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dc.creatorParada, Julián M.spa
dc.creatorCarreño, Marisolspa
dc.creatorCamacho, Jaimespa
dc.creatorSandoval, Néstor F.spa
dc.creatorUmaña, Juan P.spa
dc.date.accessioned2020-05-25T23:59:08Z
dc.date.available2020-05-25T23:59:08Z
dc.date.created2014spa
dc.description.abstractIntroduction: Mediastinitis is a multifactorial entity which occurs in up to 4% of patients undergoing coronary artery bypass graft (CABG). It has a hospital mortality of 14% to 47%, which generates increased costs of care and deterioration of the quality of life and patient survival in the long term. Objective: To determine which clinical antecedents and factors related to the surgical procedure are associated with the occurrence of mediastinitis. Materials and methods: A nested case control study in a historical cohort of patients undergoing CABG in the period January 2005 to July 2011. Patients with mediastinitis were compared with a control group without mediastinitis taken from the same risk group in a 1:4 ratio and matched for date of surgery. The diagnosis of mediastinitis was made on clinical and laboratory criteria and surgical findings. Results: Thirty cases were identified in the related period. Factors associated with the occurrence of the event were: diabetes mellitus OR 2.3 (1.1 to 4.9), use of extracorporeal circulation OR 2.4 (1.1-5.5), OR 1 perfusion time, 1 (1.1 to 1.3) and patients older than 70 years OR 1.1 (1.2-1.4). Conclusions: Mediastinitis remains complications of low prevalence with devastating consequences. The clinical and economic impact of this complication should compel surgical groups to create prevention strategies based on knowledge of the risk factors of the population. © 2012 Sociedad Colombiana de Cardiología y Cirugía Cardiovascular. Published by Elsevier España, S.L. All rights reserved.spa
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/S0120-5633(14)70264-5
dc.identifier.issn1205633
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/22990
dc.language.isospaspa
dc.publisherSociedad Colombiana de Cardiologia y Cirugia Cardiovascularspa
dc.relation.citationEndPage124
dc.relation.citationIssueNo. 2
dc.relation.citationStartPage119
dc.relation.citationTitleRevista Colombiana de Cardiologia
dc.relation.citationVolumeVol. 21
dc.relation.ispartofRevista Colombiana de Cardiologia, ISSN:1205633, Vol.21, No.2 (2014); pp. 119-124spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84904462200&doi=10.1016%2fS0120-5633%2814%2970264-5&partnerID=40&md5=8bb153b5bac65063d2cd183cadb5fcbfspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAgespa
dc.subject.keywordArticlespa
dc.subject.keywordCase control studyspa
dc.subject.keywordClinical articlespa
dc.subject.keywordControlled studyspa
dc.subject.keywordCoronary artery bypass graftspa
dc.subject.keywordDiabetes mellitusspa
dc.subject.keywordExtracorporeal circulationspa
dc.subject.keywordHeart muscle revascularizationspa
dc.subject.keywordHumanspa
dc.subject.keywordMediastinitisspa
dc.subject.keywordRisk factorspa
dc.subject.keywordCardiac surgeryspa
dc.subject.keywordComplicationsspa
dc.subject.keywordCoronary artery diseasespa
dc.titleFactors associated with the onset of mediastinitis in 2073 myocardial revascularizationsspa
dc.title.TranslatedTitleFactores asociados a la aparición de mediastinitis en 2.073 revascularizaciones miocárdicasspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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