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i.ci.ence and Outcomes of Surgi.al Si.e i.fecti.ns after Adult Cardi.c Surgery: A Si.gle-Center Experi.nce

World Journal of Cardi.vascular Di.eases 2023年第11期13卷 764-779页

作者： i.raheem H. Alharbi.hasan i. sandogji Ahmed M. Shabaan Khaled M. Sayed Bi.al A. Rahmani.Mohamed A. Elmetwali.Nouf A. Lami.Thi.ra S. Alkhalaf Shyelene T. Utuani. Ayman R. Abdelrehi. Cardi.logy Department Madinah Cardiac Center Madinah Saudi Arabia Cardi.c Surgery Department Madinah Cardiac Center Madinah Saudi Arabia Cardi.thoraci. Surgery Department Faculty of Medicine Suez Canal University Isma&iumllia Egypt i.fecti.n Preventi.n and Control Department Madinah Cardiac Center Madinah Saudi Arabia Cli.i.al Nurse Uni. Cardiac Surgery Department Madinah Cardiac Center Madinah Saudi Arabia Cardi.thoraci. Surgery Department Faculty of Medicine Menoufia University Menoufia Egypt

Background: Surgi.al si.e i.fecti.ns (SSi.) remai. a challengi.g medi.al problem, especi.lly i. cardi.c surgery pati.nts. There i. a lack of studi.s evaluati.g the rate of and outcomes of SSi. followi.g cardi.c surgeri.s i. Saudi.Arabi.. Ai.s: Thi. study ai.ed to determi.e the i.ci.ence of SSi. after adult cardi.c surgeri.s that were done i. Madi.ah Cardi.c Center, Saudi.Arabi.. Further, to i.enti.y the outcomes and ri.k factors contri.uti.g to death among surgi.al si.e i.fecti.n pati.nts. Methods: Thi. was a 6-year, si.gle-center, retrospecti.e cohort study that i.cluded 93 consecuti.e pati.nts who underwent adult cardi.c surgery between August 2016 and August 2022. All adult pati.nts aged 18 years or older who had cli.i.al evi.ence of postoperati.e surgi.al wound i.fecti.n were i.cluded. Preoperati.e, operati.e, and postoperati.e data (early and late) were collected from medi.al records. Mi.robi.logi.al culture reports and cli.i.al outcomes were also recorded. Results: The study revealed a 9.1% (93/1021) i.ci.ence rate of SSi.. Of the 93 pati.nts wi.h SSi., 60 had superfi.i.l i.ci.i.nal i.fecti.ns and 33 had deep i.fecti.ns wi.h i.ci.ence rates of 5.9% and 3.2%, respecti.ely. i.-hospi.al mortali.y due to SSi.was recorded i. 4 out of 93 pati.nts wi.h an i.ci.ence rate of 4.3%. There was a si.ni.i.ant associ.ti.n between the i.-hospi.al mortali.y and the type of SSi. (p = 0.014). All non-survi.ors had deep SSi.. The type of cardi.c surgery also showed a si.ni.i.ant associ.ti.n wi.h the i.-hospi.al mortali.y (p = 0.017). Furthermore, the medi.n durati.n of anti.i.ti. admi.i.trati.n was si.ni.i.antly longer i. the non-survi.ors than i. the survi.ors (72.5 vs 17, respecti.ely, p Conclusi.ns: i. conclusi.n, the i.ci.ence of surgi.al wound i.fecti.ns followi.g cardi.c surgery i. not low (9.1%);of whi.h 3.2% were deep i.fecti.ns. The i.-hospi.al mortali.y rate after treatment of SSi. was fortunately low (4.3%), and all non-survi.ors had deep SSi.. The non- survi.ors showed a si.ni.i.antly longer durati.n of anti.i.ti.s

关键词： Surgi.al Si.e i.fecti.n Cardi.c Surgery Mortali.y Ri.k Factors Outcomes

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Long-Term Outcomes after Coronary Artery Bypass Grafti.g wi.h Ri.k Strati.i.ati.n

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World Journal of Cardi.vascular Di.eases 2023年第8期13卷 493-510页

作者： Ayman R. Abdelrehi. i.raheem H. Al Harbi.hasan i. sandogji Fai.al A. Alnasser Mohammad Ni.am S. H. Uddi. Fatma A. Taha Fareed A. Alnozaha Fath A. Alabsi.Shaki. Ahmed Waheed M. Fouda Ami. A. El Sai. Tousi. Khan Ahmed M. Shabaan Cardi.c Surgery Department Madinah Cardiac Center Madinah Saudi Arabia Cardi.thoraci. Surgery Department Faculty of Medicine Menoufia University Minufya Egypt Cardi.logy Department Madinah Cardiac Center Madinah Saudi Arabia Cardi.c Anesthesi. Department Madinah Cardiac Center Madinah Saudi Arabia Cardi.logy Department Faculty of Medicine Tanta University Tanta Egypt Cardi.thoraci. Surgery Department Faculty of Medicine Suez Canal University Ismailia Egypt

Background: Ri.k strati.i.ati.n of long-term outcomes for pati.nts undergoi.g Coronary artery bypass grafti.g has enormous potenti.l cli.i.al i.portance. Ai.: To develop ri.k strati.i.ati.n models for predi.ti.g long-term outcomes followi.g coronary artery bypass graft (CABG) surgery. Methods: We retrospecti.ely revi.ed the electroni. medi.al records of 2330 pati.nts who underwent adult Cardi.c surgery between August 2016 and December 2022 at Madi.ah Cardi.c Center, Saudi.Arabi.. Three hundred pati.nts fulfi.led the eli.i.i.i.y cri.eri. of CABG operati.ns wi.h a complete follow-up peri.d of at least 24 months, and data reporti.g. The collected data i.cluded pati.nt demographi.s, comorbi.i.i.s, laboratory data, pharmacotherapy, echocardi.graphi. parameters, procedural detai.s, postoperati.e data, i.-hospi.al outcomes, and follow-up data. Our follow-up was dependi.g on the cli.i.al status (NYHA class), chest pai. recurrence, medi.ati.n dependence and echo follow-up. A uni.ari.te analysi. was performed between each pati.nt ri.k factor and the long-term outcome to determi.e the preoperati.e, operati.e, and postoperati.e factors si.ni.i.antly associ.ted wi.h each long-term outcome. Then a multi.ari.ble logi.ti. regressi.n analysi. was performed wi.h a stepwi.e, forward selecti.n procedure. Si.ni.i.ant (p i.k factors were i.enti.i.d and were used as candi.ate vari.bles i. the development of a multi.ari.ble ri.k predi.ti.n model. Results: The i.ci.ence of all-cause mortali.y duri.g hospi.al admi.si.n or follow-up peri.d was 2.3%. Other long-term outcomes i.cluded all-cause recurrent hospi.ali.ati.n (9.8%), recurrent chest pai. (2.4%), and the need for revasculari.ati.n by usi.g a stent i. 5 (3.0%) pati.nts. Thi.teen (4.4%) pati.nts suffered heart fai.ure and they were on the maxi.um anti.fai.ure medi.ati.ns. The model for predi.ti.g all-cause mortali.y i.cluded the preoperati.e EF ≤ 35% (AOR: 30.757, p = 0.061), the bypass ti.e (AOR: 1.029, p = 0.003), and the durati.n of venti.ati.n followi.g the operati.n (AO

关键词： Coronary Artery Bypass Graft Long-Term Mortali.y Ri.k Predi.ti.n Model Ri.k Strati.i.ati.n

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