The Impact of Gender and Age in Obese Patients on Sternal Instability and Deep-Sternal-Wound-Healing Disorders after Median Sternotomy.
age
mediastinitis
osteomyelitis
risk factors
sex
sternal dehiscence
sternal wound healing
sternotomy
sternum instability
surgical-site infection
wound management
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
26 Jun 2023
26 Jun 2023
Historique:
received:
26
04
2023
revised:
12
06
2023
accepted:
20
06
2023
medline:
14
7
2023
pubmed:
14
7
2023
entrez:
14
7
2023
Statut:
epublish
Résumé
The 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. A 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 The 30-day in-hospital mortality was found to be similar in the older and younger groups (8.149% vs. 8.35%, In 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.
Identifiants
pubmed: 37445306
pii: jcm12134271
doi: 10.3390/jcm12134271
pmc: PMC10342909
pii:
doi:
Types de publication
Journal Article
Langues
eng
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