title: [RESULTS OF APPLICATION OF THE METHOD OF STERNAL INFECTION ELIMINATION IN CARDIOSURGICAL PATIENTS].
abstract: A retrospective analysis of cases of sternal infection development was made in 388 cardiovascular patients from 2006 to 2012. The standard preventive measures of wound infection development were applied in the first period from 2006 to 2009. The method of "elimination of sternal infection" was used in the second period from 2009 to 2012. The application of the method of "elimination of sternal infection" allowed reducing the rate of sternal infection from 7.7 to 0.5% (odds ratio 0.099, 95% CI: 0.013-0.747; p = 0.025). According to results of statistical analysis the most significant factors were: body mass index (p = 0.002), resternotomy in early postoperative period (p < 0.001), risk according EuroSCORE Logistics (p < 0.001) and usage of the method of "elimination of sternal infection" (p = 0.006). The prevention of postoperative infectious complications shorthens the terms of hospital stay no less than 3 weeks, improves the quality of life for the patients and decreases treatment costs on 2.5 times.
authors.forename: G G
authors.initials: GG
authors.lastname: Khubulava
authors.forename: N N
authors.initials: NN
authors.lastname: Shchikhverdiev
authors.forename: P R
authors.initials: PR
authors.lastname: Vogt
authors.forename: S P
authors.initials: SP
authors.lastname: Marchenko
authors.forename: A B
authors.initials: AB
authors.lastname: Naumov
authors.forename: V V
authors.initials: VV
authors.lastname: Suvorov
authors.forename: I I
authors.initials: II
authors.lastname: Averkin
mesh_terms: D000328:Adult; D015992:Body Mass Index; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000379:methods; D002318:Cardiovascular Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D011788:Quality of Life; D012189:Retrospective Studies; D012307:Risk Factors; D055502:Secondary Prevention / Q000379:methods; D056346:Sternotomy / Q000009:adverse effects / Q000379:methods; D013249:Sternum / Q000473:pathology / Q000601:surgery; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D013997:Time Factors; D016896:Treatment Outcome