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The Annals of Thoracic Surgery, Vol 49, 458-462, Copyright © 1990 by The Society of Thoracic Surgeons
TL Demmy, SB Park, GA Liebler, JA Burkholder, TD Maher, DH Benckart, GJ Magovern Jr and Sr Magovern GJ
During a recent 1-year period, 31 patients sustained a major sternal wound
infection and sternal dehiscence developed in 6 patients. Multiple
potential risk factors were tabulated in these patients and in a control
group selected from 1,521 patients undergoing sternotomy during the same
time period. The overall infection rate was 2.1%, and the mortality rate in
the patients with sternal infection or dehiscence was 16.2%. Chronic
obstructive pulmonary disease, prolonged intensive care unit stay,
respiratory failure, connective tissue disease, and male sex were
significantly higher in the group with sternal infection or dehiscence (p
less than 0.05). Advanced age and low cardiac output episodes were more
frequent in this group, but only approached statistical significance.
Although several risk factors may have been interrelated, male sex and the
presence of pulmonary disease were statistically independent predictors of
sternal wound infection. Risk factors may be helpful in identifying
high-risk patients for additional prophylactic measures.
ARTICLES
Recent experience with major sternal wound complications
Division of Thoracic Surgery, Allegheny General Hospital, Pittsburgh, PA 15212.
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