Why the study?
Does a multifaceted infection prevention bundle reduce postoperative mediastinitis and leg infections in patients undergoing cardiovascular procedures requiring sternotomy?
Observational (n=4,000)
No
Does a multifaceted infection prevention bundle reduce postoperative mediastinitis and leg infections in patients undergoing cardiovascular procedures requiring sternotomy?
Absolute Event Rate: 1.5% vs 2.1%
p-value: p=Not statistically significant
Implementation of a multifaceted quality improvement bundle clinically reduced deep sternal and leg infections after sternotomy, yielding $200,000 in cost savings over 1 year despite lacking statistical significance.
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Rao et al. (2004) conducted an observational in Cardiovascular procedure requiring sternotomy (n=4,000). Process improvement interventions (chlorhexidine shower, no shaving, antibiotics, instrument segregation, insulin protocol) vs. Baseline period was evaluated on Deep sternal infections (p=Not statistically significant).
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