Fatores de risco para mediastinite após revascularização do miocárdio

Q: What is the clinical evidence from this study?

Study design: Review. Population: Mediastinitis after coronary artery bypass grafting (CABG) (n=1734206). Intervention: Patient and perioperative risk factors (diabetes mellitus, obesity, COPD, surgical reintervention, age >65 years) vs. Absence of risk factors. Primary outcome: Postoperative mediastinitis after coronary artery bypass grafting.

Q: What does this research mean for the field?

Diabetes mellitus and obesity are the most frequent risk factors associated with the development of mediastinitis following coronary artery bypass graft surgery. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

Quênia Cristina Gonçalves da Silva; Sílvia Rita Marin da Silva Canini; Renata Cristina de Campos Pereira Silveira; Carina Aparecida Marosti Dessotte; Fabrício Ribeiro de Campos

doi:10.5935/1415-2762.20150076

December 1, 2015Reme Revista Mineira de EnfermagemOpen Access

Fatores de risco para mediastinite após revascularização do miocárdio

View Full Paper

Ask AI

Bookmark

Share

Why the study?

The study aimed to identify the risk factors related to the occurrence of mediastinitis in adult patients undergoing coronary artery bypass grafting surgery.

What are the risk factors for mediastinitis in adult patients undergoing coronary artery bypass surgery?

Structured PICO

What are the risk factors for mediastinitis in adult patients undergoing coronary artery bypass surgery?

P

Population

1,734,206 adult patients (>18 years) undergoing coronary artery bypass grafting across 18 observational studies (17 cohort, 1 case-control) published between 1999 and 2013.

O

Outcome

Risk factors for mediastinitis

Limitations

No validated instrument was used to assess the methodological quality of the included articles
Inclusion was restricted to studies published in English, Spanish, or Portuguese
Only articles that explicitly stated the evaluation of risk factors for mediastinitis after CABG in their objectives were included, potentially missing relevant studies
Database searching was performed by a single researcher

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Diabetes mellitus, obesity, surgical reintervention, COPD, and age >65 years are the most frequent risk factors for mediastinitis after coronary artery bypass surgery.

Abstract

Resumo Esta revisão integrativa da literatura teve como objetivo identificar os fatores de risco relacionados à ocorrência de mediastinite em pacientes adultos submetidos à cirurgia de revascularização do miocárdio. Para a busca dos estudos primários, foram utilizadas as bases de dados Medline, CINAHL, LILACS e EMBASE. A amostra foi constituída por 18 estudos. Os fatores de risco mais frequentemente identificados foram diabetes mellitus (DM) e obesidade, seguidos por reintervenção cirúrgica, doença pulmonar obstrutiva crônica (DPOC) e idade avançada. As evidências permitiram identificar que os fatores de risco mais frequentemente associados à ocorrência de mediastinite foram DM, obesidade, reintervenção cirúrgica, DPOC e idade maior de 65 anos e identificam a necessidade de se investir em pesquisas sobre fatores de risco passíveis de prevenção e controle, ou seja, os relacionados ao procedimento cirúrgico propriamente dito.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Silva et al. (2015) conducted a review in Mediastinitis after coronary artery bypass grafting (CABG) (n=1,734,206). Patient and perioperative risk factors (diabetes mellitus, obesity, COPD, surgical reintervention, age >65 years) vs. Absence of risk factors was evaluated on Postoperative mediastinitis after coronary artery bypass grafting.

synapsesocial.com/papers/6a75692e9c92392688b22122 https://doi.org/10.5935/1415-2762.20150076

View Full Paper

Ask AI

Bookmark

Share

Fatores de risco para mediastinite após revascularização do miocárdio

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Fatores de risco para mediastinite após revascularização do miocárdio

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading