Key result
Leaving the sternum open on the ward (27.6% vs. 5.0%, p<0.001) and a PRISM score ≥10 (10.7% vs. 2.3%, p<0.01) were associated with a higher risk of wound infection in pediatric cardiac surgery.
Why the study?
Does an open sternum or high PRISM score increase the risk of early nosocomial infections in pediatric cardiovascular surgery patients?
Population
310 pediatric patients undergoing cardiovascular surgery between July 1, 1987 and February 29, 1988
Design
Cohort
Follow-up
2 months
Authors
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Supports enhanced surveillance for high-risk pediatric cardiac surgery patients; leaves open whether sternal closure protocols reduce infections.
Cohort (n=310)
Does an open sternum or high PRISM score increase the risk of early nosocomial infections in pediatric cardiovascular surgery patients?
Absolute Event Rate: 27.6% vs 5%
p-value: p=<.001
Leaving the sternum open and having a higher PRISM score on PICU admission are significant risk factors for early wound infections in pediatric cardiovascular surgery patients.
Pollock et al. (1990) conducted a cohort in Pediatric cardiovascular surgery (n=310). Open sternum on the ward vs. Closed sternum was evaluated on Wound infection (p=<.001). Leaving the sternum open on the ward (27.6% vs. 5.0%, p<0.001) and a PRISM score ≥10 (10.7% vs. 2.3%, p<0.01) were associated with a higher risk of wound infection in pediatric cardiac surgery.
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