Key result
Open heart surgery linked to ~13-fold more purulent-septic infections versus closed heart surgery.
Why the study?
The increasing number and variety of cardiac surgeries require assessment of the frequency and risk factors of postoperative purulent-septic infections in adult patients.
Does open heart surgery compared to closed heart surgery increase the frequency of postoperative purulent-septic infections in adult patients?
Design
Observational analysis of medical records from a cardiac surgery hospital
Follow-up
Postoperative period
Authors
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Open heart surgery was associated with higher PSI rates than closed procedures; leaves open whether targeting operative duration or ICU stay reduces infections.
Observational (n=4,815)
Does open heart surgery compared to closed heart surgery increase the frequency of postoperative purulent-septic infections in adult patients?
Absolute Event Rate: 39.6% vs 3.1%
Open heart surgery is associated with a significantly higher incidence of postoperative purulent-septic infections compared to closed heart surgery, largely driven by surgical duration and ICU stay.
Сергевнин et al. (2020) conducted an observational in Purulent-septic infections after cardiac surgery (n=4,815). Open heart surgery vs. Closed heart surgery was evaluated on Incidence of typical purulent-septic infections (per 1000 surgeries). Open heart surgery had significantly higher incidence rates of typical (39.6 vs 3.1 per 1000) and prenosological (72.7 vs 3.9 per 1000) purulent-septic infections than closed heart surgery.
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