- Title
- The association between preoperative length of hospital stay and deep sternal wound infection : a scoping review
- Creator
- Storey, Annmarie; MacDonald, Brendan; Rahman, Muhammad Aziz
- Date
- 2021
- Type
- Text; Journal article; Review
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/181006
- Identifier
- vital:15878
- Identifier
-
https://doi.org/10.1016/j.aucc.2020.12.010
- Identifier
- ISBN:1036-7314 (ISSN)
- Abstract
- Background: Deep sternal wound infection (DSWI) is a serious complication of cardiac surgery, associated with a significantly longer hospital stay, an increased mortality, and an almost doubling of treatment costs. The preoperative length of hospital stay has been suggested in a small number of studies as a modifiable risk factor yet is not included in surgical site infection prevention guidelines. The aim of this scoping review was to review the existing evidence on the association between preoperative length of hospital stay and DSWI, and to identify established risk factors for DSWI. Methods: A literature search of six electronic databases yielded 2297 results. Titles concerning risk factors for DSWI, sternal or surgical wound infection, or poststernotomy complications were included. Abstracts relating to preoperative length of stay as a risk factor for DSWI proceeded to full article review. Articles regarding paediatric surgery, DSWI management or unavailable in English were excluded. Results: The review identified 11 observational cohort studies. DSWI prevalence was between 0.9% and 6.8%. Preoperative length of stay ranged from 0-15.5 days and was found to be associated with DSWI in all studies. Preoperative length of stay and DSWI were inconsistently defined. Other risk factors for DSWI included diabetes, obesity, respiratory disease, heart failure, renal impairment, complex surgery, and reoperation (p < 0.05). Conclusion: In this scoping review, an association between preoperative length of stay and the development of DSWI following cardiac surgery was identified. Thus, preoperative length of stay as a modifiable risk factor for DSWI should be considered for inclusion in cardiothoracic surgical infection prevention guidelines. © 2021 Australian College of Critical Care Nurses Ltd
- Publisher
- Elsevier Ireland Ltd
- Relation
- Australian Critical Care Vol. 34, no. 6 (2021), p. 620-633
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- Copyright © 2021 Australian College of Critical Care Nurses Ltd. Pub
- Subject
- 3202 Clinical Sciences; 4205 Nursing; Cardiac surgical procedures; Mediastinitis; Preoperative length of stay; Sternotomy; Surgical wound infection
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