Abstract | BACKGROUND: METHODS: RESULTS: Postoperative respiratory failure was observed in 252 patients (9%): 144 without tracheostomy (57%) and 108 with tracheostomy (43%). The mean duration of intubation in nontracheostomy patients was 19 +/- 12 days. The mean duration to tracheostomy was 13 +/- 6 days. DSWI occurred in 38 patients (1.3%): patients with no respiratory failure, 1%; patients with respiratory failure, 5.1% (p < 0.001). The incidence of DSWI was similar between tracheostomy (4.6%) and nontracheostomy patients (5.6%, p = 0.5). The mean time to diagnosis of DSWI was 25 +/- 14 days and was similar for all groups. The mean number of days to tracheostomy was 12 +/- 3 days in DSWI patients and 13 +/- 6 in patients without DSWI (p = 0.7). In multivariate analysis, respiratory failure was the strongest predictor of DSWI (odds ratio, 5.2). Tracheostomy was not identified as a predictor of DSWI or hospital mortality. CONCLUSIONS:
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Authors | Parwis B Rahmanian, David H Adams, Javier G Castillo, Joanna Chikwe, Farzan Filsoufi |
Journal | The Annals of thoracic surgery
(Ann Thorac Surg)
Vol. 84
Issue 6
Pg. 1984-91
(Dec 2007)
ISSN: 1552-6259 [Electronic] Netherlands |
PMID | 18036921
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Cardiac Surgical Procedures
(adverse effects)
- Female
- Hospital Mortality
- Humans
- Incidence
- Male
- Middle Aged
- Respiratory Insufficiency
(complications)
- Risk Factors
- Sternum
(surgery)
- Surgical Wound Infection
(epidemiology, etiology)
- Time Factors
- Tracheostomy
(adverse effects)
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