Authors
Mario Gaudino, Katia Audisio, Mohamed Rahouma, N Bryce Robinson, Giovanni J Soletti, Gianmarco Cancelli, Ruth M Masterson Creber, Alastair Gray, Belinda Lees, Stephen Gerry, Umberto Benedetto, Marcus Flather, David P Taggart, D Taggart, S Westaby, J Cook, C Wallis, S Wos, M Jasinski, M Deja, K Widenka, A Blach, R Gocol, D Hudziak, P Zurek, R Bachowski, R Mrozek, T Kargul, W Domarardzki, J Frackiewicz, V Zamvar, D Ezakadan, B Buxton, S Seevanayagam, G Matalanis, A Rosalion, J Negri, S Moten, V Atkinson, A Newcomb, P Polidano, R Pana, S Gerbo, P O'Keefe, U von Oppell, D Mehta, A Azzu, A Szafranek, E Kulatilake, J Evans, N Martin, D Banner, U Trivedi, A Forsyth, J Hyde, A Cohen, M Lewis, E Gardner, A MacKenzie, N Cooter, E Joyce, J Parker, F Champney, S Clark, J Dark, K Tocewicz, T Pillay, S Rowling, J Adams-Hall, A Bochenek, M Cisowski, M Bolkowski, W Morawski, M Guc, M Krejca, M Wilczynski, A Duralek, W Gerber, J Skarysz, R Shrestha, W Swiech, X Szmagala, L Krzych, A Pawlak, K Kepa, R Hasan, D Keenan, B Prendergast, N Odom, K McLaughlin, G Cummings-Fosong, C Mathew, H Iles-Smith, A Oomen, J Desai, A El-Gamel, L John, O Wendler, M Andrews, K Rance, R Williams, V Hogervorst, J Gregory, J Jessup, A Knighton, A Hoare, A Ritchie, C Choong, S Nair, C Sudarshan, D Jenkins, S Large, M Barman, K Dhital, T Routledge, B Rosengard, H Munday, K Rintoul, E Jarrett, S Lao-Sirieix, A Wilkinson, L Garner, J Osmond, H Holcombe, A Cale, S Griffin, J Dickson, T Spyt, A Gershlick, M Hickey, A Sosnowski, G Peek, J Szostek, L Hadjinikalaou, E Logtens, M Oakley, S Leji, J Gaer, M Amrani, G Dreyfus, T Bahrami, F de Robertis, K Baig, G Asimakopoulos, H Vohra, V Pai, S Tadjkarimi, G Soleimani, G Stavri, H Bull
Publication date
2023/8/1
Journal
The Journal of Thoracic and Cardiovascular Surgery
Volume
166
Issue
2
Pages
532-539. e4
Publisher
Mosby
Description
Objective
To evaluate the association between sternal wound complications (SWC) and long-term mortality in the Arterial Revascularization Trial.
Methods
Participants in the Arterial Revascularization Trial were stratified according to the occurrence of postoperative SWC. The primary outcome was all-cause mortality at long-term follow-up. The secondary outcome was major adverse cardiovascular events.
Results
Three thousand one hundred two patients were included in the analysis; the median follow-up was 10 years. 115 patients (3.7%) had postoperative SWC: 85 (73.9%) deep sternal wound infections and 30 (26.1%) sterile SWC that required sternal reconstruction. Independent predictors of SWC included diabetes (odds ratio [OR], 2.77; 95% CI, 1.79-4.30; P < .001), female sex (OR, 2.73; 95% CI, 1.71-4.38; P < .001), prior stroke (OR, 2.59; 95% CI, 1.12-5.98; P = .03), chronic obstructive pulmonary disease (OR …
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M Gaudino, K Audisio, M Rahouma, NB Robinson… - The Journal of Thoracic and Cardiovascular Surgery, 2023