Document Detail


Significant Predictors of Complications After Sternal Wound Reconstruction: A 21-Year Experience.
MedLine Citation:
PMID:  22214795     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: We sought to identify patient comorbidities that predict complications after tissue flap sternal reconstruction. METHODS: A retrospective study, December 1989 to December 2010, analyzed numerous comorbidities, including diabetes mellitus (DM), hypertension (HTN), coronary artery disease, congestive heart failure (CHF), and renal insufficiency, as independent risk factors for postoperative complications. Pearson χ test, Fisher exact test, 2-sample t test, and median-unbiased estimation were used for data analysis. Significance was P ≤ 0.05. RESULTS: In all, 106 patients received 161 sternal tissue flap repairs. Nineteen patients (18%) required reoperation because of complications, including recurrent wound infection, tissue necrosis, wound dehiscence, mediastinitis, and hematoma formation. Our analysis found DM, HTN, and CHF as significant predictors of complications after sternal reconstruction (P = 0.014, 0.012, and 0.006). CONCLUSIONS: Results suggest DM, HTN, and CHF may contribute to complications after tissue flap repair of sternal wounds, possibly through impaired perfusion and healing of repairs.
Authors:
Hamid R Zahiri; Kimberly Lumpkins; Shahrooz S Kelishadi; Yue Zhu; Daniel Medina; Alexandra Condé-Green; Ronald P Silverman; Sheri Slezak; Nelson H Goldberg; Luther H Holton; Devinder P Singh
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-30
Journal Detail:
Title:  Annals of plastic surgery     Volume:  -     ISSN:  1536-3708     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-1-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
From the Divisions of *General Surgery and †Plastic Surgery, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD.
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