Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de Marília
Objective: this study aimed to determine the incidence of nosocomial infections, the risk factors and the impact of these infections on mortality among patients undergoing to cardiac surgery. Methods: Retrospective cohort study of 2060 consecutive patients from 2006 to 2012 at the Santa Casa de...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2014-04-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382014000200167&lng=en&tlng=en |
| _version_ | 1818253326196670464 |
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| author | Lucieni Oliveira Conterno Silvana Martins Dias Toni Rubiana Gonçalves Konkiewitz Elaine Salla Guedes Rubens Tofano de Barros Marcos Gradim Tiveron |
| author_facet | Lucieni Oliveira Conterno Silvana Martins Dias Toni Rubiana Gonçalves Konkiewitz Elaine Salla Guedes Rubens Tofano de Barros Marcos Gradim Tiveron |
| author_sort | Lucieni Oliveira Conterno |
| collection | DOAJ |
| description | Objective: this study aimed to determine the incidence of nosocomial infections, the risk factors and the impact of these infections on mortality among patients undergoing to cardiac surgery. Methods: Retrospective cohort study of 2060 consecutive patients from 2006 to 2012 at the Santa Casa de Misericórdia de Marília. Results: 351 nosocomial infections were diagnosed (17%), 227 non-surgical infections and 124 surgical wound infections. Major infections were mediastinitis (2.0%), urinary tract infection (2.8%), pneumonia (2.3%), and bloodstream infection (1.7%). The in-hospital mortality was 6.4%. Independent variables associated with non-surgical infections were age > 60 years (OR 1.59, 95% CI 1.09 to 2.31), ICU stay > 2 days (OR 5, 49, 95% CI 2.98 to 10, 09), mechanical ventilation > 2 days (OR11, 93, 95% CI 6.1 to 23.08), use of urinary catheter > 3 days (OR 4.85 95% CI 2.95 -7.99). Non-surgical nosocomial infections were more frequent in patients with surgical wound infection (32.3% versus 7.2%, OR 6.1, 95% CI 4.03 to 9.24). Independent variables associated with mortality were age greater than 60 years (OR 2.0; 95% CI 1.4 to3.0), use of vasoactive drugs (OR 3.4, 95% CI 1.9 to 6, 0), insulin use (OR 1.8; 95% CI 1.2 to 2.8), surgical reintervention (OR 4.4; 95% CI 2.1 to 9.0) pneumonia (OR 4.3; 95% CI 2.1 to 8.9) and bloodstream infection (OR = 4.7, 95% CI 2.0 to 11.2). Conclusion: Non-surgical hospital infections are common in patients undergoing cardiac surgery; they increase the chance of surgical wound infection and mortality. |
| first_indexed | 2024-12-12T16:38:17Z |
| format | Article |
| id | doaj.art-000aac1d7b0a46e5a3211eb40313af24 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-12-12T16:38:17Z |
| publishDate | 2014-04-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-000aac1d7b0a46e5a3211eb40313af242022-12-22T00:18:37ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412014-04-0129216717610.5935/1678-9741.20140037S0102-76382014000200167Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de MaríliaLucieni Oliveira ConternoSilvana Martins Dias ToniRubiana Gonçalves KonkiewitzElaine Salla GuedesRubens Tofano de BarrosMarcos Gradim TiveronObjective: this study aimed to determine the incidence of nosocomial infections, the risk factors and the impact of these infections on mortality among patients undergoing to cardiac surgery. Methods: Retrospective cohort study of 2060 consecutive patients from 2006 to 2012 at the Santa Casa de Misericórdia de Marília. Results: 351 nosocomial infections were diagnosed (17%), 227 non-surgical infections and 124 surgical wound infections. Major infections were mediastinitis (2.0%), urinary tract infection (2.8%), pneumonia (2.3%), and bloodstream infection (1.7%). The in-hospital mortality was 6.4%. Independent variables associated with non-surgical infections were age > 60 years (OR 1.59, 95% CI 1.09 to 2.31), ICU stay > 2 days (OR 5, 49, 95% CI 2.98 to 10, 09), mechanical ventilation > 2 days (OR11, 93, 95% CI 6.1 to 23.08), use of urinary catheter > 3 days (OR 4.85 95% CI 2.95 -7.99). Non-surgical nosocomial infections were more frequent in patients with surgical wound infection (32.3% versus 7.2%, OR 6.1, 95% CI 4.03 to 9.24). Independent variables associated with mortality were age greater than 60 years (OR 2.0; 95% CI 1.4 to3.0), use of vasoactive drugs (OR 3.4, 95% CI 1.9 to 6, 0), insulin use (OR 1.8; 95% CI 1.2 to 2.8), surgical reintervention (OR 4.4; 95% CI 2.1 to 9.0) pneumonia (OR 4.3; 95% CI 2.1 to 8.9) and bloodstream infection (OR = 4.7, 95% CI 2.0 to 11.2). Conclusion: Non-surgical hospital infections are common in patients undergoing cardiac surgery; they increase the chance of surgical wound infection and mortality.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382014000200167&lng=en&tlng=enInfecção HospitalarProcedimentos Cirúrgicos CardíacosFatores de RiscoMortalidadeInfecção da Ferida Operatória |
| spellingShingle | Lucieni Oliveira Conterno Silvana Martins Dias Toni Rubiana Gonçalves Konkiewitz Elaine Salla Guedes Rubens Tofano de Barros Marcos Gradim Tiveron Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de Marília Brazilian Journal of Cardiovascular Surgery Infecção Hospitalar Procedimentos Cirúrgicos Cardíacos Fatores de Risco Mortalidade Infecção da Ferida Operatória |
| title | Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de Marília |
| title_full | Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de Marília |
| title_fullStr | Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de Marília |
| title_full_unstemmed | Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de Marília |
| title_short | Impact of hospital infections on patients outcomes undergoing cardiac surgery at Santa Casa de Misericórdia de Marília |
| title_sort | impact of hospital infections on patients outcomes undergoing cardiac surgery at santa casa de misericordia de marilia |
| topic | Infecção Hospitalar Procedimentos Cirúrgicos Cardíacos Fatores de Risco Mortalidade Infecção da Ferida Operatória |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382014000200167&lng=en&tlng=en |
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