- CODEN : IAJPBB
- issn 2349-7750
TITLE:
STUDY TO DETERMINE THE POST-OPERATIVE INFECTION RATIO IN PATIENTS AFTER OPEN HEART SURGERY AND ITS RISK FACTORS
AUTHORS:
Dr Shariq Mehmood, Dr Muhammad Ahmed, Dr Abdul Wahab
ABSTRACT:
OBJECTIVE: Postoperative complications are a good measure of the quality of cardiac surgery, provided that the patient's risk factors are taken into account. The purpose of this study is to determine the frequency of postoperative wound infection in patients with open heart surgery and to identify various risk factors for wound infection. MATERIAL AND METHOD: This is a cross-sectional analytical study. The study was conducted at the Punjab Cardiology Institute (PIC) in Lahore March 2018 to March 2019. A total of 282 patients were selected. The data was collected using medical records when he was discharged from the hospital. RESULTS: The average age of patients in this study was 54.11 ± 0.62 [95% C. AND 52.89-55.32]. 238 (84.4%) of 282 patients are male. Coronary artery bypass graft (CABG) was performed in 201 (71.3%) patients, valve surgery was performed in 47 patients (16.7%), CABG, and valve surgery in 34 patients (12.1%). A total of 39 patients (13.8%) had postoperative infection; 19 patients (6.7%) had deep sternal wound infections, superficial in 17 patients (6.0%) and mediastinitis in 3 patients (1.1%). In ICU, 10 (25.6%) patients had infections and 29 (74.4%) had infections in the ward. Postoperative wound infection was significantly associated with an increase in the number of patients in wards / departments (p value 0.002), ESR (p value 0.009) and white blood cells (p value 0.003). Postoperative wound infection did not show a significant relationship to patient sex, hypertension, diabetes, smoking, hyperlipidemia, abnormal hemoglobin, liver function, renal function and body mass index. There was no difference in the average number of transplants, the number of days in the intensive care unit and the ventilation time between postoperative wound infection and infection. CONCLUSION: In this study, the percentage of wound infections is higher, therefore special attention should be paid to patients and more research should be carried out to identify various factors that predispose to the development of postoperative wound infection. This will help reduce the cost of antibiotics used in postoperative wound infection and the economic burden on the healthcare system. It will also reduce patient mortality and morbidity. KEY WORDS: postoperative wound infections, open heart surgery
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Approved Journal
NLM ID:101711216 [Serial]
Included in EuroPub database
ICV 2015 - 61.16
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S.J Impact Factor:7.157
cosmos Impact Factor:4.153
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