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Coronary artery bypass surgery in diabetic patients - risk factors for sternal wound infections

Kristina Lenz1, Michael Brandt1, Sandra Fraund-Cremer1

  • 1Department of Cardiac and Vascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Germany.

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
|August 23, 2016
PubMed

Insights

Sternal wound infections (SWI) after coronary artery bypass grafting (CABG) are rare but serious. This study found diabetes and obesity significantly increase SWI risk in CABG patients.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Surgical Outcomes

Background:

  • Sternal wound infections (SWI) following coronary artery bypass grafting (CABG) are infrequent but linked to increased mortality and costs.
  • Key risk factors identified include diabetes mellitus and bilateral internal mammary artery (IMA) harvesting.

Purpose of the Study:

  • To analyze risk factors for SWI in patients undergoing CABG.
  • To identify significant predictors of SWI in a cohort of 590 patients.

Main Methods:

  • Retrospective analysis of 590 patients who underwent CABG.
  • Statistical evaluation of patient data to determine SWI risk factors.

Main Results:

  • Diabetic patients exhibited a significantly higher incidence of SWI.
  • Obesity was identified as another crucial and significant risk factor for SWI.

Conclusions:

  • Diabetes mellitus and obesity are significant risk factors for SWI after CABG.
  • Targeting these risk factors may help reduce SWI incidence in CABG patients.

Keywords:
CABGcoronary artery bypass surgerydiabetes mellitussternal osteomyelitissternal wound infection

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