Disability after cardiac surgery is the major predictor of infections occurring in the rehabilitation phase

Research output: Contribution to journalArticle

Abstract

Background Few data have assessed the incidence, site and predictors of infections following cardiac surgery after discharge, particularly during an early rehabilitation phase. Aim To assess the epidemiology and predictors of infections occurring after cardiac surgery. Methods Data prospectively recorded from 5464 patients, consecutively included in a residential cardiac rehabilitation programme after cardiac surgery, were retrospectively analysed. Major infections were arbitrarily defined as (1) demonstration of bacterial growth in a sample collected to rule out a clinical suspected infection and (2) requiring an intravenous antibiotic treatment. Infections were grouped as (1) surgery-site infections (SSIs), and (2) healthcare associated infections (HCAIs). Barthel index was used as a measure of disability. Results Major infections occurred in 10.9% of patients, with SSI documented in 4.1% and HCAI in 6.8% of patients. In 50% of the cases, infections were diagnosed within four days from admission, 18 ± 16 days from intervention. A Barthel index

Original languageEnglish
Pages (from-to)584-592
Number of pages9
JournalEuropean Journal of Preventive Cardiology
Volume23
Issue number6
DOIs
Publication statusPublished - Apr 1 2016

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Thoracic Surgery
Rehabilitation
Infection
Cross Infection
Epidemiology
Anti-Bacterial Agents
Incidence
Growth

Keywords

  • Cardiac rehabilitation
  • cardiac surgery
  • disability
  • functional status
  • infections

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Epidemiology

Cite this

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title = "Disability after cardiac surgery is the major predictor of infections occurring in the rehabilitation phase",
abstract = "Background Few data have assessed the incidence, site and predictors of infections following cardiac surgery after discharge, particularly during an early rehabilitation phase. Aim To assess the epidemiology and predictors of infections occurring after cardiac surgery. Methods Data prospectively recorded from 5464 patients, consecutively included in a residential cardiac rehabilitation programme after cardiac surgery, were retrospectively analysed. Major infections were arbitrarily defined as (1) demonstration of bacterial growth in a sample collected to rule out a clinical suspected infection and (2) requiring an intravenous antibiotic treatment. Infections were grouped as (1) surgery-site infections (SSIs), and (2) healthcare associated infections (HCAIs). Barthel index was used as a measure of disability. Results Major infections occurred in 10.9{\%} of patients, with SSI documented in 4.1{\%} and HCAI in 6.8{\%} of patients. In 50{\%} of the cases, infections were diagnosed within four days from admission, 18 ± 16 days from intervention. A Barthel index",
keywords = "Cardiac rehabilitation, cardiac surgery, disability, functional status, infections",
author = "Claudio Marcassa and Massimo Pistono and Renato Maserati and Andrea Giordano and Pantaleo Giannuzzi",
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pages = "584--592",
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T1 - Disability after cardiac surgery is the major predictor of infections occurring in the rehabilitation phase

AU - Marcassa, Claudio

AU - Pistono, Massimo

AU - Maserati, Renato

AU - Giordano, Andrea

AU - Giannuzzi, Pantaleo

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Background Few data have assessed the incidence, site and predictors of infections following cardiac surgery after discharge, particularly during an early rehabilitation phase. Aim To assess the epidemiology and predictors of infections occurring after cardiac surgery. Methods Data prospectively recorded from 5464 patients, consecutively included in a residential cardiac rehabilitation programme after cardiac surgery, were retrospectively analysed. Major infections were arbitrarily defined as (1) demonstration of bacterial growth in a sample collected to rule out a clinical suspected infection and (2) requiring an intravenous antibiotic treatment. Infections were grouped as (1) surgery-site infections (SSIs), and (2) healthcare associated infections (HCAIs). Barthel index was used as a measure of disability. Results Major infections occurred in 10.9% of patients, with SSI documented in 4.1% and HCAI in 6.8% of patients. In 50% of the cases, infections were diagnosed within four days from admission, 18 ± 16 days from intervention. A Barthel index

AB - Background Few data have assessed the incidence, site and predictors of infections following cardiac surgery after discharge, particularly during an early rehabilitation phase. Aim To assess the epidemiology and predictors of infections occurring after cardiac surgery. Methods Data prospectively recorded from 5464 patients, consecutively included in a residential cardiac rehabilitation programme after cardiac surgery, were retrospectively analysed. Major infections were arbitrarily defined as (1) demonstration of bacterial growth in a sample collected to rule out a clinical suspected infection and (2) requiring an intravenous antibiotic treatment. Infections were grouped as (1) surgery-site infections (SSIs), and (2) healthcare associated infections (HCAIs). Barthel index was used as a measure of disability. Results Major infections occurred in 10.9% of patients, with SSI documented in 4.1% and HCAI in 6.8% of patients. In 50% of the cases, infections were diagnosed within four days from admission, 18 ± 16 days from intervention. A Barthel index

KW - Cardiac rehabilitation

KW - cardiac surgery

KW - disability

KW - functional status

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