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Mediastinite após cirurgia cardíaca by Mtir, Haifa

Mediastinite após cirurgia cardíaca

by Haifa Mtir
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Book cover type: Paperback
  • ISBN13: 9783330348929
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Edicoes Nosso Conhecimento
  • Publisher Imprint: Edicoes Nosso Conhecimento
  • Publication Date:
  • Pages: 64
  • Original Price: GBP 51.0
  • Language: Portuguese
  • Edition: N/A
  • Item Weight: 105 grams
  • BISAC Subject(s): General

Objetivo: Identificar fatores de risco para mortalidade em pacientes que desenvolveram mediastinite no pós-operatório de cirurgia cardíaca via esternotomia.Métodos: Estudo retrospetivo realizado no serviço de cirurgia cardiotorácica do HMPIT entre 1 de janeiro de 2010 e 31 de dezembro de 2019. A mediastinite foi definida como uma infeção profunda do local cirúrgico, necessitando de cirurgia de revisão com amostras bacteriológicas positivas, ou um aspeto macroscópico de infeção. Procuraram-se fatores de risco de mortalidade com base em dados relativos ao doente, à cirurgia inicial, ao seguimento cirúrgico pós-CEC e à gestão pré, per e pós-operatória da cirurgia de revisão.Resultados: Foram incluídos 55 doentes. Os factores de risco incriminados na análise multivariada foram a idade superior a 60 anos e a admissão em estado crítico, ao contrário da FEVE preservada, que foi um fator protetor.Os microrganismos mais frequentemente identificados nas culturas bacteriológicas foram os estafilococos, principalmente o aureus.

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