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Delayed Sternal Closure in Infant Heart Surgery—The Importance of Where and When: An Analysis of the STS Congenital Heart Surgery Database

Monday, October 31, 2016

Submitted by

Mark Ferguson

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.sciencedirect.com/science/article/pii/S0003497516311493

Author(s)

Kristen Nelson-McMillan, Christoph P. Hornik, Xia He, Luca A. Vricella, Jeffrey P. Jacobs, Kevin D. Hill, Sara K. Pasquali, Diane E. Alejo, Duke E. Cameron, Marshall L. Jacobs

This database study evaluated outcomes of delayed sternal closure for infants undergoing surgery on cardiopulmonary bypass. Delayed closure was associated with a 3-fold increase in infectious complications. Time to closure was associated with an increasing rate of infectious complications. Location of closure (OR, ICU) was not associated with adverse outcomes.