The cost of vacuum-assisted closure therapy in treatment of deep sternal wound infection
- 1 January 2008
- journal article
- research article
- Published by Taylor & Francis Ltd in Scandinavian Cardiovascular Journal
- Vol. 42 (1), 85-89
- https://doi.org/10.1080/14017430701744469
Abstract
Objectives. Surgical sites infections are very expensive and the total costs for coronary artery bypass grafting (CABG) surgery followed by deep sternal wound infection (DSWI) with conventional therapy are estimated to be 2.8 times that for normal, CABG surgery. Promising results have been reported with vacuum-assisted closure (VAC) therapy in patients with DSWI. This study presents the cost of VAC therapy in patients with DSWI after CABG surgery. Design. Thirty-eight CABG patients with DSWI, between 2001 and 2005, were treated with VAC therapy. The cost of surgery, intensive care, ward care, laboratory tests and other costs were analyzed. Results. No three-month mortality or recurrent infection was observed. The average cost of CABG procedure and treatment of DSWI was 2.5 times higher than the mean cost of CABG alone. No significant correlations were found between the preoperative EuroSCORE and the cost of DSWI therapy. Conclusions. VAC therapy for patients who underwent CABG surgery followed by DSWI seems to be cost effective, and has low mortality rate.Keywords
This publication has 21 references indexed in Scilit:
- The Impact of Vacuum-Assisted Closure on Long-Term Survival After Post-Sternotomy MediastinitisThe Annals of Thoracic Surgery, 2005
- Clinical Outcome After Poststernotomy Mediastinitis: Vacuum-Assisted Closure Versus Conventional TreatmentThe Annals of Thoracic Surgery, 2005
- Vacuum-assisted closure therapy in mediastinitis after heart transplantationThe Journal of Heart and Lung Transplantation, 2004
- Vacuum Assisted Closure for the Treatment of Sternal Wounds: The Bridge between Débridement and Definitive ClosurePlastic and Reconstructive Surgery, 2003
- Factors Predisposing to Median Sternotomy ComplicationsSocial psychiatry. Sozialpsychiatrie. Psychiatrie sociale, 1996
- Mediastinitis After Coronary Artery Bypass Graft SurgeryCirculation, 1995
- Suppurative Mediastinitis After Open-Heart Surgery: A Case-Control Study Covering a Seven-Year Period in Santander, SpainClinical Infectious Diseases, 1995
- Management of Deep Sternal Wound Infection After Cardiac Surgery—Hanuman SyndromeScandinavian Journal of Thoracic and Cardiovascular Surgery, 1991
- Sternal wound complications after isolated coronary artery bypass grafting: Early and late mortality, morbidity, and cost of careThe Annals of Thoracic Surgery, 1990
- CDC definitions for nosocomial infections, 1988American Journal of Infection Control, 1988