uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Outcomes following the implementation of a quality control campaign to decrease sternal wound infections after coronary artery by-pass grafting
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Thoracic Surgery.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Clinical Microbiology and Infectious Medicine.
Show others and affiliations
2015 (English)In: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 15, 154Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Coronary artery by-pass grafting (CABG) remains the optimal strategy in achieving complete revascularization in patients with complex coronary artery disease. However, sternal wound infections (SWI), especially deep SWI are potentially severe complications to the surgery. At the department of cardiothoracic surgery in Uppsala University Hospital a gradual increase in all types of SWI occurred, which peaked in 2009. This prompted an in-depth revision of the whole surgical process. To monitor the frequency of post-operative infections all patients receive a questionnaire that enquires whether any treatment for wound infection has been carried out.

METHODS: All patients operated with isolated CABG between start of 2006 and end of 2012 were included in the study. 1515 of 1642 patients answered and returned the questionnaire (92.3 %). The study period is divided into the time before the intervention program was implemented (2006-early 2010) and the time after the intervention (early 2010- end 2012). To assess whether potential differences in frequency of SWI were a consequence of change in the characteristics of the patient population rather than an effect of the intervention a retrospective assessment of medical records was performed, where multiple of the most known risk factors for developing SWI were studied.

RESULTS: We noticed a clear decrease in the frequency of SWI after the intervention. This was not a consequence of a healthier population.

CONCLUSIONS: Our results from implementing the intervention program are positive in that they reduce the number of SWI. As several changes in the perioperative care were introduced simultaneously we cannot deduce which is the most effective.

Place, publisher, year, edition, pages
2015. Vol. 15, 154
Keyword [en]
CABG; Sternal wound infection; Quality control campaign
National Category
URN: urn:nbn:se:uu:diva-268349DOI: 10.1186/s12872-015-0148-4ISI: 000365001600001PubMedID: 26577692OAI: oai:DiVA.org:uu-268349DiVA: diva2:876605
Available from: 2015-12-04 Created: 2015-12-04 Last updated: 2016-01-01Bibliographically approved

Open Access in DiVA

fulltext(540 kB)19 downloads
File information
File name FULLTEXT01.pdfFile size 540 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Lindblom, Rickard P FLytsy, BirgittaRansjö, UlrikaSwenne, Christine Leo
By organisation
Thoracic SurgeryClinical Microbiology and Infectious Medicine
In the same journal
BMC Cardiovascular Disorders

Search outside of DiVA

GoogleGoogle Scholar
Total: 19 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 96 hits
ReferencesLink to record
Permanent link

Direct link