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A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest

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A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest. / Gorlitzer, Michael; Wagner, Florian; Pfeiffer, Steffen; Folkmann, Sandra; Meinhart, Johann; Fischlein, Theodor; Reichenspurner, Hermann; Grabenwöger, Martin.

In: INTERACT CARDIOV TH, Vol. 10, No. 5, 05.2010, p. 714-718.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Gorlitzer, M, Wagner, F, Pfeiffer, S, Folkmann, S, Meinhart, J, Fischlein, T, Reichenspurner, H & Grabenwöger, M 2010, 'A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest', INTERACT CARDIOV TH, vol. 10, no. 5, pp. 714-718. https://doi.org/10.1510/icvts.2009.223305

APA

Gorlitzer, M., Wagner, F., Pfeiffer, S., Folkmann, S., Meinhart, J., Fischlein, T., Reichenspurner, H., & Grabenwöger, M. (2010). A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest. INTERACT CARDIOV TH, 10(5), 714-718. https://doi.org/10.1510/icvts.2009.223305

Vancouver

Gorlitzer M, Wagner F, Pfeiffer S, Folkmann S, Meinhart J, Fischlein T et al. A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest. INTERACT CARDIOV TH. 2010 May;10(5):714-718. https://doi.org/10.1510/icvts.2009.223305

Bibtex

@article{54dfcdc51a9947ab8ca5322c3727203d,
title = "A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest",
abstract = "Sternal instability, dehiscence and mediastinitis are major causes of morbidity and mortality in cardiac surgery. The aim of this analysis is to determine the effect of a Posthorax support vest (Epple Inc, Vienna, Austria) after median sternotomy. One thousand five hundred and sixty cases were included in a prospective randomized multicenter trial. Patients were randomized as follows: 905 received a flexible dressing postoperatively (group A) and 655 patients were given a Posthorax support vest (group B). Patients in groups A and B were well matched. Their mean age was 68 years (range: 34-87 years). The patient characteristics and operative data were equally distributed in both groups. The mean total hospital stay was significantly shorter in group B than in group A (A: 17.33+/-17.5; B: 14.76+/-7.7; P=0.04). Sternal wound complications necessitating reoperation during the 90 days follow-up period were observed in 4.5%. Reoperation rates were as follows: 3.9% in group A and 0.6% in group B (P<0.05). The use of the Posthorax sternum support vest is a valuable adjunct to prevent sternum-related complications after cardiac surgery. In the 90 days follow-up period, additional surgical procedures were significantly reduced by the use of the support vest.",
keywords = "Adult, Aged, Aged, 80 and over, Bandages, Cardiac Surgical Procedures/adverse effects, Female, Follow-Up Studies, Humans, Male, Middle Aged, Prospective Studies, Protective Devices, Reference Values, Risk Assessment, Statistics, Nonparametric, Sternotomy/adverse effects, Surgical Wound Dehiscence/mortality, Surgical Wound Infection/mortality, Survival Analysis, Treatment Outcome, Wound Healing/physiology",
author = "Michael Gorlitzer and Florian Wagner and Steffen Pfeiffer and Sandra Folkmann and Johann Meinhart and Theodor Fischlein and Hermann Reichenspurner and Martin Grabenw{\"o}ger",
note = "2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.",
year = "2010",
month = may,
doi = "10.1510/icvts.2009.223305",
language = "English",
volume = "10",
pages = "714--718",
journal = "INTERACT CARDIOV TH",
issn = "1569-9293",
publisher = "European Association for Cardio-Thoracic Surgery",
number = "5",

}

RIS

TY - JOUR

T1 - A prospective randomized multicenter trial shows improvement of sternum related complications in cardiac surgery with the Posthorax support vest

AU - Gorlitzer, Michael

AU - Wagner, Florian

AU - Pfeiffer, Steffen

AU - Folkmann, Sandra

AU - Meinhart, Johann

AU - Fischlein, Theodor

AU - Reichenspurner, Hermann

AU - Grabenwöger, Martin

N1 - 2010 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.

PY - 2010/5

Y1 - 2010/5

N2 - Sternal instability, dehiscence and mediastinitis are major causes of morbidity and mortality in cardiac surgery. The aim of this analysis is to determine the effect of a Posthorax support vest (Epple Inc, Vienna, Austria) after median sternotomy. One thousand five hundred and sixty cases were included in a prospective randomized multicenter trial. Patients were randomized as follows: 905 received a flexible dressing postoperatively (group A) and 655 patients were given a Posthorax support vest (group B). Patients in groups A and B were well matched. Their mean age was 68 years (range: 34-87 years). The patient characteristics and operative data were equally distributed in both groups. The mean total hospital stay was significantly shorter in group B than in group A (A: 17.33+/-17.5; B: 14.76+/-7.7; P=0.04). Sternal wound complications necessitating reoperation during the 90 days follow-up period were observed in 4.5%. Reoperation rates were as follows: 3.9% in group A and 0.6% in group B (P<0.05). The use of the Posthorax sternum support vest is a valuable adjunct to prevent sternum-related complications after cardiac surgery. In the 90 days follow-up period, additional surgical procedures were significantly reduced by the use of the support vest.

AB - Sternal instability, dehiscence and mediastinitis are major causes of morbidity and mortality in cardiac surgery. The aim of this analysis is to determine the effect of a Posthorax support vest (Epple Inc, Vienna, Austria) after median sternotomy. One thousand five hundred and sixty cases were included in a prospective randomized multicenter trial. Patients were randomized as follows: 905 received a flexible dressing postoperatively (group A) and 655 patients were given a Posthorax support vest (group B). Patients in groups A and B were well matched. Their mean age was 68 years (range: 34-87 years). The patient characteristics and operative data were equally distributed in both groups. The mean total hospital stay was significantly shorter in group B than in group A (A: 17.33+/-17.5; B: 14.76+/-7.7; P=0.04). Sternal wound complications necessitating reoperation during the 90 days follow-up period were observed in 4.5%. Reoperation rates were as follows: 3.9% in group A and 0.6% in group B (P<0.05). The use of the Posthorax sternum support vest is a valuable adjunct to prevent sternum-related complications after cardiac surgery. In the 90 days follow-up period, additional surgical procedures were significantly reduced by the use of the support vest.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Bandages

KW - Cardiac Surgical Procedures/adverse effects

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Middle Aged

KW - Prospective Studies

KW - Protective Devices

KW - Reference Values

KW - Risk Assessment

KW - Statistics, Nonparametric

KW - Sternotomy/adverse effects

KW - Surgical Wound Dehiscence/mortality

KW - Surgical Wound Infection/mortality

KW - Survival Analysis

KW - Treatment Outcome

KW - Wound Healing/physiology

U2 - 10.1510/icvts.2009.223305

DO - 10.1510/icvts.2009.223305

M3 - SCORING: Journal article

C2 - 20103509

VL - 10

SP - 714

EP - 718

JO - INTERACT CARDIOV TH

JF - INTERACT CARDIOV TH

SN - 1569-9293

IS - 5

ER -