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.
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.
Authors: Piya Das Ghatak; Richard Schlanger; Kasturi Ganesh; Lynn Lambert; Gayle M Gordillo; Patsy Martinsek; Sashwati Roy Journal: Adv Wound Care (New Rochelle) Date: 2015-05-01 Impact factor: 4.730
Authors: Erika D Sears; Adeyiza O Momoh; Kevin C Chung; Yu-Ting Lu; Lin Zhong; Jennifer F Waljee Journal: Plast Reconstr Surg Date: 2017-08 Impact factor: 4.730
Authors: Federico Lo Torto; Ambra Monfrecola; Juste Kaciulyte; Pedro Ciudad; Donato Casella; Diego Ribuffo; Bruno Carlesimo Journal: Int Wound J Date: 2017-09-13 Impact factor: 3.315
Authors: Matthew E Falagas; Giannoula S Tansarli; Anastasios Kapaskelis; Konstantinos Z Vardakas Journal: PLoS One Date: 2013-05-31 Impact factor: 3.240