- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04258878
Prospective Cohort Study in Evaluation of Risk Factors for Infection During and After Coronary Graft Operations.
Study Overview
Detailed Description
Surgical site infections (SSIs) are either superficial or deep and may involve the organs, or spaces accessed during an operation. The reported incidence of SSIs in coronary artery bypass grafting (CABG) surgery ranges between 0.3% and 8%.
There is a strong suggestion that an impairment of vascular supply of the sternum may be one of the most important factors influencing the incidence of deep sternal wound infection (DSWI). Several studies have studied the risk factors for SSIs including DSWI in cardiac surgery. These risk factors included obesity, diabetes mellitus, chronic obstructive pulmonary disease (COPD), connective tissue disease, steroid use, smoking, peripheral vascular disease and renal insufficiency. In addition, intraoperative factors (e.g., use of bilateral internal mammary arteries [BIMA] grafting, prolonged cardiopulmonary bypass [CPB] duration) and postoperative variables (e.g., prolonged mechanical ventilation, reoperation for bleeding, postoperative transfusions and gastrointestinal, nephrological and respiratory complications) have been shown to be associated with DSWI.
The risk for sternal wound infection (SWI) is increased if cardiac surgery involves internal thoracic arteries grafting and a valve procedure, or use of a ventricular assist device.
Leg wound infections at donor sites account for >70% of cases with severe infection following cardiac surgery.
Cardiac SSIs increase the length of hospital stay (LOS) and increase treatment costs in proportion to the severity of the infection. These costs increase by 3.8%, 14.7% and 29.4% in mild, moderate and severe infections respectively.
Treatment is often confounded by the emergence of antibiotic-resistant pathogens and in addition, substantial proportions of these infected patients are elderly and have co-existing medical problems. In the past, such elderly patients with significant comorbidities would not have been considered for surgery.[8] As the population ages, it is reasonable to assume that older and sicker patients will be admitted for surgery, and this will inevitably increase the risk and incidence of SSIs.
Study Type
Enrollment (Anticipated)
Contacts and Locations
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
IInclusion Criteria:
- patient aged more than 18 yards old
- sternotomy for: coronary artery bypass,
Exclusion Criteria:
- patient under age or 18years old.
- patient who has endocarditis.
- patient who underwent surgery with prothetic material, within the 12 months preceeding cardiac procedure.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
surgical wound infection
Time Frame: baseline
|
Evaluate the duration of complete healing of the sternum :By
|
baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluation of perioperative risk factors for surgical wound infection in cardiac surgery
Time Frame: baseline
|
|
baseline
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Mahmoud Khairy El-Haish, Prof, Assuit University Hospital
Study record dates
Study Major Dates
Study Start (ANTICIPATED)
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- periop- RFs in cardiac surgery
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Surgical Wound Infection
-
St. Borbala HospitalSemmelweis University; Department of Surgery, Jahn Ferend Dél-Pesti Kórház... and other collaboratorsTerminatedSurgical Wound | Surgical Site Infection | Wound Dehiscence, Surgical | Dehiscence of Internal Surgical WoundHungary
-
Centro Hospitalar do Tâmega e SousaActive, not recruitingSurgical Wound | Surgical Wound Infection | Surgical Site Infection | Surgical Wound, Healed | Surgical Complication | Surgical Wound Dehiscence | Surgical Wound HaemorrhagePortugal
-
University of Nevada, Las VegasRecruitingColorectal Disorders | Surgical Site Infection | Wound SurgicalUnited States
-
HITEC-Institute of Medical SciencesCompletedWound Infection | Wound Dehiscence | Wound Surgical | Wound BleedingPakistan
-
Hull University Teaching Hospitals NHS TrustUniversity of HullRecruitingSurgical Wound | Wound Infection | Surgical Incision | Infection, Bacterial | Wound Infection, SurgicalUnited Kingdom
-
Associazione Infermieristica per lo studio delle...Unknown
-
Imperial College LondonWithdrawnSurgical Wound | Surgical Site Infection | Wound Infection | Surgical Incision
-
Rothman Institute OrthopaedicsUnknownSurgical IncisionUnited States
-
Next Science TMUniversity of Maryland, BaltimoreWithdrawnSurgical Wound | Surgical Wound Infection | Surgical Site Infection | Surgical Incision | Amputation Stump; Infection
-
University of California, San FranciscoTerminatedPostoperative Complications | Surgical Wound Infection | Surgical Wound DehiscenceUnited States
Clinical Trials on Sternotomy
-
China National Center for Cardiovascular DiseasesPeking University International Hospital; Beijing Shijitan Hospital, Capital... and other collaboratorsNot yet recruitingMultivessel Coronary Artery Disease | Coronary Artery Bypass Grafting | Complete Revascularization
-
Ankara City Hospital BilkentRecruitingPostoperative Pain | Postoperative Pain, Acute | Postoperative Pain, Chronic | SternotomyTurkey
-
Fundación Pública Andaluza para la Investigación...CompletedAortic Valve Stenosis | Aortic Valve Disease | Heart Valve DiseasesSpain
-
University of Cape TownMedical Research Council, South AfricaCompletedHeart InjuriesSouth Africa
-
Peking University Third HospitalNot yet recruitingMinimally Invasive Cardiac Surgery
-
Cliniques universitaires Saint-Luc- Université...Completed
-
Ospedale San RaffaeleCompleted
-
Assiut UniversityNot yet recruiting
-
Taichung Veterans General HospitalNot yet recruitingValvular Heart Disease | Coronary Bypass Graft StenosisTaiwan