2020 Volume 17 Issue 2 Pages 54-59
【Objects】Surgical site infection (SSI) in cardiovascular surgery is more likely to be severe and impact clinical outcomes. This study used the registered data of the Japan Cardiovascular Surgery Database (JCVSD) to examine the current status of SSI and its clinical impact.【Methods】 JCVSD data included 253,159 cases of thoracic cardiovascular surgery performed under median sternotomy in 2013〜2017. According to the Japanese Healthcare Associated Infections Surveillance（JHAIS）classification, patients were classified into three groups, CBGB is CABG with SVG (n=72,513), CBGC is CABG without SVG (n=28,579), and CARD is operations other than CABG (n=152,067). The incidence of deep sternum infection, hospital death and long-term hospitalization（more than 90 days）were examined.【Results】The incidence of deep sternum infection is 1.9％ in CBGB, 1.5％ in CBGC, and 1.5％ in CARD, significantly higher in CBGB (P＜0.001). Hospital deaths in deep sternum infection cases were 22.9％, significantly higher than non-infection cases (5％) (P＜0.001). Long–term hospitalization in deep sternum infection cases was 20.8％, higher than non-infection cases (1.6％). 【Conclusion】The incidence of deep sternum infection is low in JCVSD data. But hospital death and long-term hospitalization is still high.
