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The cost of vacuum-assisted closure therapy in treatment of deep sternal wound infection.

Mokhtari, Arash LU ; Sjögren, Johan LU ; Nilsson, Johan LU ; Gustafsson, Ronny LU ; Malmsjö, Malin LU and Ingemansson, Richard LU (2008) In Scandinavian Cardiovascular Journal 42(1). p.85-89
Abstract
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... (More)
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. (Less)
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author
organization
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type
Contribution to journal
publication status
published
subject
in
Scandinavian Cardiovascular Journal
volume
42
issue
1
pages
85 - 89
publisher
Taylor & Francis
external identifiers
  • pmid:18273735
  • wos:000253122900011
  • scopus:41549113762
ISSN
1651-2006
DOI
10.1080/14017430701744469
language
English
LU publication?
yes
id
1355fb11-d490-4e8d-9de4-454bf2c880bc (old id 1041953)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18273735?dopt=Abstract
date added to LUP
2008-03-03 14:51:53
date last changed
2017-05-07 04:30:08
@article{1355fb11-d490-4e8d-9de4-454bf2c880bc,
  abstract     = {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.},
  author       = {Mokhtari, Arash and Sjögren, Johan and Nilsson, Johan and Gustafsson, Ronny and Malmsjö, Malin and Ingemansson, Richard},
  issn         = {1651-2006},
  language     = {eng},
  number       = {1},
  pages        = {85--89},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Cardiovascular Journal},
  title        = {The cost of vacuum-assisted closure therapy in treatment of deep sternal wound infection.},
  url          = {http://dx.doi.org/10.1080/14017430701744469},
  volume       = {42},
  year         = {2008},
}