Acute Mediastinitis - Outcomes and Prognostic Factors of Surgical Therapy (A Single-Center Experience)

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00669806%3A_____%2F22%3A10444915" target="_blank" >RIV/00669806:_____/22:10444915 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11140/22:10444915

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=lOePDIvEEX" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=lOePDIvEEX</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.5761/atcs.oa.21-00147" target="_blank" >10.5761/atcs.oa.21-00147</a>

Result language

angličtina

Original language name

Acute Mediastinitis - Outcomes and Prognostic Factors of Surgical Therapy (A Single-Center Experience)

Original language description

Purpose: The aims of this work were the retrospective analysis of a cohort of patients with acute mediastinitis treated at the authors&apos; worksite over a 15-year period and the identification of factors that significantly affect the outcomes of the therapy. Methods: During the period 2006-2020, 80 patients with acute mediastinitis were treated. Within the cohort, the following were observed: the causes and the type of acute mediastinitis, length of anamnesis, comorbidities, diagnostic methods, time from the diagnosis to surgery, types and number of surgical procedures, results of microbiological tests, complications, and outcomes of the treatment. Results: The most common type of acute mediastinitis was descending mediastinitis (48.75%). A total of 116 surgical procedures were performed. Ten patients in the cohort died (12.5%). Patients older than 60 years were at a 6.8 times higher risk of death. Patients with more than two comorbidities were at a 14.3 times higher risk of death. The presence of yeasts in the culture material increased the risk of death by 4.4 times. Conclusion: Early diagnosis, removal of the cause of mediastinitis, sufficient mediastinal debridement, and multiple drainage thereof with the possibility of continual postoperative lavage are essential for the successful treatment of acute mediastinitis.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Annals of Thoracic and Cardiovascular Surgery

ISSN

1341-1098

e-ISSN

2186-1005

Volume of the periodical

28

Issue of the periodical within the volume

3

Country of publishing house

JP - JAPAN

Number of pages

9

Pages from-to

171-179

UT code for WoS article

000814286200001

EID of the result in the Scopus database

2-s2.0-85132456149