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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11140/22:10444915

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30212 - Surgery

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2022

Kód důvěrnosti údajů

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

Název periodika

Annals of Thoracic and Cardiovascular Surgery

ISSN

1341-1098

e-ISSN

2186-1005

Svazek periodika

28

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

JP - Japonsko

Počet stran výsledku

9

Strana od-do

171-179

Kód UT WoS článku

000814286200001

EID výsledku v databázi Scopus

2-s2.0-85132456149