University of Oulu

Tuomas Tauriainen, Eeva-Maija Kinnunen, Idamaria Laitinen, Vesa Anttila, Tuomas Kiviniemi, Juhani K E Airaksinen, Fausto Biancari; Transfusion and blood stream infections after coronary surgery, Interactive CardioVascular and Thoracic Surgery, Volume 26, Issue 2, 1 February 2018, Pages 325–327, https://doi.org/10.1093/icvts/ivx320

Transfusion and blood stream infections after coronary surgery

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Author: Tauriainen, Tuomas1; Kinnunen, Eeva-Maija1; Laitinen, Idamaria1;
Organizations: 1Department of Surgery, Oulu University Hospital, Oulu, Finland
2Heart Center, Turku University Hospital, University of Turku, Turku, Finland
3Department of Surgery, University of Turku, Turku, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe201804126518
Language: English
Published: Oxford University Press, 2018
Publish Date: 2018-09-27
Description:

Abstract

The aim of this study was to evaluate the impact of blood transfusion on bloodstream infections. This study included 2764 patients who underwent isolated coronary artery bypass grafting. Blood cultures were drawn in 27.9% of patients and were positive in 3.5% of them. Blood transfusion before blood cultures were drawn (4.7% vs 1.2%, odds ratio 3.75, 95% confidence interval 1.11–12.67) and deep sternal wound infection/mediastinitis (20.0% vs 2.8%, odds ratio 7.43, 95% confidence interval 2.72–20.32) were independent predictors of a positive postoperative blood culture. Positive blood culture increased the risk of 5-year mortality (among patients with blood cultures drawn: 44.7% vs 19.6%, adjusted hazard ratio 2.10, 95% confidence interval 1.18–3.71). Exposure to blood products may increase the risk of bloodstream infection after cardiac surgery. Positive blood cultures after coronary artery bypass grafting are associated with poor late survival. These findings require validation in prospective studies.

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Series: Interactive cardiovascular and thoracic surgery
ISSN: 1569-9293
ISSN-E: 1569-9285
ISSN-L: 1569-9293
Volume: 26
Issue: 2
Pages: 325 - 327
DOI: 10.1093/icvts/ivx320
OADOI: https://oadoi.org/10.1093/icvts/ivx320
Type of Publication: A1 Journal article – refereed
Field of Science: 3126 Surgery, anesthesiology, intensive care, radiology
Subjects:
Copyright information: This is a pre-copyedited, author-produced version of an article accepted for publication in [insert journal title] following peer review. The version of record Tuomas Tauriainen, Eeva-Maija Kinnunen, Idamaria Laitinen, Vesa Anttila, Tuomas Kiviniemi, Juhani K E Airaksinen, Fausto Biancari; Transfusion and blood stream infections after coronary surgery, Interactive CardioVascular and Thoracic Surgery, Volume 26, Issue 2, 1 February 2018, Pages 325–327, is available online at: https://doi.org/10.1093/icvts/ivx320.