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Cardiovascular daytime varying effect in cardiac surgery on surgical site infections and 1-year mortality: A prospective cohort study with 22,305 patients

Published online by Cambridge University Press:  24 April 2019

Rami Sommerstein Open the ORCID record for Rami Sommerstein [Opens in a new window] ,
Jonas Marschall ,
Stefan P. Kuster ,
Nicolas Troillet ,
Thierry Carrel ,
Friedrich S. Eckstein ,
Andreas F. Widmer  and
Swissnoso
Rami Sommerstein*
Affiliation:
Department of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland
Jonas Marschall
Affiliation:
Department of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland Swissnoso, the National Center for Infection Control, Bern, Switzerland
Stefan P. Kuster
Affiliation:
Swissnoso, the National Center for Infection Control, Bern, Switzerland Division of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich, University of Zurich, Zurich, Switzerland
Nicolas Troillet
Affiliation:
Swissnoso, the National Center for Infection Control, Bern, Switzerland Service of Infectious Diseases, Central Institute, Valais Hospitals, Sion, Switzerland
Thierry Carrel
Affiliation:
Department of Cardiac Surgery, Bern University Hospital, University of Bern, Bern, Switzerland
Friedrich S. Eckstein
Affiliation:
Department of Cardiac Surgery, University Hospital Basel, Basel, Switzerland
Andreas F. Widmer*
Affiliation:
Swissnoso, the National Center for Infection Control, Bern, Switzerland Department of Infectious Diseases, University Hospital Basel, Basel, Switzerland.
Swissnoso
Affiliation:
Swissnoso members: Carlo Balmelli MD, Lugano; Marie-Christine Eisenring RN, ICP, CNS, Sion; Stephan Harbarth MD, MS, Geneva; Stefan P. Kuster MD, MSc, Zurich; Jonas Marschall MD, MSc, Bern; Virginie Masserey Spicher MD, Bern; Didier Pittet MD, MS, Geneva; Christian Ruef MD, Zurich; Hugo Sax MD, Zurich; Matthias Schlegel MD, St. Gallen; Alexander Schweiger MD, Basel; Nicolas Troillet MD, MSc, Sion; Andreas F. Widmer MD, MSc, Basel; Giorgio Zanetti MD, MSc, Lausanne.
*
Author for correspondence: Rami Sommerstein, MD, Department of Infectious Diseases, Bern University Hospital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland. E-mail: rami.sommerstein@insel.ch. Or Andreas F. Widmer, MD, Department of Infectious Diseases, University Hospital Basel, Spitalstrasse 21/Petersgraben 4, Basel, 4031 Switzerland. E-mail: Andreas.Widmer@usb.ch.
Author for correspondence: Rami Sommerstein, MD, Department of Infectious Diseases, Bern University Hospital, University of Bern, Freiburgstrasse, 3010 Bern, Switzerland. E-mail: rami.sommerstein@insel.ch. Or Andreas F. Widmer, MD, Department of Infectious Diseases, University Hospital Basel, Spitalstrasse 21/Petersgraben 4, Basel, 4031 Switzerland. E-mail: Andreas.Widmer@usb.ch.
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Abstract

Afternoon aortic valve replacement surgery may provide perioperative myocardial protection and improve patient outcomes compared with morning surgery. The results of our large observational study based on Swiss cardiac surgical site infection surveillance data suggest that the current evidence is insufficient to generally promote afternoon cardiac surgeries.

Type
Research Brief
Information
Infection Control & Hospital Epidemiology , Volume 40 , Issue 6 , June 2019 , pp. 727 - 728
Copyright
© 2019 by The Society for Healthcare Epidemiology of America. All rights reserved. 

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Footnotes

PREVIOUS PRESENTATION: A previous version (poster) was presented at IDWeek 2018 on October 6, 2018, in San Francisco, California.

References

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