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Risk Factors for Sternal Complications After Cardiac Operations: A Systematic Review  Sulakshana Balachandran, PhD, Annemarie Lee, PhD, Linda Denehy, PhD,

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Presentation on theme: "Risk Factors for Sternal Complications After Cardiac Operations: A Systematic Review  Sulakshana Balachandran, PhD, Annemarie Lee, PhD, Linda Denehy, PhD,"— Presentation transcript:

1 Risk Factors for Sternal Complications After Cardiac Operations: A Systematic Review 
Sulakshana Balachandran, PhD, Annemarie Lee, PhD, Linda Denehy, PhD, Kuan-Yin Lin, MS, Alistair Royse, MBBS, MD, Colin Royse, MBBS, MD, Doa El-Ansary, PhD  The Annals of Thoracic Surgery  Volume 102, Issue 6, Pages (December 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart outlining the selection of studies included in the systematic review and meta-analysis. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Meta-analyses for identified preoperative risk factors for sternal infection: (a) female gender, (b) active smoking, (c) diabetes mellitus, and (d) obesity. The solid vertical line indicates no effect. The solid squares indicate the mean difference and are proportional to the weights used in the meta-analysis. The diamond indicates the weighted mean difference, and the lateral tips of the diamond indicate the associated confidence intervals (CI). The horizontal lines represent the 95% CI. (M-H = Mantel-Haenszel test.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Meta-analysis for identified perioperative risk factor for sternal infection: bilateral internal mammary artery grafts. The solid vertical line indicates no effect. The solid squares indicate the mean difference and are proportional to the weights used in the meta-analysis. The diamond indicates the weighted mean difference, and the lateral tips of the diamond indicate the associated confidence intervals (CI). The horizontal lines represent the 95% CI. (M-H = Mantel-Haenszel test.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Meta-analyses for identified postoperative risk factors for sternal infection: (a) reoperation for postoperative complications and (b) blood product requirement. The solid vertical line indicates no effect. The solid squares indicate the mean difference and are proportional to the weights used in the meta-analysis. The diamond indicates the weighted mean difference, and the lateral tips of the diamond indicate the associated confidence intervals (CI). The horizontal lines represent the 95% CI. (M-H = Mantel-Haenszel test.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions


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