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Glucose Control Lowers the Risk of Wound Infection in Diabetics After Open Heart Operations  Kathryn J Zerr, MBA, Anthony P Furnary, MD, Gary L Grunkemeier,

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Presentation on theme: "Glucose Control Lowers the Risk of Wound Infection in Diabetics After Open Heart Operations  Kathryn J Zerr, MBA, Anthony P Furnary, MD, Gary L Grunkemeier,"— Presentation transcript:

1 Glucose Control Lowers the Risk of Wound Infection in Diabetics After Open Heart Operations 
Kathryn J Zerr, MBA, Anthony P Furnary, MD, Gary L Grunkemeier, PhD, Stephen Bookin, MD, Vivek Kanhere, MD, Albert Starr, MD  The Annals of Thoracic Surgery  Volume 63, Issue 2, Pages (February 1997) DOI: /S (96)

2 Fig. 1 Mean blood glucose levels in all diabetic patients before and after implementation of the diabetic protocol. The Annals of Thoracic Surgery  , DOI: ( /S (96) )

3 Fig. 2 Comparison of mean blood glucose levels in diabetic patients (Pts) with and without deep wound infection (includes mediastinitis, sternal wound infections involving the sternum and deeper, and vein donor-site infections involving Scarpa’s fascia and deeper). The Annals of Thoracic Surgery  , DOI: ( /S (96) )

4 Fig. 3 Mean blood glucose levels on the first postoperative day (POD) for patients with deep wound infection and for all patients. The Annals of Thoracic Surgery  , DOI: ( /S (96) )

5 Fig. 4 Deep sternal wound infection (DSWI) in patients having cardiac operations: all patients versus diabetic patients versus nondiabetic patients. The Annals of Thoracic Surgery  , DOI: ( /S (96) )

6 Fig. 5 Significant direct relation shown between postoperative blood glucose level and deep infection rates. The Annals of Thoracic Surgery  , DOI: ( /S (96) )

7 Fig. 6 Reliability of the model to assign appropriate risk is shown by comparing groups according to the expected risk of infection versus actual infection rates. The Annals of Thoracic Surgery  , DOI: ( /S (96) )


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