Conclusion There are many risk factors associated with developing an infection after elective shoulder surgery .
The findings of this systematic review are clinical ly relevant as it has been shown that infection after shoulder surgery results in poor patient-reported outcomes and pose a significant financial burden .
Purpose Infection is a concern after all orthopedic procedures , including shoulder surgery .
This systematic review of literature aim ed to determine risk factors for infection as well as the availability and effectiveness of measures utilized to prevent infection after elective shoulder surgery .
Evaluation of autologous platelet rich plasma for cardiac surgery: outcome analysis of 2000 patients
Background Deep and superficial sternal wound infections ( DSWI & SWI ) following cardiac surgery increase morbidity , mortality and cost . Autologous platelet rich plasma ( PRP ) derived from the patient ’s own blood has been used in other surgical setting s to promote successful wound healing . The goal of this study was to analyze the addition of PRP using a rapid point of care bedside system to st and ard wound care in all patients undergoing sternotomy for cardiac surgical procedures . Methods Over a 7 year period , 2000 patients undergoing open cardiac operations requiring sternotomy were enrolled . One thous and patients received st and ard of care sternal closure . The other 1000 patients received st and ard of care sternal closure plus PRP applied to the sternum at the time of closure . The outcomes related to wound healing , infection , readmissions , and costs were analyzed . Results In the 2000 patients , there were more ventricular assist device implants/heart transplants and emergency operations in the PRP group ; otherwise there were no significant differences . The use of PRP reduced the incidence of DSWI from 2.0 to 0.6 % , SWI from 8.0 to 2.0 % , and the readmission rate from 4.0 to 0.8 % . The use of PRP reduced the costs associated with the development of deep and superficial wound complications from $ 1,256,960 to $ 593,791 . Conclusions The use of PRP decreases the incidence and costs of sternal wound complications following cardiac surgery . The routine use of platelet rich plasma should be considered for all patients undergoing sternotomy for cardiac surgical procedures .Trial registration Clinical trials.gov ( NCT00130377 ) for the data registry
Conclusion There are many risk factors associated with developing an infection after elective shoulder surgery .
The findings of this systematic review are clinical ly relevant as it has been shown that infection after shoulder surgery results in poor patient-reported outcomes and pose a significant financial burden .
Purpose Infection is a concern after all orthopedic procedures , including shoulder surgery .
This systematic review of literature aim ed to determine risk factors for infection as well as the availability and effectiveness of measures utilized to prevent infection after elective shoulder surgery .