OBJECTIVES: Exposure to a health care facility before surgery may increase risk for @entity86 . Our objectives were to (1) determine whether the prevalence of @entity86 was higher among @entity1 who were hospitalized before cardiac surgery, (2) identify risk factors for @entity281 , and (3) evaluate in-hospital outcomes. METHODS: A total of 32,707 @entity1 underwent cardiac surgery from January 1, 2000, to January 1, 2011. Forty percent (13,107) were hospitalized before their surgery date or were transfers from other health care facilities, and 60% (19,600) were same-day admissions. The primary outcome consisted of a composite @entity281 : @entity55 , @entity295 , @entity281 , and @entity293 . The secondary outcome was in-hospital death. The propensity method was used to compare infectious complications and mortality between groups. RESULTS: Overall infectious complications occurred in 2327 @entity1 (7.1%). Overall composite and individual @entity281 decreased over the study period (P for trend <.0001). Among 7814 propensity-matched pairs, 522 @entity281 (6.7%) occurred in the same-day admission group versus 676 (8.7%) in the prior hospitalization group, P  <  .0001. In-hospital mortality was 1.5% (n  =  120) for the same-day admission group versus 2.8% (n  =  221) for the prior hospitalization group (P  <  .0001). CONCLUSIONS: Although the risk of @entity281 decreased over time, the relationship between exposure to a health care facility before surgical intervention and higher @entity281 risk remained substantial. Further investigation into processes of care surrounding @entity281 control is necessary to reduce @entity86 and associated morbidity.

Hospitalization before surgery increases risk for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection', 'infections', 'surgical site infection'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative infections'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infection']
@entity86 :: (MESH:D019106,Disease) :: ['postoperative infections']
