[Infectious and inflammatory complications occurring after cardiac surgery in cardiac rehabilitation centres]

Ann Cardiol Angeiol (Paris). 2020 Dec;69(6):424-429. doi: 10.1016/j.ancard.2020.09.039. Epub 2020 Oct 20.
[Article in French]

Abstract

Patients undergoing cardiac surgery are older, have complex pathologies and several comorbidities, but need to leave the hospital quickly! Therefore, the mission of cardiac rehabilitation centres has substantially changed. Indeed, if 15 to 25% of patients undergoing cardiac surgery will have a postoperative complication requiring a hospital management (infectious, pericardial, rhythmic, neurologic, pulmonary, digestive, etc.), more than 2/3 of these acute events could be managed by cardiac rehabilitation centres for a lower cost. Therefore, the quickest the patient is transferred to a cardiac rehabilitation centre, the easier the cardiac surgery centre could manage his beds. Infectious complications are the most dreadful, particularly mediastinitis.

Keywords: Cardiac rehabilitation; Cardiac surgery; Chirurgie cardiaque; Complications infectieuses et inflammatoires postopératoires; Infectious and inflammatory postoperative complications; Mediastinitis; Médiastinite; Pericardial effusion; Réadaptation cardiaque; Épanchement péricardique.

Publication types

  • Review

MeSH terms

  • Aged
  • Cardiac Care Facilities*
  • Cardiac Surgical Procedures / adverse effects*
  • Cardiac Tamponade* / diagnostic imaging
  • Cardiac Tamponade* / etiology
  • Cardiac Tamponade* / therapy
  • Cicatrix / complications
  • Cicatrix / therapy
  • Humans
  • Mediastinitis / etiology
  • Mediastinitis / microbiology
  • Mediastinitis / therapy
  • Patient Transfer
  • Postoperative Complications / etiology
  • Postoperative Complications / therapy*
  • Time Factors