Wound of Skin
Conditions
Brief summary
This study will evaluate two alternative dressings compared to a standard Island dressing presently in use at Stanford Hospital to determine reductions in surgical site infection (SSI) rates among cardiac surgery patients. Cardiovascular surgery patients who will have a sternotomy incision as a routine part of their surgery will be approached to voluntarily participate. Participants will be randomized to one of three dressing to determine which dressing has the lowest rate of sternal wound infection. The investigators will also assess the impact of alternative dressing use on hospital 30-day readmission rates related to SSI.
Interventions
DEVICEStandard Island Dressing
participant randomized to control group before end of surgery to be applied on cardiovascular heart surgical sternal incision.
DEVICEPrevena Negative Pressure wound dressing
participant randomized to dressing before end of surgery to be applied on cardiovascular heart surgical sternal incision.
Participant randomized to dressing before end of surgery to be applied on cardiovascular heart surgical sternal incision
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participant randomly assigned to either a control or one of two intervention groups
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Participants who will undergo cardiac surgery via a sternotomy incision.Inclusion criteria will be patients having surgical valve, CABGs, aortic dissection, myectomy and myotomy, Cox MAZE, Myocardial bridge Un-roofing
Exclusion criteria
* Patients undergoing heart transplants, Ventricular Assist Device (VAD), with postoperative courses complicated by tamponade, take-backs, and open chest incisions will also be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rates of surgical site infection pertaining to each dressing studied. | From Post-Operative date 0 to 7th day or earlier which ever day comes first. | evaluate alternative dressings to determine reductions in surgical site infection (SSI) rates among cardiac surgery patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Impact of alternative dressings on rates of Sternal wound incision infection | 30 days after participant discharge. | Assess the impact of alternative dressing use on hospital 30-day readmission rates related to surgical site infection (SSI). |
Countries
United States
Contacts
Primary ContactJack Boyd, M.D.
Backup ContactClarivil Cruz Gonzales, RN
Outcome results
None listed