MARC details
| 000 -LEADER |
|---|
| fixed length control field |
03263nam a22003617a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
181214s20182018 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
|---|
| International Standard Serial Number |
2225-319X |
| 024 ## - OTHER STANDARD IDENTIFIER |
|---|
| Standard number or code |
10.21037/acs.2018.06.01 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
|---|
| Standard number or code |
acs-07-05-611 [pii] |
| 024 ## - OTHER STANDARD IDENTIFIER |
|---|
| Standard number or code |
PMC6219953 [pmc] |
| 040 ## - CATALOGING SOURCE |
|---|
| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
|---|
| PMID |
30505745 |
| 245 ## - TITLE STATEMENT |
|---|
| Title |
Sternotomy closure using rigid plate fixation: a paradigm shift from wire cerclage. |
| 251 ## - Source |
|---|
| Source |
Annals of Cardiothoracic Surgery. 7(5):611-620, 2018 Sep. |
| 252 ## - Abbreviated Source |
|---|
| Abbreviated source |
Ann. cardiothorac. surg.. 7(5):611-620, 2018 Sep. |
| 253 ## - Journal Name |
|---|
| Journal name |
Annals of cardiothoracic surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Year |
2018 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2019 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
|---|
| Publication status |
ppublish |
| 266 ## - Date added to catalog |
|---|
| Date added to catalog |
2018-12-14 |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
Background: Rigid plate fixation (RPF) is the cornerstone in managing fractures and osteotomies except for sternotomy, where most cardiac surgeons continue to use wire cerclage (WC). Results of a multicenter randomized trial evaluating sternal healing, sternal complications, patient reported outcome measures (PROMs), and costs after sternotomy closure with RPF or WC are summarized here. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
Conclusions: Sternotomy closure with RPF resulted in significantly better sternal healing, fewer sternal complications, improved PROMs and was cost neutral through 90 days and 6 months compared to WC. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
Methods: Twelve US centers randomized 236 patients to either RPF (n=116) or WC (n=120). The primary endpoint, sternal healing at 6 months, was evaluated by a core laboratory using computed tomography and a validated 6-point scale (greater scores represent greater healing). Secondary endpoints assessed through 6 months included sternal complications and PROMs. Costs from the time of sternal closure through 90 days and 6 months were analyzed by a health economic core laboratory. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
Results: RPF compared to WC resulted in better sternal healing scores at 3 (2.6+/-1.1 vs. 1.8+/-1.0; P<0.0001) and 6 months (3.8+/-1.0 vs. 3.3+/-1.1; P=0.0007) and higher sternal union rates at 3 [41% (42/103) vs. 16% (16/102); P<0.0001] and 6 months [80% (81/101) vs. 67% (67/100); P=0.03]. There were fewer sternal complications with RPF through 6 months [0% (0/116) vs. 5% (6/120); P=0.03] and a trend towards fewer sternal wound infections [0% (0/116) vs. 4.2% (5/120); P=0.06]. All PROMs including sternal pain, upper extremity function (UEF), and quality-of-life scores were numerically better in RPF patients compared to WC patients at all follow-up time points. Although RPF was associated with a trend toward higher index hospitalization costs, a trend towards lower follow-up costs resulted in total costs that were |
| -- |
,888 less at 90 days in RPF patients compared to WC patients (95% CI: - |
| Field link and sequence number |
,889 to |
| -- |
,273; P=0.52) and |
| -- |
,646 less at 6 months (95% CI: - |
| -- |
,127 to |
| -- |
,706; P=0.61). |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Institution |
MedStar Heart & Vascular Institute |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Thourani, Vinod H |
| 790 ## - Authors |
|---|
| All authors |
Allen KB, Bonnell M, Gerdisch M, Grehan J, Grubb KJ, Guy TS, Icke KJ, Landolfo K, Naka Y, Patel N, Thourani VH |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.21037/acs.2018.06.01">https://dx.doi.org/10.21037/acs.2018.06.01</a> |
| Public note |
https://dx.doi.org/10.21037/acs.2018.06.01 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
