remeReme: Revista Mineira de EnfermagemReme : Rev. Min. Enferm.1415-27622316-9389Escola de Enfermagem da Universidade Federal de Minas Gerais-UFMGBelo Horizonte, MG, BrazilS1415-27622015000400016S1415-2762(15)0190041610.5935/1415-2762.20150076Revisão Sistemática ou IntegrativaFatores de risco para mediastinite após revascularização do miocárdio: revisão integrativaRisk factors for mediastinitis after coronary artery bypass grafting surgery: an integrative reviewFactores de riesgo para mediastinitis trás la revascularización miocárdica: revisión integradoraSilvaQuenia Cristina Gonçalves daCaniniSilvia Rita Marin da SilvaSilveiraRenata Cristina de Campos PereiraDessotteCarina Aparecida MarostiCamposFabrício Ribeiro deSão PauloSPUSPEERP BrasilSão PauloSPEmpresa Brasileira de Serviços HospitalaresBrasilUniversidade de São PauloEscola de Enfermagem de Ribeirão Preto USPEERP Programa de Pós-Graduação Enfermagem FundamentalSão PauloSPFundação Santa Casa de Misericórdia de FrancaServiço de Controle de Infecção Hospitalar BrasilSão PauloSPUSPEERP Brasil122015194101510221708201509042015This work is licensed under a Creative Commons Attribution 4.0 International License.Full text available only in PDF format (EN)Texto completo somente em PDF (PT)

Esta revisão integrativa da literatura teve como objetivo identificar os fatores de risco relacionados à ocorrência de mediastinite em pacientes adultos submetidos à cirurgia de revascularização do miocárdio. Para a busca dos estudos primários, foram utilizadas as bases de dados Medline, CINAHL, LILACS e EMBASE. A amostra foi constituída por 18 estudos. Os fatores de risco mais frequentemente identificados foram diabetes mellitus (DM) e obesidade, seguidos por reintervenção cirúrgica, doença pulmonar obstrutiva crônica (DPOC) e idade avançada. As evidências permitiram identificar que os fatores de risco mais frequentemente associados à ocorrência de mediastinite foram DM, obesidade, reintervenção cirúrgica, DPOC e idade maior de 65 anos e identificam a necessidade de se investir em pesquisas sobre fatores de risco passíveis de prevenção e controle, ou seja, os relacionados ao procedimento cirúrgico propriamente dito.

This integrative literature review aimed to identify risk factors related to the development of mediastinitis in adult patients undergoing coronary artery bypass surgery. The following databases were searched for primary studies: Medline, CINAHL, LILACS and EMBASE. The final sample comprised 18 studies. The most frequently identified risk factors were diabetes mellitus (DM) and obesity, followed by surgical reintervention, chronic obstructive pulmonary disease (COPD) and old age. We found that the risk factors mostfrequently associated with mediastinitis were DM, obesity, surgical reintervention, COPD and age over 65 years. These data also suggest the need for further research on preventable and controllable risk factors, i.e., those related to the surgical procedure itself.

Esta revisión integradora de la literatura ha tenido como objetivo identificar los factores de riesgo relacionados con la aparición de mediastinitis en pacientes adultos sometidos a cirugía de revascularización miocárdica. Para la búsqueda de los estudios primarios, se han utilizado las bases de datos Medline, CINAHL, LILACS y EMBASE. La muestra se ha constituido por 18 estudios. Los factores de riesgo más frecuentemente identificados han sido la diabetes mellitus (DM) y la obesidad, seguidos por la intervención quirúrgica, la enfermedad pulmonar obstructiva crónica (EPOC) y la vejez. Las evidencias han ayudado a identificar que los factores de riesgo más frecuentemente asociados con la incidencia de mediastinitis son la DM, la obesidad, la reintervención quirúrgica, la EPOCy la edad superior a los 65 ahos y muestran la necesidad de invertir en la investigación sobre los factores de riesgo posibles de prevenir y controlar, es decir, aquellos relacionados con el procedimiento quirúrgico en sí.

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