Use of the Bra as Prevention of Sternal Wound Dehiscence in Cardiac Surgery

Germans Trias i Pujol Hospital100 enrolled

Overview

The aim of the study was to assess the efficacy of bra application as a prevention of dehiscence in women with median sternotomy.

Background: it is known that the size and support of the breasts are a specific problem in post-operative women of cardiac surgery by means of medium sternotomy. There is little evidence of the therapeutic action of the bra as a measure to prevent dehiscence of the surgical wound. Aim: To assess the efficacy of bra application as a prevention of dehiscence in women with median sternotomy. Methods: Randomised clinical trial; post-test control group in women undergoing cardiac surgery by mean sternotomy. Groups: application of post-surgical or non-surgical breast bra. Endpoint: incidence of dehiscence. Other variables: sociodemographic, signs of infection, pain, related to assessment of the wound on admission. Assessment of the surgical wound daily, at discharge, at month, 3 months and 6 months post discharge.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

100

Conditions

Cardiac Surgical Procedures Wound Healing

Interventions

Use of breast braOTHER

Patients will use a breast from admission to hospital discharge

Usual care (not use of bra)OTHER

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Over 18 years * Cardiac surgery intervention in the Germans Trias i Pujol University Hospital with non-critical preoperative * Surgical intervention performed throughout medium sternotomy Exclusion Criteria: * More than 72 hours admitted in an intensive care unit after surgery * Cognitive impairment or severe physical disability * Mastectomy * External wound occlusion with Opsite® fixative absorbent dressing * Emergency surgery

Locations (1)

Hospital Universitari Germans Trias i Pujol

Badalona, Barcelona, Spain

Outcomes

Primary Outcomes

Dehiscence

Dehiscence in the surgical wound. Criteria defined according to an established scale for the assessment of surgical wounds contemplated in the GacelaCare® computer system used in Germans Trias i Pujol University Hospital. Values may be "Yes" or "No".

Time frame: Baseline (admission) to 6 months after hospital discharge

Data from ClinicalTrials.gov

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