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We undertook a quality improvement project to compare the prevalence of leg wound complications (eg, infection, seroma, hematoma, dehiscence) between two types of skin closure (ie, staples, subcuticular sutures) after conventional open surgery with bridging between incisions and vein harvesting during coronary revascularization to determine the need for practice changes. We found no significant differences between patients with wound complications and those without. However, in this project, the risk for infections was greater for patients with diabetes whose wounds were closed by using subcuticular sutures. These findings have led to practice changes for reducing leg wound complications within our institution: clinicians now assess patients for increased risk of leg wound complications preoperatively and opt to close wounds with staples for patients who have diabetes.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.aorn.2013.07.016","type":"journal-article","created":{"date-parts":[[2013,9,25]],"date-time":"2013-09-25T05:08:42Z","timestamp":1380085722000},"page":"401-412","source":"Crossref","is-referenced-by-count":7,"title":["A Retrospective Review of Leg Wound Complications After Coronary Artery Bypass Surgery"],"prefix":"10.1002","volume":"98","author":[{"given":"Susan A.","family":"East","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca A.","family":"Lorenz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric S.","family":"Armbrecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,25]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"116","volume-title":"Morbidity & Mortality: 2012 Chart Book on Cardiovascular, Lung and Blood Diseases","year":"2012"},{"key":"e_1_2_2_3_2","first-page":"1","article-title":"National hospital discharge survey: 2007 summary","volume":"29","author":"Hall M.J.","year":"2010","journal-title":"Natl Health Stat Reports"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1620\/tjem.211.331"},{"issue":"5","key":"e_1_2_2_5_2","first-page":"CD008057","article-title":"Staples versus sutures for closing leg wounds after vein graft harvesting for coronary artery bypass surgery","volume":"12","author":"Biancari F.","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"e_1_2_2_6_2","doi-asserted-by":"crossref","first-page":"149","DOI":"10.4037\/ajcc1999.8.3.149","article-title":"Prevalence of leg wound complications after coronary artery bypass grafting: determination of risk factors","volume":"8","author":"Goldsborough M.A.","year":"1999","journal-title":"Am J Crit Care"},{"issue":"9","key":"e_1_2_2_7_2","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1177\/000313481107700935","article-title":"Sutures versus staples for the management of surgical wounds: a meta\u2010analysis of randomized controlled trials","volume":"77","author":"Iavazzo C.","year":"2011","journal-title":"Am Surg"},{"key":"e_1_2_2_8_2","volume-title":"The Direct Medical costs of Healthcare\u2010Associated Infections in U.S. Hospitals and the Benefits of Prevention","author":"Scott R.D.","year":"2009"},{"key":"e_1_2_2_9_2","unstructured":"Details for: proposed policy and payment changes for inpatient stays in acute care hospitals and long\u2010term care hospitals in FY 2013. 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