{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T23:09:53Z","timestamp":1778713793949,"version":"3.51.4"},"reference-count":21,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2004,9,1]],"date-time":"2004-09-01T00:00:00Z","timestamp":1093996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2004,9,1]],"date-time":"2004-09-01T00:00:00Z","timestamp":1093996800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2004,9]]},"DOI":"10.1016\/j.athoracsur.2004.03.038","type":"journal-article","created":{"date-parts":[[2004,8,27]],"date-time":"2004-08-27T19:07:45Z","timestamp":1093633665000},"page":"912-917","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":88,"title":["Postoperative sternal dehiscence in obese patients: Incidence and prevention"],"prefix":"10.1016","volume":"78","author":[{"given":"J.Ernesto","family":"Molina","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel Saik-Leng","family":"Lew","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kasi J.","family":"Hyland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2004.03.038_BIB1","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1001\/jama.282.16.1519","article-title":"The spread of the obesity epidemic in the United States","volume":"282","author":"Mokdad","year":"1999","journal-title":"JAMA"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB2","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1001\/jama.286.10.1195","article-title":"The continuing epidemics of obesity and diabetes in the United States","volume":"286","author":"Mokdad","year":"2001","journal-title":"JAMA"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB3","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/S0003-4975(00)02038-5","article-title":"Effects of body size on operative, intermediate, and long-term outcomes after coronary artery bypass operations","volume":"71","author":"Schwann","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB4","doi-asserted-by":"crossref","first-page":"1856","DOI":"10.1016\/S0003-4975(03)00179-6","article-title":"The Society of Thoracic Surgeons","volume":"75","author":"Shroyer","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB5","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/S0003-4975(02)03899-7","article-title":"The risks of moderate and extreme obesity for coronary artery bypass grafting outcomes","volume":"74","author":"Prabhakar","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB6","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1378\/chest.110.5.1173","article-title":"Factors predisposing to median sternotomy complications","volume":"110","author":"Zacharias","year":"1996","journal-title":"Chest"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB7","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1016\/S0022-5223(96)70222-2","article-title":"Risk factors for deep sternal wound infection after sternotomy","volume":"111","year":"1996","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB8","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1016\/S0003-4975(10)61950-9","article-title":"Mortality, morbidity, and cost-accounting related to coronary artery bypass graft surgery in the elderly","volume":"39","author":"Roberts","year":"1985","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB9","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1161\/01.CIR.98.14.1472","article-title":"Obesity impact on cardiovascular disease","volume":"98","author":"Krauss","year":"1998","journal-title":"Circulation"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB10","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0003-4975(90)90136-T","article-title":"Sternal wound complications after isolated coronary artery bypass grafting","volume":"49","author":"Loop","year":"1990","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB11","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1016\/S0003-4975(00)01301-1","article-title":"Reinforcing the conventional sternal closure","volume":"69","author":"Zurbr\u00fcgg","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB12","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1016\/S0003-4975(02)03674-3","article-title":"Sternal closure using semirigid fixation with thermoreactive clips","volume":"74","author":"Centofanti","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB13","doi-asserted-by":"crossref","first-page":"1618","DOI":"10.1016\/S0003-4975(02)04988-3","article-title":"Lower sternal reinforcement improves the stability of sternal closure","volume":"75","author":"Dasika","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB14","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1055\/s-2007-1021961","article-title":"\u201cSleeve-rope closure\u201d of the median sternotomy after open heart operation","volume":"31","author":"Labitzke","year":"1983","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB15","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/0003-4975(93)91019-J","article-title":"Primary closure for infected dehiscence of the sternum","volume":"55","author":"Molina","year":"1993","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB16","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/S0022-5223(19)39957-X","article-title":"The prevention and treatment of sternum separation following open-heart surgery","volume":"73","author":"Robicsek","year":"1977","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB17","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/S0003-4975(01)03389-6","article-title":"A biomechanical comparison of three sternotomy closure techniques","volume":"73","author":"Cohen","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB18","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1016\/S0003-4975(03)00017-1","article-title":"Double criss-cross sternal wiring and chest wound infections","volume":"76","author":"Bottio","year":"2003","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB19","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/S0003-4975(02)03699-8","article-title":"Validation of a base analog model for studies of sternal closure","volume":"74","author":"Trumble","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB20","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1016\/S0022-5223(99)70251-5","article-title":"Mechanical analysis of midline sternotomy wound closure","volume":"117","author":"McGregor","year":"1999","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2004.03.038_BIB21","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S1010-7940(01)00584-X","article-title":"Fatigue testing median sternotomy closures","volume":"19","author":"Casha","year":"2001","journal-title":"Eur J Cardiovasc Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497504006939?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497504006939?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T00:28:21Z","timestamp":1757723301000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497504006939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,9]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2004,9]]}},"alternative-id":["S0003497504006939"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2004.03.038","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2004,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Postoperative sternal dehiscence in obese patients: Incidence and prevention","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2004.03.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"converted-article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2004 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}