{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T19:04:51Z","timestamp":1790449491915,"version":"4.1.0"},"reference-count":8,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,8,1]],"date-time":"2018-08-01T00:00:00Z","timestamp":1533081600000},"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":[[2018,8]]},"DOI":"10.1016\/j.athoracsur.2018.03.053","type":"journal-article","created":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T13:00:01Z","timestamp":1524488401000},"page":"581-586","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":23,"title":["Liberal Use of Delayed Sternal Closure in Children Is Not Associated With Increased Morbidity"],"prefix":"10.1016","volume":"106","author":[{"given":"S. Ram","family":"Kumar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Scott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfield J.","family":"Wells","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaughn A.","family":"Starnes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2018.03.053_bib1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/S0003-4975(10)60944-7","article-title":"Secondary sternal closure: a method of preventing cardiac compression","volume":"31","author":"Gangahar","year":"1981","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.03.053_bib2","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/S0022-5223(97)70261-7","article-title":"Delayed sternal closure after cardiac operations in a pediatric population","volume":"113","author":"Tabbutt","year":"1997","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2018.03.053_bib3","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1097\/00003246-200004000-00044","article-title":"Management and outcomes of delayed sternal closure after cardiac surgery in neonates and infants","volume":"28","author":"McElhinney","year":"2000","journal-title":"Crit Care Med"},{"key":"10.1016\/j.athoracsur.2018.03.053_bib4","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1186\/1749-8090-7-102","article-title":"Delayed sternal closure after pediatric cardiac operations; single center experience: a retrospective study","volume":"7","author":"\u00d6zker","year":"2012","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2018.03.053_bib5","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1016\/j.athoracsur.2010.09.055","article-title":"Bloodstream infections increased after delayed sternal closure: cause or coincidence","volume":"91","author":"Das","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.03.053_bib6","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.1016\/j.jtcvs.2009.11.029","article-title":"Center variation and outcomes associated with delayed sternal closure after stage 1 palliation for hypoplastic left heart syndrome","volume":"139","author":"Johnson","year":"2010","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2018.03.053_bib9","doi-asserted-by":"crossref","first-page":"1565","DOI":"10.1016\/j.athoracsur.2016.08.081","article-title":"Delayed sternal closure in infant heart surgery-the importance of where and when: an analysis of the STS Congenital Heart Surgery Database","volume":"102","author":"Nelson-McMillan","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2018.03.053_bib10","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.athoracsur.2011.03.040","article-title":"Impact of delayed sternal closure on postoperative infection or wound dehiscence in patients with congenital heart disease","volume":"92","author":"Shin","year":"2011","journal-title":"Ann Thorac Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497518305496?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497518305496?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T03:56:56Z","timestamp":1757735816000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497518305496"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["S0003497518305496"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2018.03.053","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Liberal Use of Delayed Sternal Closure in Children Is Not Associated With Increased Morbidity","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2018.03.053","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 by The Society of Thoracic Surgeons Published by Elsevier","name":"copyright","label":"Copyright"}]}}