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

Germans Trias i Pujol Hospital

Status: Completed

Conditions: Wound Healing; Cardiac Surgical Procedures

Treatments: Other: Use of breast bra; Other: Usual care (not use of bra)

Study type: Interventional

Funder types: Other

Identifiers

NCT04290260

AC-14-060

PR-1850/14 (Other Grant/Funding Number)

Details and patient eligibility

About

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

Full description

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.

Enrollment: 100 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Use of breast bra

Experimental group

Description:

Patients allocated on this group wear a breast bra from admission to hospital discharge.

Treatment:

Other: Use of breast bra

Usual care

Active Comparator group

Description:

Usual care: participants will not wear a breast bra until discharge from the hospital

Treatment:

Other: Usual care (not use of bra)