Do statins have a role in the promotion of postoperative wound healing in cardiac surgical patients?

Fitzmaurice, Gerard J; McWilliams, Billy; Nölke, Lars; Redmond, J Mark; McGuinness, Jonathan G; O'Donnell, Mark E · Ann Thorac Surg · 2014

systematic_review · Level I

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Abstract

Cardiac surgical patients often have associated comorbidities that can impede normal wound healing; however, statin therapy has the potential to improve this process through augmentation of the normal inflammatory response. Outcomes included a 30% earlier rate of wound epithelialization and an 80% greater wound-breaking strength combined with faster wound healing rates (13.0 days vs 18.7 days, p<0.0001). Inhibition of farnesyl pyrophosphate may hold a key role in the mediation of such advantageous effects. This systematic review suggests that there is sufficient evidence to warrant completion of a human trial to assess the effects of statins on wound healing.

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