Risk assessment for postoperative complications in patients undergoing cardiac surgical procedures

被引:0
作者
de Almeida, Carolina Larrosa [1 ]
de Oliveira, Jones Sidnei Barbosa [1 ]
Pires, Claudia Geovana da Silva [1 ]
Marinho, Claudia Silva [1 ]
机构
[1] Univ Fed Bahia, Salvador, BA, Brazil
关键词
Descriptors; Cardiovascular Diseases; Cardiac Surgical Procedures; Postoperative Complications; Risk Assessment; Cardiovascular Nursing; SURGERY; MORTALITY; MORBIDITY; MODEL; ICU;
D O I
10.1590/0034-7167-2023-0127pt
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: to evaluate the risk of postoperative complications in cardiac patients. Methods: an evaluative study using the Tuman Score on medical records of 70 adult patients who underwent cardiac surgery at a University Hospital. The R for Windows software was used for the analyses. Descriptive statistics and bivariate analysis were employed to verify the association between the risk score and complications. The relative risk between the Tuman Score and postoperative complications was obtained through Quasi-Poisson regression, with a 95% confidence interval. Results: the majority of the patients were male (58.57%), aged between 41-64 years (50%), who underwent myocardial revascularization (50%). These patients were associated with a lower risk of postoperative complications (p=0.003), (p=0.008), and (p=0.000), respectively. High-risk patients had pulmonary complications (RR=1.32, p=0.002) and neurological complications (RR=1.20, p=0.047). Conclusions: preoperative risk assessment promotes qualified care to reduce postoperative complications.
引用
收藏
页数:8
相关论文
共 31 条
[1]  
Almeida Fernanda Fuscaldi, 2003, Arq. Bras. Cardiol., V80, P51
[2]   Factors of risk in septuagenarians patients or elderly to myocardial revascularization and or valves operations [J].
Alves, Lafaiete, Jr. ;
Rodrigues, Alfredo Jose ;
Barbosa Evora, Paulo Roberto ;
Basseto, Solange ;
Scorzoni Filho, Adilson ;
Luciano, Paula Menezes ;
Pinheiro, Karina Simonelly ;
Andrade Vicente, Walter Villela .
REVISTA BRASILEIRA DE CIRURGIA CARDIOVASCULAR, 2008, 23 (04) :550-555
[3]  
Barros CSMA, 2018, Rev Baiana Enferm, V32, DOI [10.18471/rbe.v32.26045, DOI 10.18471/RBE.V32.26045]
[4]   Cardiothoracic surgery during the Covid-19 pandemic: Perioperative care, safety, and surgical results [J].
Casanova, Jorge ;
Pissarra, Diana ;
Costa, Rita ;
Salgueiro, Elson ;
Pinho, Paulo .
JOURNAL OF CARDIAC SURGERY, 2020, 35 (10) :2605-2610
[5]  
Conselho Nacional de Saude (CNS), 2012, Trata de pesquisas em seres humanos e atualiza a resolucao 466/12
[6]  
Conselho Nacional de Saude (CNS), 2011, Carta Circular no. 039/2011/CONEP/CNS/GB/MS. Uso de dados de prontuarios para fins de PesquisaInternet
[7]  
Covalski D, 2021, Rev Enferm UFSM, V11, P1, DOI [10.5902/2179769264147, DOI 10.5902/2179769264147]
[8]   Risk factors for hospital mortality in valve replacement with mechanical prosthesis [J].
De Bacco, Mateus W. y ;
Sartori, Ana Paula ;
Michelin Sant'Anna, Jodo Ricardo ;
Santos, Marisa F. ;
Prates, Paulo Roberto ;
Kalil, Renato A. K. ;
Nesralla, Ivo A. .
REVISTA BRASILEIRA DE CIRURGIA CARDIOVASCULAR, 2009, 24 (03) :334-340
[9]   Demographic and clinical characteristics of patients undergoing coronary artery bypass graft surgery and their relation to mortality [J].
de Oliveira, Eduardo Lafaiette ;
Westphal, Glauco Adrieno ;
Mastroeni, Marco Fabio .
REVISTA BRASILEIRA DE CIRURGIA CARDIOVASCULAR, 2012, 27 (01) :52-60
[10]  
Dessotte CAM, 2016, Rev Eletron Enferm., V18, DOI [10.5216/ree.v18.37736, DOI 10.5216/REE.V18.37736]