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.
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页数:8
相关论文
共 31 条
[21]   Preoperative Evaluation for Thoracic Surgery [J].
Matheos, Theofilos ;
Ram, Lakshmi ;
Canelli, Robert .
THORACIC SURGERY CLINICS, 2020, 30 (03) :241-+
[22]  
Mejia OAV, 2012, Predicao de mortalidade em cirurgia de coronaria e/ou valva no InCor: validacao de dois modelos externos e comparacao com o modelo desenvolvido localmenteInternet
[23]  
Ministerio da Saude (BR), 2016, Resolucao no 510/16, de 07 de abril de 2016. Dispoe sobre as normas aplicaveis a pesquisas em Cie^ncias Humanas e SociaisInternet
[24]  
Ministerio da Saude (BR), 2022, Datasus: sistema de informacoes dobre mortalidadeInternet
[25]   Differences in mortality in patients undergoing surgery for infective endocarditis according to age and valvular surgery [J].
Ostergaard, Lauge ;
Smerup, Morten Holdgaard ;
Iversen, Kasper ;
Jensen, Andreas Dalsgaard ;
Dahl, Anders ;
Chamat-Hedemand, Sandra ;
Bruun, Niels Eske ;
Butt, Jawad Haider ;
Bundgaard, Henning ;
Torp-Pedersen, Christian ;
Kober, Lars ;
Fosbol, Emil .
BMC INFECTIOUS DISEASES, 2020, 20 (01)
[26]   Elective cardiac surgery during the COVID-19 pandemic: Proceed or postpone? [J].
Shehata, Islam M. ;
Elhassan, Amir ;
Jung, Jai Won ;
Urits, Ivan ;
Viswanath, Omar ;
Kaye, Alan D. .
BEST PRACTICE & RESEARCH-CLINICAL ANAESTHESIOLOGY, 2020, 34 (03) :643-650
[27]  
Strabelli TMV, 2008, ARQ BRAS CARDIOL, V91, P315
[28]   Predictors and Outcomes of Ischemic Stroke After Cardiac Surgery [J].
Sultan, Ibrahim ;
Bianco, Valentino ;
Kilic, Arman ;
Jovin, Tudor ;
Jadhav, Ashutosh ;
Jankowitz, Brian ;
Aranda-Michel, Edgar ;
D'angelo, Michael P. ;
Navid, Forozan ;
Wang, Yisi ;
Thoma, Floyd ;
Gleason, Thomas G. .
ANNALS OF THORACIC SURGERY, 2020, 110 (02) :448-456
[29]   MORBIDITY AND DURATION OF ICU STAY AFTER CARDIAC-SURGERY - A MODEL FOR PREOPERATIVE RISK ASSESSMENT [J].
TUMAN, KJ ;
MCCARTHY, RJ ;
MARCH, RJ ;
NAJAFI, H ;
IVANKOVICH, AD .
CHEST, 1992, 102 (01) :36-44
[30]   Cardiac Complications Following Cardiac Surgery Procedures [J].
Udzik, Jakub ;
Sienkiewicz, Sandra ;
Biskupski, Andrzej ;
Szylinska, Aleksandra ;
Kowalska, Zuzanna ;
Biskupski, Patrick .
JOURNAL OF CLINICAL MEDICINE, 2020, 9 (10) :1-9