Incidence and predictive factors associated with hemodynamic instability among adult surgical patients in the post-anesthesia care unit, 2021: A prospective follow up study

被引:8
作者
Abebe, Melkam Mulugeta [1 ]
Arefayne, Nurhusen Riskey [2 ]
Temesgen, Mamaru Mollalign [2 ]
Admass, Biruk Adie [2 ]
机构
[1] Debre Berhan Univ, Coll Med & Hlth Sci, Dept Anesthesia, Debre Berhan, Ethiopia
[2] Univ Gondar, Coll Med & Hlth Sci, Sch Med, Dept Anesthesia, POB 196, Gondar, Ethiopia
来源
ANNALS OF MEDICINE AND SURGERY | 2022年 / 74卷
关键词
Postoperative complications; Cardiovascular events; Postoperative outcome; Surgery; Anesthesia; COMPLICATIONS; OUTCOMES; SURGERY;
D O I
10.1016/j.amsu.2022.103321
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Hemodynamic instability, which is an independent predictor of long-term patient morbidity and duration of stay in the hospital, is a risk for patients in the post-anesthesia care unit. Multiple factors contribute to the development of postoperative hemodynamic instability. Prevention and treatment of these factors may reduce patients' hemodynamic instability, and its associated morbidity and mortality. Objective: The aim of this study was to determine the incidence and factors associated with hemodynamic instability among adult surgical patients in the post-anesthesia care unit. Method: An institution-based prospective follow up study was conducted from April 20, 2021 to June 28, 2021. Four hundred and seventeen (417) adult surgical patients were involved in this study. Descriptive and analytic statistics were used to describe our results. Both the bivariable and multivariable logistic regression with crude odds ratio and adjusted odds ratio were used with a 95% confidence interval to evaluate the strength of association. In multivariable regression, a p-value < 0.05 was considered as statistically significant. Result: The overall incidence of hemodynamic instability was 59.47% (CI: 0.55, 0.64). The incidence of tachycardia, bradycardia, hypotension, and hypertension were 27.34%, 21.82%, 13.67%, and 15.35% respectively. Preoperative use of beta-blockers, ASA class III, procedure longer than 4 h, intraoperative hemodynamic instability, and regional anesthesia were significantly associated with hemodynamic instability in the postanesthesia care unit. Conclusion and recommendation: The incidence of hemodynamic instability in the post anesthesia care unit was high. Preoperative use of beta-blockers, intraoperative hemodynamic instability, and prolonged duration of procedures were predictors of hemodynamic instability after operation. Early detection and management of these perioperative risk factors is necessary to reduce hemodynamic instability in the post-anesthesia care unit.
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页数:8
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共 30 条
  • [1] Alkandari Zeyad, 2015, Rom J Anaesth Intensive Care, V22, P103
  • [2] Incidence of complications in the post-anesthesia care unit and associated healthcare utilization in patients undergoing non-cardiac surgery requiring neuromuscular blockade 2005-2013: A single center study
    Belcher, Allan W.
    Leung, Steve
    Cohen, Barak
    Yang, Dongsheng
    Mascha, Edward J.
    Turan, Alparslan
    Saager, Leif
    Ruetzler, Kurt
    [J]. JOURNAL OF CLINICAL ANESTHESIA, 2017, 43 : 33 - 38
  • [3] Berhanu T., 2018, THESIS ADDIS ABABA U
  • [4] Bittner E., 2012, Anesth. Clin. Res, P14
  • [5] Retrospective review of critical incidents in the post-anaesthesia care unit at a major tertiary hospital
    Bruins, Suze Dominique
    Leong, Pauline Meng Choo
    Ng, Shin Yi
    [J]. SINGAPORE MEDICAL JOURNAL, 2017, 58 (08) : 497 - 501
  • [6] Cohn SL, 2011, PERIOPERATIVE MEDICINE-BOOK, P421, DOI 10.1007/978-0-85729-498-2_34
  • [7] Faraj Jafar H, 2012, Qatar Med J, V2012, P64, DOI 10.5339/qmj.2012.2.15
  • [8] Futainah J.M, 2018, CARDIOVASCULAR PROBL
  • [9] Variation in Hospital Mortality Associated with Inpatient Surgery.
    Ghaferi, Amir A.
    Birkmeyer, John D.
    Dimick, Justin B.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2009, 361 (14) : 1368 - 1375
  • [10] Gropper MA, 2019, MILLERS ANESTHESIA, V2