Factors associated with the increased bleeding in the postoperative period of cardiac surgery: a cohort study
| Autor: | Eduesley Santana-Santos, Haulcionne Nilbe Watanabe Lacerda Cintra, Larissa Bertacchini de Oliveira, Vilanice Alves de Araújo Püschel, Adriano Rogério Baldacin Rodrigues, Caroline Shihara de Assis, Renata Eloah de Lucena Ferretti-Rebustini, Karla Mára Fátima de Souza Magalhães Pereira |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty CIRURGIA TORÁCICA Postoperative Hemorrhage HEMORRAGIA law.invention 03 medical and health sciences Sex Factors 0302 clinical medicine law Heart rate Cardiopulmonary bypass Humans Medicine Postoperative Period Prospective Studies 030212 general & internal medicine Cardiac Surgical Procedures Prospective cohort study General Nursing Aged 030504 nursing medicine.diagnostic_test business.industry Metabolic acidosis General Medicine Middle Aged medicine.disease Cardiac surgery Cardiothoracic surgery Anesthesia Linear Models Drainage Female Partial Thromboplastin Time 0305 other medical science business Partial thromboplastin time Cohort study |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| Popis: | AIMS AND OBJECTIVES To identify factors associated with the increased bleeding in patients during the postoperative period after cardiac surgery. BACKGROUND Bleeding is among the most frequent complications that occur in the postoperative period after cardiac surgery, representing one of the major factors in morbidity and mortality. Understanding the factors associated with the increased bleeding may allow nurses to anticipate and prioritise care, thus reducing the mortality associated with this complication. DESIGN Prospective cohort study. METHODS Adult patients in a cardiac hospital who were in the postoperative period following cardiac surgery were included. Factors associated with the increased bleeding were investigated by means of linear regression, considering time intervals of 6 and 12 hr. RESULTS The sample comprised 391 participants. The factors associated with the increased bleeding in the first 6 hr were male sex, body mass index, cardiopulmonary bypass duration, anoxia duration, metabolic acidosis, higher heart rate, platelets and the activated partial thromboplastin time in the postoperative period. Predictors in the first 12 hr were body mass index, cardiopulmonary bypass duration, metabolic acidosis, higher heart rate, platelets and the activated partial thromboplastin time in the postoperative. CONCLUSIONS This study identified factors associated with the increased postoperative bleeding from cardiac surgery that have not been reported in previous studies. The nurse is important in the vigilance, evaluation and registry of chest tube drainage and modifiable factors associated with the increased bleeding, such as metabolic acidosis and postoperative heart rate, and in discussions with the multiprofessional team. RELEVANCE TO CLINICAL PRACTICE Knowledge of the factors associated with the increased bleeding is critical for nurses so they can provide prophylactic interventions and early postoperative treatment when needed. |
| Databáze: | OpenAIRE |
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