Carolina Larrosa de Almeida, Jones Sidnei Barbosa de Oliveira, Cláudia Geovana da Silva Pires, Cláudia Silva Marinho
{"title":"心脏外科手术患者术后并发症的风险评估。","authors":"Carolina Larrosa de Almeida, Jones Sidnei Barbosa de Oliveira, Cláudia Geovana da Silva Pires, Cláudia Silva Marinho","doi":"10.1590/0034-7167-2023-0127","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>to evaluate the risk of postoperative complications in cardiac patients.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>preoperative risk assessment promotes qualified care to reduce postoperative complications.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419680/pdf/","citationCount":"0","resultStr":"{\"title\":\"Risk assessment for postoperative complications in patients undergoing cardiac surgical procedures.\",\"authors\":\"Carolina Larrosa de Almeida, Jones Sidnei Barbosa de Oliveira, Cláudia Geovana da Silva Pires, Cláudia Silva Marinho\",\"doi\":\"10.1590/0034-7167-2023-0127\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>to evaluate the risk of postoperative complications in cardiac patients.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>preoperative risk assessment promotes qualified care to reduce postoperative complications.</p>\",\"PeriodicalId\":21200,\"journal\":{\"name\":\"Revista Brasileira De Enfermagem\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2024-09-20\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11419680/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista Brasileira De Enfermagem\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/0034-7167-2023-0127\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira De Enfermagem","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0034-7167-2023-0127","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
摘要
目的：评估心脏病患者术后并发症的风险。方法：使用图曼评分法对一家大学医院 70 名接受心脏手术的成年患者的病历进行评估研究。使用 R for Windows 软件进行分析。采用描述性统计和双变量分析来验证风险评分与并发症之间的关联。结果：大多数患者为男性（58.57%），年龄在 41-64 岁之间（50%），接受了心肌血运重建手术（50%）。这些患者的术后并发症风险分别较低（P=0.003）、（P=0.008）和（P=0.000）。结论：术前风险评估可促进合格护理，减少术后并发症。
Risk assessment for postoperative complications in patients undergoing cardiac surgical procedures.
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.
期刊介绍：
The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
