Perioperative Risk Factors Predicting Outcomes after Cardiac Surgery at Assiut University Hospital
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- Category: Vol. 80, December 2012
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Perioperative Risk Factors Predicting Outcomes after Cardiac Surgery at Assiut University Hospital,MIMI M. MEKKAWY and AHMED EL-MINSHAWY
Abstract
Background: Few studies have identified the perioperative risk factors of cardiac surgery because of a lack of specific researches.
Aim: This study was carried out to identify the perioper-ative risk factors predicting outcomes after cardiac surgery at Assiut University hospital.
Design: A descriptive expletory study design was carried out for patients undergoing open heart surgery.
Subjects: A convenient sample of 40 adult patients of both sexes affiliated to cardiothoracic surgery department from the above mentioned setting with open heart surgery.
Tools: Data were collected through: Three tools; (1) Structured interview questionnaire. It included six parts to assess open heart surgery patient' needs, pre-cardiac surgery assessment, diagnostic procedures and postoperative data.
Tool 2: EuroSCORE (European System for Cardiac Op-erative Risk Evaluation), for predicting the perioperative risk factors for mortality of patients undergoing cardiac surgery.
Tool 3: Observation checklist to assess nurses' practice while managing patients undergoing open heart surgery in different three times as (preoperative, immediately post-operative and late post-operative period).
Results: Of this study concluded that, more than half of the studied group were males (72.5%), (70%) married, and 40% of patients have an age ranged from (18-29).
Conclusion: A highly significant relationship was found between EURO Score value and postoperative morbidity and mortality. Also significant relation was present between postoperative nursing care regarding pain management and incision site care and postoperative morbidity and mortality. The study recommended that: The perioperative nursing care should be given by the professional nurses, and applying EuroScore for all patients undergoing open heart surgery.