Cardiac surgery: clinical profile of patients and 30-day follow-up
DOI:
https://doi.org/10.5327/Z1414-4425202100010007Keywords:
Assistência de enfermagem. Enfermagem perioperatória. Procedimentos cirúrgicos cardíacosAbstract
Objective: To characterize the clinical profile of patients who underwent cardiac surgery in the perioperative period and describe the follow-up
after 30 days of hospital discharge. Method: Retrospective study, with a sample of 54 patients, both male and female, aged ≥18 years. The analyzed
variables were: sociodemographic, clinical and those related to the perioperative period and 30-day follow-up. Results: The mean age of patients was
65.5±15 years; most were male (79.6%). The most prevalent risk factors were: hypertension (72.2%), dyslipidemia (48.1%) and ischemic heart disease
(31.5%). Valve procedures had higher prevalence (50.0%). The most prevalent complication in the postoperative period was arrhythmia (18.5%).
At post‑discharge, statins (78.4%) were the most prevalent medication, followed by antiplatelet agents (50.9%) and anticoagulants (31.3%). After 30 days
of hospital discharge, the percentage of readmission was 11.7%, being the main causes of readmission respiratory infection/pleural effusion and surgical
site infection. Conclusion: Surgical patients were mostly elderly men who had comorbidities; arrhythmia was the main complication found after surgery.
The incidence of readmission 30 days after discharge was related to pulmonary complications and infections.
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