Key result
Preoperative vital signs, use of cardiac inotropic drugs, delayed regaining of consciousness, and postoperative ICU stay were identified as the most significant factors affecting surgical outcomes.
Why the study?
Postoperative outcomes depend on predictive factors for complicated ICU stays following open heart surgery, prompting an assessment of factors affecting post-surgery outcomes in hospitalized patients.
What are the factors affecting post open-heart surgery outcomes for hospitalized patients?
Observational (n=120)
No
What are the factors affecting post open-heart surgery outcomes for hospitalized patients?
Answers are grounded in this paper and cite their sources.
Preoperative vital signs, inotropic drug use, and delayed consciousness are significant factors affecting outcomes after open-heart surgery.
Background: Open heart surgery plays an important role in the management of cardiovascular diseases. A number of preoperative predictive factors for complicated Intensive Care Unit (ICU) stay were identified. Postoperative outcomes are dependent on the type of these predictive factors. Aim: study aims to assess factors affecting post open-heart surgery outcomes for hospitalized patients. Research question: What are the factors affecting post open-heart surgery outcomes for hospitalized patients?. Study design: descriptive explanatory research design was selected to fulfill the aim of the study. Setting: Post Cardiothoracic ICU at Cardiothoracic and Vascular Surgery Hospital, Ain Shams University. Subjects: 120 patients who undergone open heart surgery (CABG / Valve Replacement). Data collection tools: 1) Patients‟ assessment questionnaire including: demographic characteristics of patients and medical history data 2) open heart surgery assessment questionnaire, 3) European system for cardiac operative risk evaluation (EURO score II), 4) Patient‟s self-care knowledge assessment questionnaire, 5) Patient‟s self-care practice observational checklist. Result: The results of this study revealed that mean age of the studied patients was above fifty and slightly less than three quarters of them were males, less than three quarters were overweight, most of them had hypertension and diabetes mellitus, three quarters of the studied patients were at low risk of death according to EURO Score II, and the majority of them had satisfactory level of self-care practices and knowledge. Conclusion: The current study concluded that preoperative vital signs and use of preoperative and intraoperative use of cardiac inotroptic drugs in addition to postoperative delay of regaining consciousness and postoperative ICU stay; were the most significant factors affecting outcomes. Recommendation: Educational program and instructions to follow after the surgery is needed to improve the outcomes.
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Elsaed et al. (2020) conducted an observational in Post open-heart surgery (CABG or Valve Replacement) (n=120). Preoperative, intraoperative, and postoperative clinical factors was evaluated on Post open-heart surgery outcomes. Preoperative vital signs, use of cardiac inotropic drugs, delayed regaining of consciousness, and postoperative ICU stay were identified as the most significant factors affecting surgical outcomes.
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