| Journal: | Médicas UIS |
| Database: | PERIÓDICA |
| System number: | 000357032 |
| ISSN: | 1794-5240 |
| Authors: | Abi-Rezk, Manuel Nafeh1 Martín Martínez, Armando1 Carballo Hidalgo, Natanael1 Romero González, Rafael1 Estrada Parra, Rafael1 Hernández Núñez, Raiza1 Oslayda Agüero, María1 |
| Institutions: | 1Hospital Clínico Quirúrgico "Hermanos Ameijeiras", Servicio de Cirugía Cardiovascular, La Habana. Cuba |
| Year: | 2012 |
| Volumen: | 25 |
| Number: | 1 |
| Pages: | 11-17 |
| Country: | Colombia |
| Language: | Español |
| Document type: | Estadística o encuesta |
| Approach: | Analítico |
| Spanish abstract | comportan como factores de riesgo para la reexploración de urgencia. Los pacientes reintervenidos presentaron una mayor morbimortalidad y representaron un mayor costo para el sistema de salud. La utilización de un tromboelastógrafo representaría un ahorro anual de 350 mil dólares |
| English abstract | Approximately between 5% and 10% of the subjected patients to cardiovascular surgery require of an urgent reexploratión. It is the postoperative bleeding the first cause of reintervention of urgency in an operated patient of cardiovascular surgery. The present work seeks to show the behavior of the reexploratión in operated patients of heart surgery in the service and to determine which the main factors of risk were associated to this to proceed as well as the evolution and the behavior of the costs. Objective: determine the risk factors of emergency reintervention in cardiovascular surgery and to evaluate the hospital costs of reintervention. Materials and Methods: it was performed a retrospective case-control study (cases n=47, controls n=916) in the Cardiovascular Surgery Service of the Hospital “Hermanos Ameijeiras” on the period between January 2008 and December 2009. We compared variables such as: age, sex, weight, height, background, preoperative medication, use of blood and blood products, hours of mechanical ventilation, hospital stay, development, mortality and hospital costs. Results: we found predisposing factors such as male gender, ischemic cardiomyopathy, rheumatic fever, infective endocarditis, hepatopathies, history of stroke and elevated creatinine levels. Preoperative intake of diuretics, anticoagulants and antiplatelet agents was associated with an increased number of reinterventions. Reintervention was associated with increased consumption of blood and blood products, longer cardiopulmonary bypass, longer mechanical ventilation, increasedUCIQ and Hospital stay, higher rate of infections, increased mortality and increasedcosts. 81% of the reoperations did not have a surgical cause. Conclusions: there is a set of parameters that act as risk factors for emergency reintervention. Reoperated patients had higher morbidity and mortality, and represented a greater cost to the health system. The use of a thromboelastograph would.. |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Sistema cardiovascular, Cirugía cardiovascular, Reintervenciones, Urgencias, Factores de riesgo |
| Keyword: | Medicine, Cardiovascular system, Surgery, Cardiovascular surgery, Reintervention, Emergencies, Risk factors |
| Full text: | Texto completo (Ver PDF) |
