Predictors of postoperative complications in pediatric cardiac surgery
DOI:
https://doi.org/10.36489/nursing.2022v25i287p7678-7691Keywords:
Nursing Care, Thoracic Surgery;, Congenital Heart Disease, Postoperative Complications, Intensive Care UnitsAbstract
Objective: To identify predictors of complications in the postoperative period of pediatric cardiac surgery. Method: Quantitative study that retrospectively analyzed 88 medical records of patients undergoing surgical procedure in 2018. Fisher's exact test and the univariate logistic model were applied to analyze the data. The results were expressed by odds ratio (OR) with a significance level of 5%. Results: A mean age of 3.61 years was observed, with a predominance of females. Circulatory, metabolic, renal, respiratory and cardiovascular complications were identified intra- and postoperatively. A predictive statistical correlation of complications was identified in: use of diuretics, hypertension, atrioventricular valve insufficiency, right ventricular hypertrophy, trisomy 21, altered WBCs preoperatively, intraoperative bleeding, pericardial effusion, and postoperative echocardiogram changes. Conclusion: Variables of clinical conditions, medications in use, congenital defects and intraoperative complications when associated with complications found in the postoperative period of cardiopediatric surgeries are shown to be predictive of risk.