Predictors of postoperative complications in pediatric cardiac surgery

Authors

DOI:

https://doi.org/10.36489/nursing.2022v25i287p7678-7691

Keywords:

Nursing Care, Thoracic Surgery;, Congenital Heart Disease, Postoperative Complications, Intensive Care Units

Abstract

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.

Author Biographies

Valéria Bezerra dos Santos Luz

Nurse. Residency Program in Cardiovascular Nursing Instituto Dante
Cardiology Pazzanese. Sao Paulo, Sao Paulo, Brazil.

Evelise Helena Fadini Reis Brunori

Nurse. Doctor and Master in Sciences from UNIFESP. Head of the Therapy Unit of Instituto Dante Pazzanese de Cardiologia. Sao Paulo, Sao Paulo, Brazil.

Sérgio Henrique Simonetti

Nurse. Post-Doctorate in Sciences by IDPC-USP. program coordinator
Residency in Cardiovascular Nursing at Instituto Dante Pazzanese de Cardiologia. Sao Paulo, Sao Paulo, Brazil.

João Italo Dias França

Statistical. Master in Statistics from the University of São Paulo. Dante Pazzanese Institute of Cardiology, Laboratory of Epidemiology and Statistics. Sao Paulo, Sao Paulo, Brazil.

Published

2022-04-14

How to Cite

Valéria Bezerra dos Santos Luz, Evelise Helena Fadini Reis Brunori, Sérgio Henrique Simonetti, & João Italo Dias França. (2022). Predictors of postoperative complications in pediatric cardiac surgery. Nursing Edição Brasileira, 25(287), 7678–7691. https://doi.org/10.36489/nursing.2022v25i287p7678-7691

Issue

Section

Artigos Cientí­ficos