Introduction/Objective. Nursing Activities Score (NAS) is one of the most
accepted and widely used scores for assessing the workload of the nursing
staff in regards of qualitative and quantitative adequacy. The aim of this
study was to evaluate and analyze nursing workload in cardiac surgery
intensive care unit (CSICU) using the NAS in a contemporary set of patients
undergoing heart surgery. Methods. The study included 809 consecutive
patients admitted to adult CSICU who had major cardiac surgery during the
year of 2019. Demographic data were collected from medical records (gender,
age, type of treatment, length of stay [LOS], and discharge), EuroSCORE II
and NAS value. Results. The majority of patients underwent coronary
(43.1%), valvular (32.6%) and combined (24.2%) cardiac surgery procedure.
The average patient LOS in CSICU was 2.5 ? 3.4 days. The average NAS value
in our sample was 100.8% ? 63.1%. NAS value during the first operative day
was a poor marker of the outcome in terms of mortality (C-index 0.520, 95%
CI - 0.422-0.617, p=0.676). Significant difference was observed in terms of
average NAS value between the patients submitted to coronary surgery and
combined surgery (p = 0.001). NAS has been shown to be useful for assessing
activity in a CSICU, confirming the optimal workload of nurses, while higher
NAS values in our hospital indicate increased workload compared to similar
institutions. Conclusion. NAS provided viable information regarding the
care and hospitalization of patients in a CSICU. In accordance to NAS, the
optimal level of nursing workload was established in our hospital settings.
Intramural hematoma is not a common event, but it is potentially a fatal one. Open surgery in patients with an intramural hematoma is an effective treatment strategy, although percutaneous endovascular treatment options are being described.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.