Clinical and laboratory variables associated with mortality outcome in the post-operative pediatric cardiac surgery

Silva, Aline Cerqueira Santos Santana da; Stipp, Marluci Andrade Conceição; Pereira, Fernanda Maria Vieira; Paes, Graciele Oroski; Knupp, Virgínia Maria de Azevedo Oliveira

doi:10.1590/2177-9465-ean-2018-0147

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…The prevalence of mortality in children undergoing cardiac surgery ranged from 3% to 13.3%. Studies showed factors associated with organizational characteristics of PICU, high-risk assessment scores, complex CHD, and especially cyanotic heart disease: type of surgery (elective or emergency); mechanical ventilation, dialysis, and clinical variables such as age; arterial gas bicarbonate level; creatinine level; infants; potassium level; calcium level; 24-hour temperature and mean arterial pressure; neurological complications; total perfusion time exceeding 45 minutes; and nutritional status (Carísimo et al, 2011; da Silva et al, 2018; de Souza et al, 2020; Hickey et al, 2013; Lamas Ávila & Cueto Espinosa, 2010). Complications and associated factors are presented in Table 4.…”

Section: Resultsmentioning

confidence: 99%

“…Consequently, 25.8% of patients who developed AKI were identified as dying during their PICU stay. and mean arterial pressure; neurological complications; total perfusion time exceeding 45 minutes; and nutritional status(Carísimo et al, 2011;da Silva et al, 2018;de Souza et al, 2020;Hickey et al, 2013;Lamas Ávila & Cueto Espinosa, 2010). Complications and associated factors are presented in Table4.…”

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confidence: 99%

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Nursing Care of Children Post-Cardiac Surgery in Intensive Care Units

Vásquez¹,

Castellanos²,

Castellanos³

et al. 2023

Journal of Pediatric Surgical Nursing

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Introduction: Congenital heart disease is one of the most common congenital disorders, affecting between 0.8% and 1.2% of live births worldwide. The treatment of children with congenital heart defects is highly specialized and includes, among others, surgical treatment as the first-choice approach and postoperative care in intensive care units. The aim of this review is to explore nursing care plans for post-cardiac surgery children during their stay in intensive care units. Methods: An integrative review was performed to obtain articles from the online databases SCOPUS, ScienceDirect, Scielo, PubMed, EMBASE, and Redalyc. The synthesis of information was performed based on diagnoses and interventions. In addition, complications and associated factors were identified. Results: Nursing diagnoses and interventions focus on problem-centered care to respond to cardiovascular and ventilatory needs, sedation and analgesia, infection control, and nutrition. The main complications identified were increased time on mechanical ventilation, postoperative infection, renal failure, and mortality. Complications were associated with intrinsic conditions such as age, gender, or type of malformation and clinical and procedural conditions such as extracorporeal circulation, mechanical ventilation, or higher postoperative risk index. Discussion: This review identified problem-focused nursing diagnoses and interventions with a strong focus on the physiological conditions of the child. Although the results of this study show the conceptual level of nurses for specialized care, it denotes the need to complement the nursing process through diagnoses and interventions that promote the transversality of care beyond the problem-centered approach based on the possibilities of the response of the child and the family.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Nursing Care of Children Post-Cardiac Surgery in Intensive Care Units

Vásquez¹,

Castellanos²,

Castellanos³

et al. 2023

Journal of Pediatric Surgical Nursing

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“…Pediatric cardiac surgeries represent a highly complex, large and commonly long-lasting procedure, from which the physiological mechanisms that leave the child subject to postoperative complications 5 are altered. Based on RESUMO Objetivo: caracterizar o perfil clínico-cirúrgico de crianças submetidas à cirurgia cardíaca que desenvolveram infecção de sítio cirúrgico em hospital público na cidade de Fortaleza, Ceará.…”

Section: Introductionunclassified

Characterization of children submitted to cardiac surgery that developed surgical site infection

Silva¹,

Pontes

Farias

et al. 2020

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: Characterize the clinical and surgical profile of children undergoing cardiac surgery who developed surgical site infection in a public hospital in the city of Fortaleza, Ceará. Methods: Descriptive research with a quantitative approach, developed in a pediatric cardiology unit, with data collected from April to June 2018. The study sample consisted of 26 children with surgical wound infection in the year 2017. Results: There were none gender prevalence; the weight range varied from 3 to 6 kg (42.3%) and neonates had a prevalence of 38%. Corrective surgeries represented 88% of the total; the surgical time varied from 2 to 6 hours (38%); 70% of the children were submitted to cardiopulmonary bypass with the predominant time of 90 to 120 minutes (27%); the diagnosis of infection was made between 4 and 6 days after the procedure. There was prophylactic antibiotic coverage in 88% and skin preparation in 92% of children. Conclusion: Characterizing the clinical-surgical profile of children undergoing cardiac surgery becomes essential for decision-making in the care processes of nurses, emphasizing the findings as a basis for the development of strategies for the prevention of surgical site infection in this clientele.

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“…As cirurgias cardíacas pediátricas representam um procedimento de alta complexidade e comumente de longa duração, sendo consideradas procedimentos complexos e de grande porte, a partir do qual se alteram os mecanismos fisiológicos que deixam a criança sujeita a complicações pós-operatórias 5 . Tomando como base a prática clínica…”

Section: Introductionunclassified

Caracterização de crianças submetidas à cirurgia cardíaca que desenvolveram infecção de sítio cirúrgico

Silva

Pontes

Farias

et al. 2020

ESTIMA, Braz. J. Enterostomal Ther.

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Objetivo: caracterizar o perfil clínico-cirúrgico de crianças submetidas à cirurgia cardíaca que desenvolveram infecção de sítio cirúrgico em hospital público na cidade de Fortaleza, Ceará. Métodos: pesquisa descritiva com abordagem quantitativa, desenvolvida em unidade de cardiologia pediátrica, com dados coletados nos meses de abril a junho de 2018. A amostra do estudo foi composta por 26 crianças com infecção de ferida operatória no ano de 2017. Resultados: não houve prevalência de gênero; o intervalo do peso variou de 3 a 6 kg (42,3%) e os neonatos tiveram prevalência de 38%. As cirurgias corretoras representaram 88% do total; o tempo cirúrgico variou de 2 até 6 horas (38%); 70% das crianças foram submetidas a circulação extracorpórea com o tempo predominante de 90 a 120 minutos (27%); o diagnóstico de infecção foi feito entre 4 a 6 dias após o procedimento. Houve cobertura antibiótica profilática em 88% e a preparação da pele em 92% das crianças. Conclusão: caracterizar o perfil clínico-cirúrgico de crianças submetidas à cirurgia cardíaca torna-se imprescindível para a tomada de decisões nos processos de cuidado do enfermeiro, enfatizando os achados como base para o desenvolvimento de estratégias para a prevenção de infecção de sítio cirúrgico nessa clientela

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Clinical and laboratory variables associated with mortality outcome in the post-operative pediatric cardiac surgery

Cited by 3 publications

References 11 publications

Nursing Care of Children Post-Cardiac Surgery in Intensive Care Units

Nursing Care of Children Post-Cardiac Surgery in Intensive Care Units

Characterization of children submitted to cardiac surgery that developed surgical site infection

Caracterização de crianças submetidas à cirurgia cardíaca que desenvolveram infecção de sítio cirúrgico

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