Redução do período de internação e de despesas no atendimento de portadores de cardiopatias congênitas submetidos à intervenção cirúrgica cardíaca no protocolo da via rápida

Fernandes, Alfredo Manoel da Silva; Mansur, Alfredo José; Canêo, Luis Fernando; Lourenço, Domingos Dias; Piccioni, Marilde de Albuquerque; Franchi, Sonia M.; Afiune, Cristina M. C.; Gadioli, Jorge Wiliam; Oliveira, Sabrynna Brito; Ramires, José Antônio Franchini

doi:10.1590/s0066-782x2004001300003

Cited by 19 publications

(6 citation statements)

References 19 publications

(41 reference statements)

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“…Physiotherapy also provides a shorter hospital sta [ 6 ] . The hospitalization was 151.23 hours, in other words, the majority was discharged on the fifth postoperative day, and this average hospital stay was lower than that found in other studies as Fernandes et al [ 23 ] . This analysis of hospital stay shows that the role of physiotherapy is important in the health service for these patients while minimizing the costs of hospitalization.…”

Section: Discussionmentioning

confidence: 55%

Analysis of a STEPs adapted protocol in Cardiac Rehabilitation in Phase Hospital

Winkelmann

Dallazen

Bronzatti

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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ObjectiveTo analyze a cardiac rehabilitation adapted protocol in physical therapy during the postoperative hospital phase of cardiac surgery in a service of high complexity, in aspects regarded to complications and mortality prevalence and hospitalization days.MethodsThis is an observational cross-sectional, retrospective and analytical study performed by investigating 99 patients who underwent cardiac surgery for coronary artery bypass graft, heart valve replacement or a combination of both. Step program adapted for rehabilitation after cardiac surgery was analyzed under the command of the physiotherapy professional team.ResultsIn average, a patient stays for two days in the Intensive Care Unit and three to four days in the hospital room, totalizing six days of hospitalization. Fatalities occurred in a higher percentage during hospitalization (5.1%) and up to two years period (8.6%) when compared to 30 days after hospital discharge (1.1%). Among the postoperative complications, the hemodynamic (63.4%) and respiratory (42.6%) were the most prevalent. 36-42% of complications occurred between the immediate postoperative period and the second postoperative day. The hospital discharge started from the fifth postoperative day. We can observe that in each following day, the patients are evolving in achieving the Steps, where Step 3 was the most used during the rehabilitation phase I.ConclusionThis evolution program by steps can to guide the physical rehabilitation at the hospital in patients after cardiac surgery.

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Section: Discussionmentioning

confidence: 55%

Analysis of a STEPs adapted protocol in Cardiac Rehabilitation in Phase Hospital

Winkelmann

Dallazen

Bronzatti

et al. 2014

Revista Brasileira De Cirurgia Cardiovascular

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“…According to Fernandes et al [5], the length of hospital stay in cardiac surgery is on average around 6.6 days preoperatively with a mean of 5.4 ± 5.9 days in ICU. In this study, we chose to study those patients who stayed in ICU for more than five days.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, we chose to study those patients who stayed in ICU for more than five days. The pre-operative must be done well, with exams and guidance to patients, and this may require longer hospitalization [5]. The work of the respiratory therapy should begin preoperatively with the patient orientation on the work of breathing that should be done before and after surgery [3,6].…”

Section: Discussionmentioning

confidence: 99%

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Complicações que aumentam o tempo de permanência na unidade de terapia intensiva na cirurgia cardíaca

Laizo¹,

Delgado²,

Rocha³

2010

Rev Bras Cir Cardiovasc

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Objective: To present the complications that prolong the stay in the Intensive Care Unit (ICU) of the patients undergoing cardiac surgery.Methods: We retrospectively analyzed records of 85 patients undergoing cardiac surgery during the period of March to May 2009, at the Santa Casa de Misericordia de Juiz de Fora (MG), and, of these patients we studied 14 (16.47%) who stayed for more than five days in ICU. Amongst the 85 patients, there were three deaths, being two patients operated on an emergency basis, which increases morbidity, and one patient who remained in the hospital and under mechanical ventilation (MV) for 21 days.Results: The study showed that complications that increased the length of stay in ICU were respiratory and metabolic disorders, according to the literature. Conclusion:The complications that increase length of stay in ICU are related to respiratory function, chronic obstructive pulmonary disease, smoking, lung congestion, prolonged switch-off from MV, diabetes, infections, kidney failure, stroke and hemodynamic instability. 167LAIZO, A ET AL -Complications that increase the time of Hospitalization at ICU of patients submitted to cardiac surgery Bras Cir Cardiovasc 2010; 25(2): 166-171 Rev

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“…Para esto es necesario adoptar medidas que minimicen los resultados clínicos de los pacientes con DM, como un buen control glucémico durante su ingreso (8) . Según Fernandes et al (18) , el tiempo de permanencia hospitalaria en las cirugías cardiacas está, de media, en torno de 6,6 dias en el preoperatorio, con media de 5,4 ± 5,9 días en la UCI.…”

Section: Discussionunclassified

Análise do trans e pós-operatório de indivíduos com diabetes melitus submetidos a cirurgia cardíaca

Giordani¹,

Loro

Dallazen³

et al. 2015

eglobal

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La investigación trata de analizar la presencia de complicaciones en los pacientes diabéticos y no diabéticos sometidos a cirugía cardíaca. Estudio analítico de corte transversal. Se incluyeron 50 pacientes sometidos a cirugía cardíaca y se analizaron según la presencia o ausencia de diabetes mellitus, cada grupo contiene 25 pacientes. La recolección de datos se realizó mediante el análisis de la historia clínica del paciente. De los 30 procedimientos quirúrgicos fueron CABG (60 %), TRVA 11 (22%), TrVM 6 (12 %), CRM TRVA + 1 (2 %), TRVA TrVM + 1 (2 %) y TRVA TRVP + 1 (2%). La población del estudio tenía una edad media de 60,4 años en el grupo de diabéticos y 56 años en el grupo de no diabéticos. En cuanto a los factores de riesgo, la hipertensión 19 (76,0 %) tenía diferencias que prevalecen en el grupo de diabéticos. En cuanto a las complicaciones postoperatorias se observó un mayor número de complicaciones hemodinámicas y respiratorias entre el postoperatorio inmediato hasta el tercer día del postoperatorio en ambos grupos. A partir de las respuestas se puede decir que no existen diferencias estadísticamente significativas entre las variables, por lo tanto, llegamos a la conclusión de que la diabetes mellitus, solo, no fue un factor agravante de la cirugía trans y post- cardiaca.<br /><br />

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Redução do período de internação e de despesas no atendimento de portadores de cardiopatias congênitas submetidos à intervenção cirúrgica cardíaca no protocolo da via rápida

Abstract: A reduction in the length of hospital stay and costs for the care of patients undergoing cardiac surgery according to the fast-track protocol was observed.

Cited by 19 publications

References 19 publications

Analysis of a STEPs adapted protocol in Cardiac Rehabilitation in Phase Hospital

Analysis of a STEPs adapted protocol in Cardiac Rehabilitation in Phase Hospital

Complicações que aumentam o tempo de permanência na unidade de terapia intensiva na cirurgia cardíaca

Análise do trans e pós-operatório de indivíduos com diabetes melitus submetidos a cirurgia cardíaca

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