Fragilidade entre Pacientes não Idosos Submetidos à Cirurgia Cardíaca

Bottura, C; Arcêncio, Livia; Chagas, Hannah Miranda Araújo; Évora, Paulo Roberto Barbosa; Rodrigues, Alfredo José

doi:10.36660/abc.20190082

Cited by 11 publications

(5 citation statements)

References 32 publications

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“…Given the environment where that population is before the surgery, the findings show that 50% is in a hospital environment. This is due to the fact that this population has chronic conditions associated with some cardiovascular disease, which increases the risk of mortality; therefore, the preoperative period imposes risks and greater frailty on the patient [23][24] . Thus, strategies such as education in health for the patient in a cardiac preoperative period are important, as shown by studies that provide diverse evidence on the reduction of risks after providing education to the patients with tools that help to understand the cardiac surgical procedure 19,24 .…”

Section: Discussionmentioning

confidence: 99%

“…It is interesting to show that many of the interventions 10/14 in health education are concerned with the leading role of Nursing. A number of studies evidence how Nursing can be the protagonist of these tools and provide self-care to the patient, in addition to understanding the whole, as the manager of the care provided to the patient [22][23][24][25][26] .…”

Section: Discussionmentioning

confidence: 99%

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Audiovisual Aids in Preoperative Cardiac Surgery Education: A Scoping Review

Araújo

Oliveira

Silva

et al. 2022

Texto contexto - enferm.

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Objective: to map, in the scientific literature, the use of audiovisual aids as an educational strategy during the preoperative period of cardiac surgery. Method: a scoping review following the Joanna Briggs Institute methodology. Two independent reviewers analyzed the studies, applying the exclusion and inclusion criteria in the search by the audiovisual aid, cardiac surgery and preoperative care variables, including those that answered the research question. Results: final sample of nine studies, where the most used audiovisual aids were videos followed by apps, used because they are easily accessible and democratic. Such tools in health education optimize the team's time and promote patient education, improving the postoperative period, in addition to reducing risks and improving adherence to the treatment. Conclusion: it was possible to map the audiovisual aids used in the health education of surgical patients, such as videos, apps and information systems. These tools facilitate Nursing guidelines in the preoperative period of cardiac surgeries, increasing the patient's knowledge about the surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Audiovisual Aids in Preoperative Cardiac Surgery Education: A Scoping Review

Araújo

Oliveira

Silva

et al. 2022

Texto contexto - enferm.

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“…Although older patients do not necessarily always meet the definition of ‘frail’, there is a significant correlation between advanced age and frailty as discussed above. In the setting of cardiac surgery, frail patients fare worse than nonfrail counterparts in metrics, such as ICU and hospital length of stay [16 ▪ ,17 ▪ ], readmission rate [17 ▪ ,18 ▪ ], associated costs/utilization of resources [18 ▪ ,19], and mortality [16 ▪ ,19,20 ▪ ,21–23]. Not only is in-hospital increased in the frail population [16 ▪ ,19], but long-term mortality, up to 1 year, is increased by four-fold in frail patients undergoing cardiac surgery ( n = 604, OR = 4.63, 95% CI = 2.21–9.69, P < 0.001) [20 ▪ ].…”

Section: Frailty In Cardiac Surgerymentioning

confidence: 99%

“…Not only is in-hospital increased in the frail population [16 & ,19], but long-term mortality, up to 1 year, is increased by four-fold in frail patients undergoing cardiac surgery (n ¼ 604, OR ¼ 4.63, 95% CI ¼ 2.21-9.69, P < 0.001) [20 &]. Even in the absence of advanced age, frail patients suffer a significantly higher in-hospital mortality rate following cardiac surgery compared with their nonfrail counterparts (29.4 vs 8.6%, n ¼ 100, P ¼ 0.026)[21].Although this trend is constant across cardiac surgical interventions[18 &…”

mentioning

confidence: 99%

Frailty and cardiac surgery: to operate or not?

Emmert¹,

Arcario²,

Maranhao³

et al. 2021

Current Opinion in Anaesthesiology

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Purpose of reviewWith an aging cardiac surgery population, prefrail and frail patients are becoming more common. Anesthesiologists will be faced with the decision of how best to provide care to frail patients. Identification, management, and outcomes in frail patients will be discussed in this review. Recent findingsFrailty is associated with a variety of poor outcomes, such as increased hospital length of stay, medical resource utilization, readmission rates, and mortality. Prehabilitation may play a greater role in the management of frail cardiac surgery patients.

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“…Pre-existing illnesses or chronic illnesses can be a very important factor for the diagnosis of frailty, which increases the chances of hospitalization where individuals lose their functional capacity and feel unable to return to how it was before, thus demonstrating to be more fragile [5]. Frailty is usually seen as a more common characteristic in the elderly, but it can reach any age and when hospitalized they can develop the frailty syndrome or just be diagnosed as frail due to their exposure to the hospital environment [6]. The study proposed to evaluate the level of frailty of hospitalized patients, with the aim of determining the relationship between the hospitalized patient and frailty, that is, the objective of the study was to verify the self-reported frailty among hospitalized patients.…”

Section: Introductionmentioning

confidence: 99%

Self-Reported Frailty in Hospitalized Patients

Lopes¹

2023

BJSTR

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Introduction:Frailty can be defined as a decrease in functions, physical and physiological disabilities, causing physical and emotional dependence in the individual, which may progress to death, with the possibility of also being associated with hospitalizations, falls, and in some cases, a poor prognosis after some type of of surgery. In addition, frailty is conceptualized as an imbalance of systems causing a change in mood, cognition and functionality.Goal: To investigate the self-reported fragility of hospitalized patients.Methodology: This is a study with a quantitative approach, descriptive and cross-sectional. The research was conducted in the ward of a private hospital in the city of Montes Claros, MG, with a sample composed of 25 hospitalized patients. As instruments, the data collection form for sample characterization and the Edmonton scale that assessed frailty were used. The data were tabulated and typed in the Microsoft Office Excel 2016® program and the analysis will be performed through the Statistical Package for the Social Sciences software (SPSS) in version 25.Results: Of the 25 study participants, 52% were male and 48% were female. The general age range was from 40 to 90 years old with an average of 62.44. When assessing the self-reported frailty index of the individuals approached, 50% reported their health status to be fair, 23.1% to be poor and 26.9% considered it excellent/ very good. When frailty was verified, 30.8% presented mild frailty, 23.1% moderate frailty and 26.9% severe frailty. Conclusion:Based on the results found, it can be concluded that most hospitalized patients have some type of frailty, the study has a predominance of mild frailty, but when compared between the average days of hospitalization and the levels of classification of frailty according to the Edmonton scale there was no significant association

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Fragilidade entre Pacientes não Idosos Submetidos à Cirurgia Cardíaca

Cited by 11 publications

References 32 publications

Audiovisual Aids in Preoperative Cardiac Surgery Education: A Scoping Review

Audiovisual Aids in Preoperative Cardiac Surgery Education: A Scoping Review

Frailty and cardiac surgery: to operate or not?

Self-Reported Frailty in Hospitalized Patients

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