Modificações no perfil do paciente submetido à operação de revascularização do miocárdio

Feier, Flávia Heinz; ́Anna, Roberto T. Sant; García, Eduardo José Jacinto; Bacco, Felipe W. De; Pereira, Edemar; Santos, Marisa F; Costa, Altamiro Reis da; Sant'Anna, João Ricardo Michielin; Nesralla, Ivo A.

doi:10.1590/s0102-76382005000300014

Cited by 15 publications

(17 citation statements)

References 15 publications

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“…This study revealed similar results to those of national and international studies (13)(14) regarding gender, age and clinical data, most relevant comorbidities, and predominance of the male gender and smoking. These findings confirm that longevity, associated with preexisting conditions, increases the odds of health problems such as cardiovascular diseases.…”

Section: Discussionsupporting

confidence: 88%

Severity of postoperative cardiac surgery patients: na evolution analysis according to TISS-28

Guimarães

Rabelo

Moraes

et al. 2010

Rev. Latino-Am. Enfermagem

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This study verified the daily TISS-28 score in the postoperative period of cardiac surgery at a cardiology intensive care unit. This cohort study included 55 postoperative cardiac surgery patients, who were sent to the intensive care unit to recover. Data were collected from patients' records with daily application of the TISS-28. The obtained data revealed that the average age of the population was 61.47 years ± 12.12 years, 78.2% were male, 51.43% underwent valve repair surgery and 48.57% myocardial revascularization surgery.The severity index in the immediate postoperative period was 41.33 ± 5.01. The followup of patients using the TISS-28 evidenced a significant decrease in the index values up to the patients' discharge, averaging at 13. Gravedad de pacientes de cirugía cardíaca: un análisis evolutivo según el TISS-28El objetivo de este estudio fue verificar el puntaje diario del TISS-28 en el posoperatorio de cirugía cardíaca, en una unidad de terapia intensiva cardiológica. Como método fue usado el estudio de coorte, que incluyó 55 pacientes, en posoperatorio de cirugía cardíaca, con indicación de recuperación en unidad de terapia intensiva (UTI). Los datos fueron recolectados en ficha, con aplicación diaria del TISS-28. Los datos obtenidos mostraron que el promedio de edad de la población era de 61,47±12,12, 78,2% del sexo masculino, 51,43% realizaron cirugía de corrección de valvular y 48,57% realizaron cirugía de revascularización del miocardio. También, el índice de gravedad en el posoperatorio inmediato fue 41,33±5,01. El acompañamiento de los pacientes por el TISS-28 demostró que hay una disminución significativa en los valores del índice hasta el alta, con promedio de 13,19±2,59. Se puede concluir que los resultados indican que los pacientes en posoperatorio inmediato de cirugía cardíaca son graves y hemodinámicamente inestables, clasificados en clase III por el TISS-28, sin embargo, la puntuación se reduce gradualmente con el pasar del posoperatorio.

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Section: Discussionsupporting

confidence: 88%

Severity of postoperative cardiac surgery patients: na evolution analysis according to TISS-28

Guimarães

Rabelo

Moraes

et al. 2010

Rev. Latino-Am. Enfermagem

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“…The data here are compatible to previously published reports as patients who develop with coronary artery disease when young are characterized by the presence of the aforementioned risk factors amongst others including obesity, systemic arterial hypertension, diabetes mellitus, unfavorable lipid profile, high levels of apolipoprotein B and low levels of apolipoprotein AI [8]. It is also important to stress that currently the majority of patients submitted to coronary artery bypass surgery are old, male, smokers and in bad physical conditions [9]. A significant association between age, smoking, consumption of alcohol and serum fibrinogen was observed in this study, with older patients, smokers and alcoholics presenting with high serum fibrinogen concentrations.…”

Section: Discussionsupporting

confidence: 91%

<![CDATA[<B>Evaluation of platelet aggregation and level of fibrinogen in patients with cardiovascular diseases and the correlation of taking aspirin with coronary risk factors</B>]]>

Gabriel¹,

Trist�o²,

Izar³

et al. 2006

Braz. j. cardiovasc. surg.

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Avaliação da agregação plaquetária e dosagem do fibrinogênio em pacientes com doenças cardiovasculares e sua correlação com o uso de aspirina e fatores de risco coronariano Evaluation of platelet aggregation and level of fibrinogen in patients with cardiovascular diseases and the correlation of taking aspirin with coronary risk factors Abstract Objective: To evaluate aspirin resistance in patients with cardiovascular diseases and to compare the amount of serum fibrinogen in patients taking aspirin with those who do not. To correlate the platelet aggregation and serum fibrinogen to cardiovascular risk parameters.Method: Eighty-two patients were divided into two groups: Group 1 -41 patients who took 100mg aspirin daily and Group 2 -41 patients who did not utilize platelet antiaggregates. Epidemiological data were collected including age, gender and information on smoking and alcohol intake and serum fibrinogen and platelet aggregation were measured.Results: In the groups analyzed, advanced age (p=0.011), smoking (p=0.009) and alcoholism (p=0.007) were directly associated to the serum fibrinogen level. There were no correlations between smoking, alcoholism, serum fibrinogen and platelet aggregation values (p>0.05). In Group 1, 29% of the patients presented with aspirin resistance. Of these, smokers (p=0.029) and alcoholics (p=0.033) had higher serum fibrinogen levels. Conclusion: Aspirin resistance was present in a high number of patients. Moreover, advanced age, smoking and alcoholism had a direct influence on the serum fibrinogen levels.

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“…However, surgeries are being performed on increasingly complex cases, thus leading to the development of complications following MRV, especially in the respiratory tract, such as those reported in this and in other studies [20][21][22] . Therefore, concomitantly with technological advances, there is a need to conduct better clinical assessments in light of the potential risk factors, seeking to further improve the status of the patient in the postoperative phase.…”

Section: Discussionmentioning

confidence: 75%

Incidência de complicações pulmonares na cirurgia de revascularização do miocárdio

Ortiz¹,

Schaan²,

Leguisamo³

et al. 2010

Arq. Bras. Cardiol.

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Modificações no perfil do paciente submetido à operação de revascularização do miocárdio

Abstract: RBCCV Modificações no perfil do paciente submetido à operação de revascularização do miocárdio Changes in profile of patients submitted to coronary bypass graft surgery

Cited by 15 publications

References 15 publications

Severity of postoperative cardiac surgery patients: na evolution analysis according to TISS-28

Severity of postoperative cardiac surgery patients: na evolution analysis according to TISS-28

<![CDATA[<B>Evaluation of platelet aggregation and level of fibrinogen in patients with cardiovascular diseases and the correlation of taking aspirin with coronary risk factors</B>]]>

Incidência de complicações pulmonares na cirurgia de revascularização do miocárdio

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