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Incidence and predictors of groin complications early after coronary artery intervention: a prospective observational study
BMC Nursing ( IF 3.2 ) Pub Date : 2019-06-28 , DOI: 10.1186/s12912-019-0349-8
Maan Sh Al-Momani 1 , Mohannad Eid AbuRuz 2
Affiliation  

Coronary artery disease remains the most common single cause of death worldwide. Percutaneous coronary intervention is an appropriate management for coronary artery disease which is not free from its potential complications. The purpose of this study was to determine the incidence rate and the predictors of groin complications post percutaneous coronary intervention in cardiac catheterization laboratories in Jordan. This was a prospective observational study with a consecutive sample of 300 patients post percutaneous coronary intervention procedure. Data were collected from the cardiac health care center using a pre-structured observational sheet. Any groin complication developed within the first 24 h post procedure was recorded. All correlated variables were analyzed using logistic regression. The sample included 237 (79%) men and 63 (21%) women with a mean age of 57.46 ± 10.51 years. A total of 114 patients (38%) developed one or more groin complications. Ecchymosis was the most frequent groin complication; 102 (34%). Females and participants greater than 65 years were nearly two times more likely to develop groin complications (OR = 2.13, P = .024, 95% CI: 1.11–4.01) and (OR = 2.14, P = .023, 95% CI: 1.11–4.13) compared to other groups. Patients with a systolic blood pressure before sheath removal greater than 180 mmHg were about ten times more likely to develop groin complications (OR = 9.82, P = .001, 95% CI: 2.58–37.37). Different factors can increase the risk of groin complications post percutaneous coronary intervention. Therefore, identification of high risk groups (i.e. females) might help in the application of different methods to control these complications.

中文翻译:

冠状动脉介入术后早期腹股沟并发症的发生率和预测因素:一项前瞻性观察研究

冠状动脉疾病仍然是全世界最常见的单一死因。经皮冠状动脉介入治疗是冠状动脉疾病的适当治疗方法,但并非没有潜在的并发症。本研究的目的是确定约旦心导管实验室经皮冠状动脉介入治疗后腹股沟并发症的发生率和预测因素。这是一项前瞻性观察研究,对 300 名经皮冠状动脉介入手术后的患者进行了连续抽样。使用预先构建的观察表从心脏保健中心收集数据。记录在术后第一个 24 小时内出现的任何腹股沟并发症。使用逻辑回归分析所有相关变量。样本包括 237 名 (79%) 男性和 63 名 (21%) 女性,平均年龄为 57.46 ± 10.51 岁。共有 114 名患者 (38%) 出现了一种或多种腹股沟并发症。瘀斑是最常见的腹股沟并发症;102 (34%)。女性和 65 岁以上的参与者发生腹股沟并发症的可能性几乎是其两倍(OR = 2.13, P = .024, 95% CI: 1.11–4.01)和(OR = 2.14, P = .023, 95% CI: 1.11–4.13)与其他组相比。鞘管切除前收缩压大于 180 mmHg 的患者发生腹股沟并发症的可能性大约是其 10 倍(OR = 9.82,P = .001,95% CI:2.58–37.37)。不同的因素会增加经皮冠状动脉介入治疗后腹股沟并发症的风险。因此,识别高风险群体(即
更新日期:2019-06-28
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