Department of Nursing
Library of the School of Health Sciences

2022-09-26

2022

Manthou Panagiota

Γεώργιος Φιλντίσης, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Αθηνά Καλοκαιρινού, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Θεόδωρος Μαριόλης- Σαψάκος, Αναπληρωτής Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Ελένη Θεοδοσοπούλου, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Κωνσταντίνος Μπίρμπας, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Νικόλαος Φώτος, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Παντελής Στεργιάννης, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ

Μυοκαρδιακή ισχαιμία και νοσηλευτικός φόρτος σε ασθενείς ΜΕΘ μετά μη καρδιοχειρουργικές επεμβάσεις

Greek

Myocardial ischemia and nursing workload in icu patients after non cardiac surgery

Introduction. Patients who are underwent major non-cardiac surgery often
develop myocardial ischemia (MI) postoperatively. As the mortality in the
intensive care unit (ICU) remains high, perioperative management of a patient
under antithrombotic treatment through the assessment of hemorrhagic and
thrombotic risk preoperatively is considered necessary.
Purpose. To investigate the risk factors that contribute to the occurrence of MI
preoperatively and postoperatively and to measure the Nursing Workload.
Material and Method. ICU patients who have undergone major non-cardiac
surgeries. Preoperatively, the correct use of antiplatelet / anticoagulant, the
bleeding risk with the HAS-BLED bleeding risk score and the thrombotic risk
with the CHA2DS2-VASc score were examined. Postoperative pathological
values of cardiac markers were examined. The Nursing Activities Score
(N.A.S.) scale was used to measure working time.
Results. The mean age of the patients was 69 years. 31.4% had MI while
44.1% had history of coronary heart disease. CK-MB (p = 0.035) and troponin
(p = 0.039) differed significantly between the two groups. The presence of
dyslipidemia, preoperative troponin value and CHA2VASC2 score were found
to be associated with the presence of MI. Patients with troponin greater or
equal to 17.2 pg / ml preoperatively were 4.62 times more likely to have MI
compared with patients with troponin less than 17.2 pg / ml preoperatively (p
<0.005). Also, patients with dyslipidemia were 3.95 times more likely to have
MI compared to patients without dyslipidemia. (p = 0.026) Higher CHA2VASC2
index was significantly associated with the incidence of MI (p <0.001).
Conclusions: The assessment of cardiac risk, the use of HAS-BLED score
and CHA2DS2-VASc score preoperatively as well as the measurement of
cardiac enzymest can predict the risk of myocardial ischemia in major non
cardiac surgeries in patients admitted to the ICU.

Health Sciences

Myocardial ischemia, Nursing workload, ICU, Non-cardiac surgery

No

0

Yes

180

175

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https://pergamos.lib.uoa.gr/uoa/dl/object/3232286