Effect of ARDS on cardiac function and frequency of cardiac arrhythmia

Postgraduate Thesis uoadl:3248974 41 Read counter

Unit:
Κατεύθυνση Επείγουσα Νοσηλευτική
Library of the School of Health Sciences
Deposit date:
2022-11-24
Year:
2022
Author:
Vachla Maria
Supervisors info:
Χριστίνα Μαρβάκη, Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΑΔΑ
Αναστασία Κοτανίδου, Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Νικολέτα Ροβίνα, Επίκουρη Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Επίδραση του ARDS στην καρδιακή λειτουργία και συχνότητα εμφάνισης καρδιακών αρρυθμιών
Languages:
Greek
Translated title:
Effect of ARDS on cardiac function and frequency of cardiac arrhythmia
Summary:
Introduction: Acute Respiratory Distress Syndrome (ARDS), is a syndrome of inflammatory lung damage, where, according to the Berlin definition, diagnostic criteria are its onset within one week, worsening severe hypoxemia, imaging findings and the defined origin of edema. ARDS is a high morbidity and mortality syndrome with global impact and is responsible for 1 in 10 admissions to Intensive Care Units (ICU), while 1 in 4 admissions require mechanical ventilation. Mortality for patients with severe ARDS ranges from 46% to 60%. The most common causes are pneumonia (bacterial and viral) and aspiration, while of the indirect causes, sepsis and trauma.
Aim: The aim of this study was to investigate the effect of ARDS on the occurrence of cardiac arrhythmia in patients treatment in Intensive Care Unit.
Method- Material: This was a retrospective research study, the sample of which was 50 patients with ARDS on mechanical respiratory support, who were hospitalized in ICU covid-19 of a large provincial Hospital, during the period August 2021 to January 2022. The sample was collected based on the rules of random sampling. The data collection sheet included the following parameters: patient demographics, marital status, duration of hospitalization, personal history and comorbidities, mechanical ventilation conditions, blood gases, medication, episodes and type of arrhythmias. Statistical analysis was performed at a significance level of α=0.05.
Inclusion criteria: Patients with ARDS on mechanical respiratory support.
Exclusion criteria: Patients who did not present with ARDS.
Results: Fifty patients with ARDS participated in the study. Twenty-two patients (44%) were male and 28 (56) were female. The mean age of the patients was 66.6 (13.92) years, with a mean ICU stay of 14.38 (10.48) days. The correlation study showed that 17.9% of patients with severe ARDS at ICU admission and 50% with moderate ARDS were associated with the presence of PVC arrhythmia (p=6.63, p=0.036), 50% of patients with severe ARDS during ICU stay and 9.1% with moderate ARDS was associated with having hypo-hyperthyroidism (p=11.19, p=0.004).
Conclusions: In conclusion, the results showed that the severity of ARDS was not affected by the different types throughout the patient's stay in the ICU. Factors such as age and gender did not appear to interact with the PO2/FiO2 ratio, in contrast this ratio appeared to be influenced by the days of the patient's hospitalization.
Main subject category:
Health Sciences
Keywords:
ARDS, Arrhythmia, Covid-19, Covid-19 and ARDS, Covid-19 and arrhythmia
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
63
Number of pages:
62
File:
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Vachla_Maria_MSc.pdf.pdf
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