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Nursing risk assessment of postoperative complications in patients aged over 75, qualified for cardiosurgery operations

Anetta Kowalczuk Wieteska, Iwona Majchrzyk, Mirosława Herdynska, Jerzy Foremny, Marian Zembala

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DOI: http://dx.doi.org/10.15520/ijnd.2017.vol7.iss4.212.81-84

Abstract


Aim

The aim of the work was to assess the risk of postoperative complications in patients aged over and under 75 undergoing cardiac surgery, with a view to optimize perioperative care and minimize the incidence of complications.

Material and methods

The retrospective study encompassed n=5,419 patients (1,822 women and 3,597 men), aged  16-103 (mean 63.3±11.6) who underwent surgery between 2010 and 2014. The patients were divided into: Group1  <75, n=4,583 (1,429 women and 3,154 men), aged   16-74 (mean 60.6 ±10.5) and Group2  ≥75, n=836 (393 women and 443 men), aged  75-103 (mean 78±3.0). The prevalence of cardiac and non-cardiac diseases in both groups was comparable.

Results

The following, statistically significant postoperative complications were observed in Group   ≥ 75: neurological  (14.4%),  predominantly  psychosis (8,1%); renal (11.4%) with creatinine increase >200mg% (9.5%); pulmonary (11.4%) with pleural fluid evacuation (6.3%); reoperation (10.4%),  mainly due to haemorrhage (5.6%), and gastrointestinal tract dysfunction, including intra-intestinal nutrition (9.7%).

Conclusions

1 / In patients> 75 years of age eligible for cardiac surgery, co-morbidity often occurs.
2 / Age, however, is not a contraindication for cardiac surgery, although it is an important risk factor for mortality and postoperative complications.
3 / Cardiac surgery for patients over 75 years of age is subject to a perioperative risk rating.


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