Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
The objective of this study was to determine the prevalence of post-operative mediastinitis with the purpose to contribute to nursing care knowledge. To do this, an analysis was performed on 896 medical records of patients who underwent heart surgery involving sternotomy at the Cardiology Emergency...
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| Veröffentlicht in: | Revista da Escola de Enfermagem da U S P 2012-08, Vol.46 (4), p.865 |
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| container_issue | 4 |
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| container_title | Revista da Escola de Enfermagem da U S P |
| container_volume | 46 |
| creator | Magalhães, Marina Gabriella Pereira de Andrada Alves, Ludmila Medeiros Outtes Alcantara, Lidianne Fábia de Moraes Bezerra, Simone Maria Muniz da Silva |
| description | The objective of this study was to determine the prevalence of post-operative mediastinitis with the purpose to contribute to nursing care knowledge. To do this, an analysis was performed on 896 medical records of patients who underwent heart surgery involving sternotomy at the Cardiology Emergency Room of Recife-PE, in the period between June 2007 and June 2009. The following variables were considered: gender, age, type of surgery, personal history, length of stay, use of antibiotics, and culture of the surgical wound. A high death rate from mediastinitis was observed (33.3%). Several risk factors were identified, including: systemic arterial hypertension (80.9%); smoking (61.9%); diabetes mellitus (42.8%); and obesity (33.3%), most of which (76.2%) were identified in patients who underwent surgery for myocardial revascularization. It is concluded that mediastinitis is a serious infection that needs continuous nursing supervision and preventive measures to assure an early diagnosis and, thus, reduce mortality. |
| doi_str_mv | 10.1590/S0080-62342012000400012 |
| format | Article |
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To do this, an analysis was performed on 896 medical records of patients who underwent heart surgery involving sternotomy at the Cardiology Emergency Room of Recife-PE, in the period between June 2007 and June 2009. The following variables were considered: gender, age, type of surgery, personal history, length of stay, use of antibiotics, and culture of the surgical wound. A high death rate from mediastinitis was observed (33.3%). Several risk factors were identified, including: systemic arterial hypertension (80.9%); smoking (61.9%); diabetes mellitus (42.8%); and obesity (33.3%), most of which (76.2%) were identified in patients who underwent surgery for myocardial revascularization. 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To do this, an analysis was performed on 896 medical records of patients who underwent heart surgery involving sternotomy at the Cardiology Emergency Room of Recife-PE, in the period between June 2007 and June 2009. The following variables were considered: gender, age, type of surgery, personal history, length of stay, use of antibiotics, and culture of the surgical wound. A high death rate from mediastinitis was observed (33.3%). Several risk factors were identified, including: systemic arterial hypertension (80.9%); smoking (61.9%); diabetes mellitus (42.8%); and obesity (33.3%), most of which (76.2%) were identified in patients who underwent surgery for myocardial revascularization. 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| ispartof | Revista da Escola de Enfermagem da U S P, 2012-08, Vol.46 (4), p.865 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Brazil Cardiology Child Child, Preschool Cross-Sectional Studies Female Hospitals, Special Humans Infant Male Mediastinitis - epidemiology Mediastinitis - nursing Middle Aged Postoperative Complications - epidemiology Postoperative Complications - nursing Prevalence Retrospective Studies Young Adult |
| title | Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care |
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