Current status and influencing factors of gastrointestinal complications after cardiac surgery
10.3760/cma.j.cn115682-20200829-05102
- VernacularTitle:心脏外科术后患者发生胃肠道并发症的现状及影响因素分析
- Author:
Mengdie LI
1
;
Qiaofang YANG
;
Peicong QI
;
Hui HU
;
Weiwei WANG
;
Yue ZHANG
Author Information
1. 阜外华中心血管病医院成人心脏外科，郑州 451464
- Keywords:
Cardiac surgical procedures;
Gastrointestinal complication;
Influencing factors;
Regression analysis
- From:
Chinese Journal of Modern Nursing
2021;27(12):1579-1585
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of gastrointestinal complications in patients after cardiac surgery and analyze its influencing factors.Methods:This study was cross-sectional study. From October 2019 to April 2020, convenience sampling was used to select 152 patients who underwent cardiac surgery in the Department of Adult Cardiac Surgery of a ClassⅢ Grade A hospital in Henan Province as the research object. We collected and recorded whether patients had gastrointestinal complications and its related factors after surgery. Binary Logistics multivariate analysis was used to explore the influencing factors of gastrointestinal complications.Results:The incidence of gastrointestinal complications in patients after cardiac surgery was 9.9% (15/152) . Logistic regression analysis showed that the influencing factor of gastrointestinal complications included the patient's preoperative left ventricular ejection fraction ( OR=0.849) , cardiopulmonary bypass time ( OR=0.974) , aortic block time ( OR=1.056) , intraoperative blood loss ( OR=1.007) , intraoperative blood transfusion ( OR=0.996) , time in Intensive Care Unit ( OR=1.463) , type of surgery [coronary artery bypass grafting (CABG) OR=0.199, valve replacement/valvuloplasty OR=0.105, CABG+ valve replacement/valvuloplasty OR=0.006] ( P<0.05) . Conclusions:There are many factors influencing gastrointestinal complications after cardiac surgery. Medical and nursing staff should strengthen the assessment of risk factors and perform predictive care in order to minimize the occurrence of complications and improve the prognosis of patients.
