Factors Influencing Postoperative Hemorrhage in Open-heart Surgery Patients

  • รัชนี ผิวผ่อง คณะพยาบาลศาสตร์ มหาวิทยาลัยหัวเฉียวเฉลิมพระเกียรติ
  • Vanida Durongrittichai
  • Supaporn Kongphrom
  • Nanthaka Suksumit
  • Kanchana Ninwongsanuwat
  • Rossukon Tanomwong
  • Jirayuk Srijianthong
  • Usanee Sriprapakarn
  • Supapan Puangsakul
  • Songphol Namtad
  • Onkanya Khuankaew
  • Wiwat Warinsirikul
  • Malinee Limpuangthip
Keywords: Postoperative hemorrhage in open-heart surgery, open heart surgery, open heart surgery patients

Abstract

The objective of this descriptive study was to determine the factors influencing postoperative hemorrhage following open heart surgery in 245 patients who had undergone open heart surgery in a private hospital in 2015-2016. Retrospective study was conducted by collecting medical records of patients who had undergone open heart surgery and were over 18 years of age. The data obtained were analyzed with descriptive statistics, chi-square, Fisher’s exact test and binary logistic regression analysis.

According to the findings, the variables correlated with postoperative hemorrhage in open heart surgery patients included diabetes mellitus disease, left ventricle ejection fraction and the activated clotting time (ACT). There were two factors influencing postoperative hemorrhage following open heart surgery patients including left ventricle ejection fraction (AOR= 12.53, 95%CI = 1.35-116.58, p=0.03) and the activated clotting time postoperative (AOR= 7.17, 95%CI = 1.15-44.71, p=0.04) (Nagelkerke R2 = 0.34).

The research findings suggested that nurse and health care team should check-up and follow-up examination of left ventricle ejection fraction before open heart surgery and the activated clotting time postoperative. Furthermore, guidelines should be formed for monitoring and preventing severe hemorrhaging before and after open heart surgery.

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Published
2020-06-29
How to Cite
1.
ผิวผ่องร, Durongrittichai V, Kongphrom S, Suksumit N, Ninwongsanuwat K, Tanomwong R, Srijianthong J, Sriprapakarn U, Puangsakul S, Namtad S, Khuankaew O, Warinsirikul W, Limpuangthip M. Factors Influencing Postoperative Hemorrhage in Open-heart Surgery Patients. HCUJOURNAL [Internet]. 2020Jun.29 [cited 2020Aug.13];24(1):1-. Available from: https://he01.tci-thaijo.org/index.php/HCUJOURNAL/article/view/154867
Section
Research article