Relationships of factors related to post cardiac catheterization groin hematoma among patients in cardiac care unit
Keywords:
Risk factor of hematoma, groin hematoma, post cardiac catheterizationAbstract
The objective of this descriptive retrospective study was to examine relationships of factors related to groin hematoma complication in patients who underwent percutaneous coronary intervention after removing cardiac catheters. Sixty-five patients admitted to the cardiac care unit (CCU) were recruited by purposive sampling according to inclusion criteria. Data were collected using a record form of practice when retaining and after removing cardiac catheter (CCU’s off sheath form version7) from 1 January to 31 December 2015. Data analysis was performed using descriptive statistics, Chi-square test, and binary logistic regression.
The results showed that individual factors were not associated with groin hematoma (p> .05).
Treatment factors associated with groin hematoma were manual compression and mechanical compression
(p<.05). Comparison of manual compression for 10-14 minutes and that for 15-20 minutes revealed that manual compression for 10-14 minutes prevented groin hematoma (OR= 0.04; 95% CI, 0.00-0.38;P =0.00). Usage of mechanical compression led to higher risk for groin hematoma than not using it (OR =6.27; 95% CI, 1.03-38.18; P=0.04). The findings of this study were useful in emphasizing the evaluation of hemostatic suppression both by hand and mechanical compression, in order to prevent complications.
References
Ministry of Public Health, Bureau of Non Communicble Disease. World heart day campaign; 2018 [cited 2018 August 18]. Available from: http://thaincd.com/document/ file/download/knowledge/81_61.pdf. (in Thai)
Department of disease control. Ministry of public health. Coronary artery disease (CAD) 2019 [cited 2020 August 5]. Available from: https://ddc.moph.go.th/uploads/files/108112 0191227091554.pdf. (in Thai)
Public health statistics. Health information unit, strategy and planning division. 2018 [cited 2020 August 5]. Available from: https://bps.moph.go.th/ new_bps/ sites/default/ files/statistic% 2061.pdf. (in Thai)
Chomnapas W. Acute myocardial infarction and the lower of mortality; 2019 [cited 2020 August 15]. Available from: https://www. thaihealth.or.th/Content/49818. (in Thai)
Roffi M, Patrono C, Collet JP, Mueller C, Valgimigli M, Andreotti F, et al. 2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J 2016;37:267-315.
Odom BS. Management of patients after percutaneous coronary interventions. Crit Care Nurse 2008;28(5):1-16.
Wong EM, Wu EB, Chan WW, Yu CM. A review of the management of patients after percutaneous coronary intervention. Int J Clin Pract 2006;60(5):582-9.
Ausawakijpanich S, Duangbubpha S, Nantasukhon A. The effects of self care agency promoting program on self- care confidence and groin wound complications in patients post cardiac catheterization. Rama Nurs J 2019;25(2): 148-65. (in Thai)
Mrdovic I, Savic L, Krljanac G, Asanin M, Lasica R, Djuricic N, et al. Simple risk algorithm to predict serious bleeding in patients with ST-segment elevation myocardial infarction undergoing primary percutaneous coronary intervention. Circ J 2013;77:1719-27.
Sulzbach-Hoke LM, Ratcliffe SJ, Kimmel SE, Kolansky DM, Polomano R. Predictors of complications following sheath removal with percutaneous coronary intervention. J Cardiovasc Nurs 2010;25(3):1-8.
Paganin AC, Beghetto MG, Feijo MK, Matte R, Sauer JM, Rabelo-Silva ER, et al. Vascular complications in patients who underwent endovascular cardiac procedures: multicenter cohort study. Rev. Latino-Am. Enfermagem 2018;26:1-7.
Kassem HH, Elmahdy MF, Ewis EB, Mahdy SG. Incidence and predictors of post-catheterization femoral artery pseudoaneurysms. Egypt Heart J 2013;65:231-21.
Robert JA, Matthew TS, Michael AK, Frederic RK, Sanjay KG, Renato MS, et al. Trends in vascular complications after diagnostic cardiac catheterization and percutaneous coronary intervention via the femoral artery, 1998 to 2007. JACC Cardiovasc Interv 2008; 1(3):317-26.
Numasawa Y, Kohsaka S, Ueda I, Miyata H, Sawano M, Kawamura A, et al. Incidence and predictors of bleeding complications after percutaneous coronary intervention. J Cardiol 2017;69:272–9.
Tavakol M, Ashraf S, Brener SR. Risks and complications of coronary angiography: A comprehensive review. Glob J Health Sci 2012;4(1):65-93.
Suggs PM, Reagan SR, Clements FC, Hardin SR. Factors associated with groin complications post coronary intervention. Clin Nurs Stud 2013; 1(1): 26-34. Available from: http://dx. doi. org/10.5430/cns.v1n1p26
Heywood C, Huang M, Bober W, Raio C. Ultrasound-assisted compression of the femoral artery in a hypotensive patient with expanding hematoma post cardiac catheterization. J Intern Emerg Med 2018;2(2):1-3.
Fong SS, Jaafar S, Misra S, Narasimha V. Scrotal hematoma with pseudo-aneurysm after transfemoral catheterization. J Surg Case Rep 2019;2:1–4.
Lins S, Guffey D, VanRiper S, Kline-Rogers E. Decreasing vascular complications after percutaneous coronary interventions. Crit Care Nurse 2006;26(6):38-46.
Merriweather N, Sulzbach-Hoke LM. Managing risk of complications at femoral vascular access sites in percutaneous coronary intervention. Crit Care Nurse 2012;32(5):1-14.
Batiha AM, Abu-Shaikha HS, Alhalaiqa FN, Jarrad AR, Ramadan JH. Predictors of complications after sheath removal post transfemoral percutaneous coronary interventions. Open J Nurs 2016;6:497-504.
Ebeed MS, Khali NS, Ismaeel MS. Vascular complications and risk factors among patients undergoing cardiac catheterization. Egypt Heart J 2017;14:259–68.
Suggs PM, Reagan SR, Clements FC, Hardin SR. Factors associated with groin complications post coronary intervention. J Clin Nurs 2013;1(1):26-34.
Dandecha B, Chalernsin C. A comparison of efficiency and safety of femoral artery hemostasis after coronary angiography between manual compression and mechanical compression. J Health Sci Med Res 2011;29(2):51-6. (in Thai)
Amoroso G. Why cardiology nurses should worry about vascular complications and arterial access. Eur J Cardiovasc Nurs 2006; 5(3-4):1-2.
Yaman P. Evidence based practice, percutaneous coronary intervention (PCI); 2013 [cited 2016 July 15]. Available from: http://www.hospital. tu.ac.th/doc/EO/261155-1.pdf. (in Thai)
Krejcie VR, Morgan WD. Determining sample size for research activity. Educ Psychol Meas 1970;30:607-10.
Schulz-Schupke S, Helde S, Gewalt S, Ibrahim T, Linhardt M, Haas K, et al. Comparison of vascular closure devices vs manual compression after femoral artery puncture: the ISAR-CLOSURE randomized clinical trial. JAMA 2014;312(19):1981- 7.
Hassan AKM, Hasan-Ali H, Ahmed SA. A new femoral compression device compared with manual compression for bleeding control after coronary diagnostic catheterizations. Egypt Heart J 2014;66:233-9.
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