Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care

Detalhes bibliográficos
Autor(a) principal: Magalhães, Marina Gabriella Pereira de Andrada
Data de Publicação: 2012
Outros Autores: Alves, Ludmila Medeiros Outtes, Alcantara, Lidianne Fábia de Moraes, Bezerra, Simone Maria Muniz da Silva
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: https://www.revistas.usp.br/reeusp/article/view/48099
Resumo: 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.
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spelling Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing careMediastinitis postoperatoria en un hospital cardiológico de Recife: contribuciones para la atención de enfermeríaMediastinite pós-cirúrgica em um Hospital Cardiológico de Recife: contribuições para a assistência de enfermagemMediastiniteOsteomieliteCirurgia torácicaEnfermagem perioperatóriaMediastinitisOsteomielitisCirugía torácicaEnfermería periperatoriaMediastinitisOsteomyelitisThoracic surgeryPerioperative nursingThe 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.Este estudio objetivó determinar la prevalencia de mediastinitis postoperatoria con la intención de contribuir a la atención de enfermería. Fueron analizadas 896 historias clínicas de pacientes sometidos a operación cardíaca con esternotomía en Urgencia Cardiológica de Pernambuco, en el período de junio 2007 a junio 2009. Las variables consideradas fueron: sexo, edad, tipo de operación, antecedentes personales, tiempo de internación hospitalaria, uso de antibióticos y cultivo de la herida operatoria. Se observó alta mortalidad por mediastinitis (33,3%). Fueron identificados en el estudio algunos de los factores de riesgo, tales como: hipertensión arterial sistémica (80,9%), tabaquismo (61,9%), diabetes mellitus (42,8%) y obesidad (33,3%), ocurriendo la mayoría (76,2%) en pacientes sometidos a cirugía de revascularización del miocardio. La mediastinitis es una infección grave que necesita de supervisión continua de enfermería y medidas preventivas para el diagnóstico precoz y disminución de la mortalidad.O objetivo deste estudo foi determinar a prevalência de mediastinite pós-cirúrgica com o intuito de contribuir para a assistência de enfermagem. Para tanto, foi realizada a análise de 896 prontuários de pacientes submetidos à operação cardíaca com esternotomia no Pronto Socorro Cardiológico de Recife-PE,no período de junho de 2007 a junho 2009. As variáveis consideradas foram: sexo, idade, tipo de operação, antecedentes pessoais, tempo de internamento hospitalar, uso de antibióticos e cultura de ferida operatória. Observou-se alta letalidade por mediastinite (33,3%). Vários fatores de risco foram identificados no estudo, tais como: hipertensão arterial sistêmica (80,9%); tabagismo (61,9%); diabetes mellitus (42,8%) e obesidade (33,3%), sendo a maioria (76,2%) em pacientes submetidos à cirurgia de revascularização do miocárdio. Conclui-se que a mediastinite é uma infecção grave que necessita de supervisão contínua da enfermagem e medidas preventivas para o diagnóstico precoce e a diminuição da mortalidade.Universidade de São Paulo. Escola de Enfermagem2012-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/4809910.1590/S0080-62342012000400012Revista da Escola de Enfermagem da USP; v. 46 n. 4 (2012); 865-871Revista da Escola de Enfermagem da USP; Vol. 46 No. 4 (2012); 865-871Revista da Escola de Enfermagem da USP; Vol. 46 Núm. 4 (2012); 865-8711980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/reeusp/article/view/48099/51882https://www.revistas.usp.br/reeusp/article/view/48099/51883http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessMagalhães, Marina Gabriella Pereira de AndradaAlves, Ludmila Medeiros OuttesAlcantara, Lidianne Fábia de MoraesBezerra, Simone Maria Muniz da Silva2012-12-13T19:47:37Zoai:revistas.usp.br:article/48099Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2012-12-13T19:47:37Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
Mediastinitis postoperatoria en un hospital cardiológico de Recife: contribuciones para la atención de enfermería
Mediastinite pós-cirúrgica em um Hospital Cardiológico de Recife: contribuições para a assistência de enfermagem
title Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
spellingShingle Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
Magalhães, Marina Gabriella Pereira de Andrada
Mediastinite
Osteomielite
Cirurgia torácica
Enfermagem perioperatória
Mediastinitis
Osteomielitis
Cirugía torácica
Enfermería periperatoria
Mediastinitis
Osteomyelitis
Thoracic surgery
Perioperative nursing
title_short Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
title_full Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
title_fullStr Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
title_full_unstemmed Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
title_sort Post-operative mediastinitis in a heart hospital of Recife: contributions for nursing care
author Magalhães, Marina Gabriella Pereira de Andrada
author_facet Magalhães, Marina Gabriella Pereira de Andrada
Alves, Ludmila Medeiros Outtes
Alcantara, Lidianne Fábia de Moraes
Bezerra, Simone Maria Muniz da Silva
author_role author
author2 Alves, Ludmila Medeiros Outtes
Alcantara, Lidianne Fábia de Moraes
Bezerra, Simone Maria Muniz da Silva
author2_role author
author
author
dc.contributor.author.fl_str_mv Magalhães, Marina Gabriella Pereira de Andrada
Alves, Ludmila Medeiros Outtes
Alcantara, Lidianne Fábia de Moraes
Bezerra, Simone Maria Muniz da Silva
dc.subject.por.fl_str_mv Mediastinite
Osteomielite
Cirurgia torácica
Enfermagem perioperatória
Mediastinitis
Osteomielitis
Cirugía torácica
Enfermería periperatoria
Mediastinitis
Osteomyelitis
Thoracic surgery
Perioperative nursing
topic Mediastinite
Osteomielite
Cirurgia torácica
Enfermagem perioperatória
Mediastinitis
Osteomielitis
Cirugía torácica
Enfermería periperatoria
Mediastinitis
Osteomyelitis
Thoracic surgery
Perioperative nursing
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.
publishDate 2012
dc.date.none.fl_str_mv 2012-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/48099
10.1590/S0080-62342012000400012
url https://www.revistas.usp.br/reeusp/article/view/48099
identifier_str_mv 10.1590/S0080-62342012000400012
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/48099/51882
https://www.revistas.usp.br/reeusp/article/view/48099/51883
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP; v. 46 n. 4 (2012); 865-871
Revista da Escola de Enfermagem da USP; Vol. 46 No. 4 (2012); 865-871
Revista da Escola de Enfermagem da USP; Vol. 46 Núm. 4 (2012); 865-871
1980-220X
0080-6234
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
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