Fatores associados à reoperação por sangramento e desfechos após cirurgia cardíaca: estudo de coorte prospectivo

• Autor(a) principal: Rodrigues, Adriano Rogério Baldacin
• Data de Publicação: 2022
• Outros Autores: Benevides, Luana Maria Bráz, Crespo, Jeiel Carlos Lamonica, Santana-Santos, Eduesley, Püschel, Vilanice Alves de Araújo, Oliveira, Larissa Bertacchini de
• Tipo de documento: Artigo
• Idioma: eng; por
• Título da fonte: Revista da Escola de Enfermagem da USP (Online)
• Texto Completo: https://www.revistas.usp.br/reeusp/article/view/202755
• topic: Cirugía Torácica; Hemorragia Posoperatoria; Reoperaciónspanish; Segunda Cirugía; Evaluación de Resultado en la Atención de Salud; Cirurgia Torácica; Hemorragia Pós-Operatória; Reoperação; Cirurgia de Second-Look; Avaliação de Resultados em Cuidados de Saúde; Thoracic Surgery; Postoperative Hemorrhage; Reoperation; Second-Look Surgery; Outcome Assessment, Health Care

Objective: Identify the incidence and factors associated with reoperation due to bleeding in the postoperative of a cardiac surgery, in addition to the clinical outcomes of patients. Method: Prospective cohort study, conducted in an Intensive Care Unit (ICU), with adult patients undergoing cardiac surgery. Patients diagnosed with coagulopathies were excluded. The patients were followed up from hospitalization to hospital discharge. Results: A total of 682 patients were included, and the incidence of reoperation was 3.4%. The factors associated with reoperation were history of renal failure (p = 0.005), previous use of anticoagulant (p = 0.036), higher intraoperative heart rate (p = 0.015), need for transfusion of blood component during intraoperative (p = 0.040), and higher SAPS 3 score (p < 0.001). The outcomes associated with reoperation were stroke and cardiac arrest. Conclusão: Reoperation was an event associated with greater severity, organic dysfunction, and worse clinical outcomes, but there was no difference in mortality between the groups.