Factors associated with reoperation due to bleeding and outcomes after cardiac surgery: a prospective cohort study

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DOI:

https://doi.org/10.1590/1980-220X-REEUSP-2021-0451en

Keywords:

Thoracic Surgery, Postoperative Hemorrhage, Reoperation, Second-Look Surgery, Outcome Assessment, Health Care

Abstract

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.

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Published

2022-07-22

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Section

Original Article

How to Cite

Rodrigues, A. R. B., Benevides, L. M. B., Crespo, J. C. L., Santana-Santos, E., Püschel, V. A. de A., & Oliveira, L. B. de. (2022). Factors associated with reoperation due to bleeding and outcomes after cardiac surgery: a prospective cohort study. Revista Da Escola De Enfermagem Da USP, 56, e20210451. https://doi.org/10.1590/1980-220X-REEUSP-2021-0451en