TY - JOUR
T1 - Relationships among patient characteristics, comorbidities, and vascular complications post-percutaneous coronary intervention
AU - Sabo, Julie
AU - Chlan, Linda L.
AU - Savik, Kay
N1 - Funding Information:
Grant Support: This study was supported in part by the Densford Center for International Nursing Leadership, University of Minnesota School of Nursing; American Association of Critical Care Nurses (AACN) Research Grant; Medtronic Research Grant, Greater Twin Cities Area Chapter-AACN; Allina Nursing Research Fund; United Education and Research Fund; and Minnesota Nurses Association Foundation.
PY - 2008/5
Y1 - 2008/5
N2 - Background: The incidence of vascular complications (VCs) after femoral sheath removal following a percutaneous coronary intervention procedure (PCIP) occurs variably (5%-30%) depending on gender, body size, and comorbidities. VCs after a PCIP are distressful for subjects and increase costs and nursing care. Evidence on which subject characteristics contribute to VCs is inconsistent. Objectives: The study objective was to determine which subject characteristics and comorbidities contribute to VCs post-PCIP. Methods: This correlational study included 306 subjects. Groin areas were assessed for the presence of VCs before, immediately after compression released, and 12 and 24 hours after femoral sheath removal for the presence of VCs. Subject characteristics and comorbidities were recorded. Results: The most frequently occurring VCs were ecchymosis, hematoma, and oozing. Age was significantly associated with ecchymosis, whereas hypertension was associated with a decreased level of ecchymosis. Body surface area significantly influenced hematoma formation. Conclusions: Nurses caring for subjects' post-PCIP who are older and have a smaller body surface area may require extra vigilance and tailoring of nursing care to prevent development of VCs.
AB - Background: The incidence of vascular complications (VCs) after femoral sheath removal following a percutaneous coronary intervention procedure (PCIP) occurs variably (5%-30%) depending on gender, body size, and comorbidities. VCs after a PCIP are distressful for subjects and increase costs and nursing care. Evidence on which subject characteristics contribute to VCs is inconsistent. Objectives: The study objective was to determine which subject characteristics and comorbidities contribute to VCs post-PCIP. Methods: This correlational study included 306 subjects. Groin areas were assessed for the presence of VCs before, immediately after compression released, and 12 and 24 hours after femoral sheath removal for the presence of VCs. Subject characteristics and comorbidities were recorded. Results: The most frequently occurring VCs were ecchymosis, hematoma, and oozing. Age was significantly associated with ecchymosis, whereas hypertension was associated with a decreased level of ecchymosis. Body surface area significantly influenced hematoma formation. Conclusions: Nurses caring for subjects' post-PCIP who are older and have a smaller body surface area may require extra vigilance and tailoring of nursing care to prevent development of VCs.
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U2 - 10.1016/j.hrtlng.2007.06.001
DO - 10.1016/j.hrtlng.2007.06.001
M3 - Article
C2 - 18482630
AN - SCOPUS:43149111278
SN - 0147-9563
VL - 37
SP - 190
EP - 195
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
IS - 3
ER -