Al-Momani Maan Sh, AbuRuz Mohannad Eid
1Royal Medical Services, Amman, Jordan.
2Applied Science Private University, Po box 142 Shafa Badran, Amman, 11934 Jordan.
BMC Nurs. 2019 Jun 28;18:24. doi: 10.1186/s12912-019-0349-8. eCollection 2019.
Coronary artery disease remains the most common single cause of death worldwide. Percutaneous coronary intervention is an appropriate management for coronary artery disease which is not free from its potential complications. The purpose of this study was to determine the incidence rate and the predictors of groin complications post percutaneous coronary intervention in cardiac catheterization laboratories in Jordan.
This was a prospective observational study with a consecutive sample of 300 patients post percutaneous coronary intervention procedure. Data were collected from the cardiac health care center using a pre-structured observational sheet. Any groin complication developed within the first 24 h post procedure was recorded. All correlated variables were analyzed using logistic regression.
The sample included 237 (79%) men and 63 (21%) women with a mean age of 57.46 ± 10.51 years. A total of 114 patients (38%) developed one or more groin complications. Ecchymosis was the most frequent groin complication; 102 (34%). Females and participants greater than 65 years were nearly two times more likely to develop groin complications (OR = 2.13, = .024, 95% CI: 1.11-4.01) and (OR = 2.14, = .023, 95% CI: 1.11-4.13) compared to other groups. Patients with a systolic blood pressure before sheath removal greater than 180 mmHg were about ten times more likely to develop groin complications (OR = 9.82, = .001, 95% CI: 2.58-37.37).
Different factors can increase the risk of groin complications post percutaneous coronary intervention. Therefore, identification of high risk groups (i.e. females) might help in the application of different methods to control these complications.
冠状动脉疾病仍是全球最常见的单一死因。经皮冠状动脉介入治疗是冠状动脉疾病的一种合适治疗方法，但并非没有潜在并发症。本研究的目的是确定约旦心脏导管实验室经皮冠状动脉介入治疗后腹股沟并发症的发生率及其预测因素。
这是一项前瞻性观察性研究，对300例经皮冠状动脉介入治疗术后的患者进行连续抽样。使用预先构建的观察表从心脏保健中心收集数据。记录术后头24小时内出现的任何腹股沟并发症。使用逻辑回归分析所有相关变量。
样本包括237名（79%）男性和63名（21%）女性，平均年龄为57.46±10.51岁。共有114名患者（38%）出现一种或多种腹股沟并发症。瘀斑是最常见的腹股沟并发症，有102例（34%）。与其他组相比，女性和65岁以上参与者发生腹股沟并发症的可能性几乎高出两倍（比值比=2.13，P=0.024，95%置信区间：1.11-4.01）和（比值比=2.14，P=0.023，95%置信区间：1.11-4.13）。拔除鞘管前收缩压大于180 mmHg的患者发生腹股沟并发症的可能性高出约十倍（比值比=9.82，P=0.001，95%置信区间：2.58-37.37）。
不同因素可增加经皮冠状动脉介入治疗后腹股沟并发症的风险。因此，识别高危人群（如女性）可能有助于应用不同方法控制这些并发症。
