Kamhor Arunee, Tankumpuan Thitipong, Wanitkun Napaporn, Wongkornrat Wanchai
Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Nurs Open. 2025 Jun;12(6):e70241. doi: 10.1002/nop2.70241.
To identify the factors associated with postoperative complications within the first 24 h among individuals who have undergone open-heart surgery.
A cross-sectional study.
The participants were 192 elective open-heart surgery patients admitted to a university hospital in Bangkok, Thailand. Data were collected through data recording forms and questionnaires between August 2023 and February 2024, including the clinical frailty scale health questionnaire, serum creatinine assessment form, systemic immune-inflammation index, vasoactive-inotropic score, Society of Thoracic Surgeons risk score and the comprehensive complication index. Multiple regression was used to analyse the data.
Most of the participants (64.06%) were male with an average age of 63.14 (13.22) years. Almost a half of them (45.31%) were diagnosed with coronary artery disease. Frailty, kidney function, inflammation, the amount of packed red cells transfused, vasopressors and inotropes and operative risk were statistically significantly the factors affecting the severity of complications in patients after open-heart surgery during the first 24 h.
The factors associated with postoperative complications specifically within 24 h after open-heart surgery should be closely monitored, including frailty, kidney function, inflammation, the amount of packed red cells transfused, vasopressors and inotropes and operative risk in order to prevent the postoperative complications.
All participants contributed to the conducting of this study by participating in a one-day pre-operation and post-operation within 24 h.
确定接受心脏直视手术的患者在术后24小时内发生并发症的相关因素。
一项横断面研究。
研究对象为192例择期心脏直视手术患者，他们均入住泰国曼谷一家大学医院。在2023年8月至2024年2月期间，通过数据记录表格和问卷收集数据，包括临床衰弱量表健康问卷、血清肌酐评估表、全身免疫炎症指数、血管活性-正性肌力评分、胸外科医师协会风险评分和综合并发症指数。采用多元回归分析数据。
大多数参与者（64.06%）为男性，平均年龄为63.14（13.22）岁。其中近一半（45.31%）被诊断为冠状动脉疾病。衰弱、肾功能、炎症、输注的红细胞压积量、血管升压药和正性肌力药物以及手术风险在统计学上均为影响心脏直视手术后24小时内患者并发症严重程度的因素。
应密切监测与心脏直视手术后24小时内术后并发症相关的因素，包括衰弱、肾功能、炎症、输注的红细胞压积量、血管升压药和正性肌力药物以及手术风险，以预防术后并发症。
所有参与者通过在术前一天和术后24小时内参与研究，为该研究的开展做出了贡献。
