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Vascular access and cardiac complications after PCI : in- and out-of-hospital outcome issues

Higgins, Monica, Theobald, Karen A., & Peters, Jaime (2008) Vascular access and cardiac complications after PCI : in- and out-of-hospital outcome issues. British Journal of Cardiac Nursing, 3(3), pp. 111-116.

Abstract

Background: Despite the rapid increase in percutaneous coronary intervention (PCI) rates, vascular complications remain a possible source of impaired outcomes for patients. Moreover, management of complications is an integral part of cardiac nurses’ roles and responsibilities. Aim: The aim of this quality review was to highlight the in-hospital and out-of-hospital complications up to 12 months post-discharge following PCI.----- Methods and Results: A review of prospectively-collected data from the Angioplasty Database run by the research institute of 1089 consecutive patients who had PCI procedures from 1 January 2005–31 December 2006 was conducted. The in-hospital vascular complications included bleeding/ooze only (22.4%) and haematoma only (7.1%). The in-hospital cardiac outcomes included one death (0.09%) following PCI. In addition, a sample of 525 (52%) patients were followed up at 1 month and 12 months post-procedure. Vascular complications were 2.5% and 4% respectively. Cardiac complications included repeat angiogram (9.7%) and repeat PCI (3.6%).----- Conclusions: Vascular outcomes pose ongoing problems for patients both in and out of hospital. The results suggest that cardiac nurses need to further improve monitoring of their patient outcomes following PCI.

Impact and interest:

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ID Code: 18408
Item Type: Journal Article
Additional URLs:
Keywords: Coronary angioplasty, Percutaneous coronary intervention, Heart catheterization, Vascular access complications, Discharge follow-up
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Past > QUT Faculties & Divisions > Faculty of Science and Technology
Past > Schools > Mathematical Sciences
Current > Schools > School of Nursing
Copyright Owner: Copyright 2008 MA Healthcare Ltd
Deposited On: 24 Apr 2009 10:02
Last Modified: 29 Feb 2012 23:46

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