Can nurses do more for patients to reduce vascular access and cardiac complications following PCI?

Higgins, Monica, Theobald, Karen A., & Peters, Jaime (2009) Can nurses do more for patients to reduce vascular access and cardiac complications following PCI? In The Asia Pacific Critical Care 2008 Congress, 30 October - 2 November 2008, Sydney, NSW.

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Percutaneous coronary interventions have increased 50% in Australia, yet vascular and cardiac complications remain ongoing outcome issues for patients. Managing complications is confounded by reduced length of patient stay, yet is an integral component of a cardiac nurses’ scope of practice.

The aim of this study was to highlight in and out of hospital vascular and cardiac complications, for twelve months post patient discharge after PCI. Prospective data was collected from the hospital angioplasty database from 1089 consecutive patients who had PCI procedures from 1 January 2005 to 31 December 2006.

In hospital vascular complications were reported by 391 (35%) of the 1089 patients, following PCI. Of these, 22.4% had haemorrhage only, 7.1% haematoma only. Cardiac complications in hospital were, one death (0.09%) following PCI, three deaths (0.27%) during the same admission and no incidence of myocardial infarction or bypass surgery. Patients who had PCI in 2005 (525) were telephone followed up after discharge at one and twelve months. Surprisingly, ongoing vascular outcomes were noted, with a 2.5% incidence at one month and 4% at 12 months. Cardiac complications were also identified, 51 (9.7%) patients requiring readmission for repeat angiogram, 19 (3.6%) a repeat PCI and 7 (1.3%) patients undergoing bypass surgery.

This review highlights that vascular and cardiac problems are ongoing issues for PCI patients both in and out of hospital. The results suggest that cardiac nurses focus more on improving the monitoring and discharge care of patients and families for recovery after PCI.

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ID Code: 90187
Item Type: Conference Item (Poster)
Refereed: No
Additional Information: Abstract published in Australian Critical Care, Volume 22, Issue 1, February 2009, Pages 57–58
DOI: 10.1016/j.aucc.2008.12.039
ISSN: 1036-7314
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2009 Published by Elsevier B.V.
Deposited On: 13 Nov 2015 06:00
Last Modified: 26 Jun 2017 07:01

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