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Relationships among patient characteristics, comorbidities, and vascular complications post-percutaneous coronary

Julie Sabo1, Linda L Chlan, Kay Savik

  • 1Practice, Education and Community Health, United Hospital, St. Paul, Minn. 55102, USA.

Heart & Lung : the Journal of Critical Care
|May 17, 2008
PubMed

Insights

Vascular complications after percutaneous coronary intervention procedures are linked to patient age and body size. Older patients and those with smaller body surface areas require increased nursing vigilance to prevent these complications.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Interventional Cardiology

Background:

  • Vascular complications (VCs) after percutaneous coronary intervention procedures (PCIP) range from 5%-30%.
  • VCs increase patient distress, healthcare costs, and nursing care requirements.
  • Existing evidence on factors contributing to VCs is inconsistent.

Purpose of the Study:

  • To identify subject characteristics and comorbidities that contribute to VCs following PCIP.
  • To provide evidence-based insights for preventing VCs after femoral sheath removal.

Main Methods:

  • Correlational study involving 306 subjects undergoing PCIP.
  • Groin areas assessed for VCs at multiple time points: pre-procedure, immediately post-compression, and 12/24 hours post-sheath removal.
  • Systematic recording of subject characteristics and comorbidities.

Main Results:

  • Ecchymosis, hematoma, and oozing were the most common VCs.
  • Older age was significantly associated with increased ecchymosis.
  • Hypertension showed an association with decreased ecchymosis.
  • Body surface area significantly influenced hematoma formation.

Conclusions:

  • Older patients and those with smaller body surface areas are at higher risk for VCs post-PCIP.
  • Nurses should exercise extra vigilance and tailor care for these at-risk individuals.
  • Proactive nursing interventions can aid in preventing VCs and improving patient outcomes.
Abstract

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