Dados do Trabalho

Título

NAS values and postoperative complications in cardiac surgery patients: insights from early ECMO support

Objetivo

To observe NAS values associated with postoperative complications, including bleeding, surgical re-exploration, cardiac arrest (CPR), infection, and acute kidney injury (AKI) in cardiac surgery patients.

Métodos

This observational study collected NAS values during the first 24 hours following ECMO support in 85 cardiac surgery adult patients. The presence of complications such as bleeding, surgical re-exploration, cardiac arrest, infection, and AKI was recorded. Median NAS values and 95% confidence intervals (CI) were calculated for each outcome to compare patients with and without complications.

Resultados

For bleeding, the median NAS was 142.70 (95% CI: 141.50 to 144.00) when absent and 143.70 (95% CI: 141.20 to 147.90) when present. In surgical re-exploration, the median was 143.30 (95% CI: 142.10 to 144.80) without the complication and 141.60 (95% CI: 139.60 to 147.90) with it. For cardiac arrest, the median NAS was 142.55 (95% CI: 140.80 to 143.70) without CPR and 144.00 (95% CI: 142.10 to 146.20) with CPR. Infection showed a median of 142.10 (95% CI: 140.80 to 143.40) without and 143.70 (95% CI: 142.40 to 145.70) with it. For AKI, the median was 140.90 (95% CI: 139.60 to 144.00) without AKI and 143.35 (95% CI: 142.40 to 146.68) with it.

Conclusão

Thus, considering that each point of NAS values represents 14.4 minutes of nursing care, this study highlights the increased workload associated with complications like bleeding, surgical re-exploration, CPR, infection, and AKI. A larger database is needed to refine these findings and better manage the associated nursing workload.