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05040nas a22003857a 4500 |
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OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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20210325134926.0 |
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171219t2009 sp ||||| |||| 00| 0 spa | |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1575-4146 |
| 040 ## - CATALOGING SOURCE |
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| Transcribing agency |
Salus Infirmorum |
| 245 00 - TITLE STATEMENT |
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| Title |
Control de calidad en los cuidados de enfermería en el post-cateterismo cardiaco = |
| Remainder of title |
Quality control in post-cardiac catheterization nursing care / |
| Statement of responsibility, etc. |
Garcimartín P, Maull E, González P, Páez M*, Creus F, Sánchez D*, Bartolomé Y, Simó M |
| 500 ## - GENERAL NOTE |
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| General note |
Este artículo se encuentra disponible en su edición impresa. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc. note |
Bibliografía: p.35 |
| 520 3# - SUMMARY, ETC. |
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| Summary, etc. |
• Introducción: Un control de calidad post-cateterismo responde a la continuidad en los cuidados de enfermería, permitiendo identificar las complicaciones. • Material y métodos: Estudio prospectivo con inclusión de todos los enfermos sometidos a cateterismo ingresados, al menos, 24 horas. Clasificación según tipo de procedimiento, acceso vascular y método de hemostasia. Definición de las complicaciones como inmediatas, <3 horas, o tardías, >3 horas tras la finalización. Complicaciones mayores: hematoma >6 cm, sangrado con necesidad de transfusión y pseudoaneurisma. Menores: hematoma <6 cm y rezumo del punto de punción. Registro del cumplimiento con las recomendaciones sobre tiempos de retirada del compresivo y movilización. • Resultados: 829 enfermos, 457 (55,1%) con cateterismo diagnóstico y 372 (44,6%) con terapéutico. Acceso vascular: radial en 427 (51,5%), femoral en 395 (47,6%) y humeral en 7 (0,8%). A 220 enfermos (26,6%) se les colocó dispositivo de cierre, a 351 (42,3%) pulsera neumática y a 251 (30%) compresivo. Complicaciones inmediatas: 45 enfermos (5,5%), sangrado en el 3,5% y hematoma en el 1,9%. La punción radial se relacionó con menos complicaciones inmediatas (2,6% vs 8,9%, p<0,05). Complicaciones tardías: 135 enfermos (16,3%), sangrado en 109 (13,2%), hematoma en 19 (2,3%), pseudoaneurisma en 7 (0,8%). Todas menores. Se observó retraso en la retirada del compresivo o pulsera y la movilización cuando la recomendación fue <12h (p<0,05). • Conclusión: El control de calidad permite registrar las complicaciones, según vía de acceso y método de hemostasia utilizado, y el cumplimiento de las recomendaciones. Debería conllevar modificaciones que comporten una mejora en la atención al enfermo. |
| 520 8# - SUMMARY, ETC. |
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| Summary, etc. |
• Introduction: Quality control after cardiac catheterization is part of the continuity of nursing care, enabling the identification of complications. • Material and Methods: Prospective study of all catheterized patients hospitalized during at least 24 hours; clasMaterial and Methods: Prospective study of all catheterized patients hospitalized during at least 24 hours; classified according to type of procedure, vascular access and haemostatic method. Definitions: early complications, <3h after procedure; late complications, >3h. Major complications: haematoma >6cm, bleeding requiring blood transfusion and pseudo aneurysm. Minor complications: haematoma <6cm, bleeding without the need for transfusion, unsealed puncture site. Register of compliance with recommendations on artery compress withdrawal and patient mobilization times. • Results: Total 829 patients. 457 (55.1%) after coronary angiography and 372 (44.6%) after percutaneous coronary intervention. Vascular access: radial artery in 427 (51.5%), femoral artery in 395 (47.6) and humeral artery in 7 (0.8%). Haemostatic method: percutaneous closure device in 226 (26.6%), haemostatic wristlet in 351 (42.3%) and compress in 251 (30%). Early complications: 45 patients (5.5%). bleeding (3.5%) and haematoma <6cm (1.9%). Radial access was associated with fewer early complications (2.6 vs 8.9%; p<0.05). Late complications, all minor: 135 patients (16.3%), bleeding in 109 (13.2%), haematoma in 19 (2.3%), and pseudo aneurysm in 7 (0.8%). There was a delay in haemostatic method withdrawal and patient mobilization times as compared with the recommendation of <12 h (p<0.05). • Conclusions: Quality control allows registration of complications, according to access route and the haemostatic method used, as well as compliance with the recommendations. This should lead to improvements in patient care. |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
angiografía coronaria |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
angioplastia coronaria transluminal percutánea |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
arteria femoral |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
arteria radial |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
complicaciones |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
hemostasis |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
registros de enfermería |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
coronary angiography |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
transluminal percutaneous coronary angioplasty |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
femoral artery |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
radial artery |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
complications |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
haemostasis |
| 653 14 - INDEX TERM--UNCONTROLLED |
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| Uncontrolled term |
nursing registers |
| 773 ## - HOST ITEM ENTRY |
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| Related parts |
-- 2009, v. 16, n. 46, p. 30-35 |
| Title |
Enfermería en Cardiología |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| Uniform Resource Identifier |
<a href="https://www.enfermeriaencardiologia.com/wp-content/uploads/4605.pdf">https://www.enfermeriaencardiologia.com/wp-content/uploads/4605.pdf</a> |
| Link text |
Acceso al documento |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Universal Decimal Classification |
| Koha item type |
Artículo de revista |
