نوع مقاله : مقاله پژوهشی
نویسندگان
1 بیمارستان حشمتیه
2 فوق تخصص جراحی قلب، دپارتمان جراحی، دانشکده پزشکی، علوم پزشکی سبزوار،سبزوار، ایران
3 گروه بیهوشی، دانشگاه علوم پزشکی سبزوار
4 کارشناس ارشد پرستاری، بیمارستان حشمتیه، علوم پزشکی سبزوار،سبزوار، ایران
5 دانشجوی پزشکی، دانشکده پزشکی، علوم پزشکی سبزوار، سبزوار، ایران
6 دکتری اقتصاد سلامت، دانشکده بهداشت، علوم پزشکی سبزوار، سبزوار، ایران
چکیده
زمینه و هدف: بیماری قلبی- عروقی در حال حاضر از شایعترین و جدیدترین بیماریهای تهدیدکننده حیات در جهان است. با اینکه میزان مرگومیر ناشی از جراحی قلب در سراسر جهان رو به کاهش است اما مرگهای قابلاجتناب هنوز در بیماران کمخطر رخ میدهد. هدف مطالعه، تعیین علل مؤثر بر مرگومیر و بیماریزایی در این بیماران پس از جراحی قلب در بیمارستان حشمتیه سبزوار بود.
مواد و روشها: در این مطالعه توصیفی، کلیه موارد جراحیهای عمل قلب باز بین سالهای 2018 تا 2021 که در بیمارستان حشمتیه سبزوار انجام شده بررسی گردید. متغیر اصلی موردبررسی در این پژوهش، تعداد مرگ و نیز علت مرگ بیماران تا 30 روز پس از عمل جراحی قلب باز انجامشده میباشد.
یافتهها: از بین 610 نفر از بیماران موردبررسی 43 نفر در 30 روز پس از جراحی دچار تب، 48 نفر از بیماران دچار سکته مغزی و 43 نفر نیز ترشح از محل عمل را ذکر کردند. 96 نفر در 30 روز پس از عمل فوت کردند و 77 نفر تحت اینتوباسیون قرار گرفتند.
نتیجهگیری: باتوجه به موارد بالا اگرچه عوامل زمینهای مانند سن و بیماریهای قبلی در مرگومیر پس از عمل بیتأثیر نیست اما پیشگیری از ایجاد عفونت و تب و ترشح پس از عمل میتواند در کاهش درصدی از مرگومیر مؤثر باشد.
تازه های تحقیق
https://scholar.google.com/scholar?hl=fa&as_sdt=0,5&q=author:+majid+ghodsi
https://scholar.google.com/scholar?hl=fa&as_sdt=0,5&q=author:+Manijeh+Yousefi+Moghadam&btnG
https://scholar.google.com/scholar?hl=fa&as_sdt=0,5&q=author:+Mohammad+sadeghian&btnG=
https://scholar.google.com/scholar?hl=fa&as_sdt=0,5&q=author:+elhamnavipour&btnG=
https://scholar.google.com/scholar?hl=fa&as_sdt=0,5&q=author:+hamid+robatsarpooshi&btnG=
https://scholar.google.com/scholar?hl=fa&as_sdt=0,5&q=author:+MoslemMansoori&btnG=
https://scholar.google.com/scholar?hl=fa&as_sdt=0,5&q=author:++AlirezaGhorbani&btnG=
کلیدواژهها
موضوعات
عنوان مقاله [English]
Investigating the Causes Affecting Mortality and Morbidity After Open Heart Surgery and RELATED Factors in Heshmatieh Hospital of Sabzevar between 2018 and 2021
نویسندگان [English]
- Hamid Movahedzadeh 1
- Majid Ghodsi 2
- Manijeh Yosefi mighaddam 3
- Moslem Mansuri 4
- Mohammad Sadeghian 5
- Alireza Ghorbani 6
1 HESHMATIE HOSPITAL
2 1-professor of heart surgery,Department of Surgery, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 anesthesiology, sabsevar nuiversity of medical sciences
4 Msc of nursing, Heshmatie Hospital, Sabzevar University of Medical Sciences, Sabzevar, Iran
5 medical student, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
6 professor in health economics, Deparment of public health, school of health, School of Medicine, Sabzevar University of Medical Sciences, Sabzevar, Iran
چکیده [English]
Introduction: Cardiovascular disease is currently one of the world's most common and serious life-threatening diseases. Although the death rate caused by heart surgery is decreasing worldwide, there are still avoidable deaths among low-risk patients. This study investigates the factors affecting mortality in these patients after heart surgery.
Materials and Methods: This study examined all cases of open-heart surgery between 2018 and 2021 at Heshmatieh Hospital in Sabzevar. The main variables of the research include the number of deaths and the causes of death among patients within 30 days following open-heart surgery.
Results: Overall, 406 male and 204 female patients participated in this research. The average age of the patients was 61.77 years, with an average height of 166.32 ± 10.02 cm and an average weight of 78 ± 14.5 kg. Additionally, 165 patients had high blood pressure, and 586 patients had coronary heart disease.
Conclusion: Although underlying factors such as age and previous diseases affect mortality after surgery, preventing infection, managing fever, and improving discharge protocols can reduce the mortality rate.
کلیدواژهها [English]
- coronary artery disease: coronary artery bypass
- cardiac tamponade: mortality
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