Current Issue

Volume 64, Number 5, September 2012

Factors Associated with Pre-Cardiopulmonary Arrest Signs within the First 24 Hours Post Open Heart Surgery
Suchayada Khunsathian, MNS, R.N.,Siriorn Sindhu, DNSc, R.N.,Orapan Thosingha, DNS, R.N.,Worawong Slisatkorn, M.D.
Faculty of Nursing, Mahidol University. Department of Cardio-Vascular Thoracic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

Abstract

Objective: To study the relationship between cardiopulmonary bypass time, aortic cross-clamp time during surgery, Left Ventricular Ejection Fraction, co-morbidity, redo cardiac surgery, age, body mass index, and pre-operative depression with pre-cardiopulmonary arrest signs within the first 24 hours post open heart surgery. Methods: The sample comprised 194 patients who underwent open heart surgery in a university hospital, Bangkok, Thailand. Research instruments included a demographic data recording form, illness and a related data on treatment recording form, Charlson Comorbidity Index (CCI), The Center for Epidemiological Studies Depression Scale, and pre-cardiopulmonary arrest index. Pearson’s product-moment correlation coefficient and point biserial correlation were employed to analyze data.
Results: The majority of the samples were males (55.7%) with an average age of 59.9 years, and 41.7% had severe pre-cardiopulmonary arrest scores (> 8 points). Factors associated with pre-cardiopulmonary arrest signs within the first 24 hours post open heart surgery were cardiopulmonary bypass time, aortic cross-clamp time, CCI score, preoperative depression (r = .24, .23, .20, -.20 ; p < .01) and redo surgery (r = .16; p < .05), respectively.
Conclusion: Patients who undergo open heart surgery should be closely monitored for pre-cardiopulmonary arrest signs, especially those who had prolonged cardiopulmonary bypass time and aortic cross-clamp time, have high co-morbidity scores, or experienced redo cardiac surgery. Additional studies should be conducted to explore the effect of pre-operative depression on pre-cardiopulmonary arrest signs after cardiac surgery.

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