Occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patient

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dc.TypeArticlept_BR
dc.contributor.authorSilva, Lolita Dopico da
dc.contributor.authorCamerini, Flavia Giron
dc.contributor.authorHenrique, Danielle de Mendonça
dc.contributor.authorAndrade, Karla Biancha Silva de
dc.contributor.authorAlmeida, Luana Ferreira de
dc.date.accessioned2022-02-16T13:08:26Z
dc.date.available2022-02-16T13:08:26Z
dc.date.issued2017
dc.description2017 July-Aug; 18(4):437-44
dc.description.abstractObjetivo: verificar a ocorrência de eventos hemorrágicos relacionados aos dispositivos invasivos manipulados pela enfermagem em pacientes anticoagulados. Métodos: estudo de coorte retrospectivo, com análise em prontuário. Foram investigados 867 prontuários, encontrando-se uma amostra de 79 pacientes que fizeram uso de heparina sódica em infusão contínua. Os tipos de eventos hemorrágicos e os diferentes dispositivos invasivos foram submetidos aos tratamentos estatísticos não paramétricos e às medidas de associação. Resultados: os tipos de eventos hemorrágicos mais comuns foram na pele (47,4%); sítio de punção (15,8%); nas vias aéreas (15,8%); no sistema geniturinário (15,8%) e no sistema gastrointestinal (10,5%). Pacientes com cateter nasoenteral têm 15,8 vezes mais risco de sangramento do trato gastrointestinal (p=0,032) Conclusão: a taxa de eventos hemorrágicos (21,5%) foi elevada e mais frequente na pele. Pacientes com cateter nasoenteral têm maior risco de sangramento gastrointestinal e com cateter vesical de demora têm sete vezes mais risco de hematúria.
dc.description.abstractenObjective: to verify the occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients. Methods: retrospective cohort study, with analysis of medical records. A total of 867 medical records were investigated, from which a sample of 79 patients who received continuous infusion of sodium heparin was selected. The types of hemorrhagic events and the different invasive devices were submitted to non-parametric statistical treatments and to the association tests. Results: the most common types of hemorrhagic events occurred in the skin (47.4%); puncture site (15.8%); airways (15.8%); genitourinary system (15.8%) and gastrointestinal system (10.5%). Patients with nasoenteral catheters had a 15.8-fold higher risk of gastrointestinal bleeding (p=0.032). Conclusion: the rate of bleeding events (21.5%) was high, and more frequent in the skin. Patients with nasoenteral catheters have a higher risk of gastrointestinal bleeding and patients with indwelling bladder catheters have a seven-fold increased risk of hematuria.
dc.identifier.issn2175-6783
dc.identifier.urihttp://sr-vmlxaph03:8080/jspui/handle/123456789/5138
dc.publisherRev Rene.pt_BR
dc.subjectCuidados de Enfermagempt_BR
dc.subjectNursing Carept_BR
dc.subjectHemorragiapt_BR
dc.subjectHemorrhagept_BR
dc.subjectAnticoagulantespt_BR
dc.subjectAnticoagulantspt_BR
dc.titleOccurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patientpt_BR
dc.title.alternativeOcorrência de eventos hemorrágicos relacionados aos dispositivos invasivos manipulados pela enfermagem em pacientes anticoaguladospt_BR

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