TITLE:
Predictors of Complications after Sheath Removal Post Transfemoral Percutaneous Coronary Interventions
AUTHORS:
Abdul-Monim Batiha, Hayat Sulieman Abu-Shaikha, Fadwa N. Alhalaiqa, Reem Ahmad Jarrad, Hasan Jamal Abu Ramadan
KEYWORDS:
Complications, Jordan, Percutaneous Coronary Interventions, Sheath Removal, Transfemoral
JOURNAL NAME:
Open Journal of Nursing,
Vol.6 No.6,
June
22,
2016
ABSTRACT: Background: Complications post percutaneous coronary interventions (PCI) are more threatening than it was previously thought so that necessary measures should be taken to minimize those risks. Objective: To identify the risk factors related to patient and procedure which could be used as predictors of complications after sheath removal post PCI. Methods: The study used a prospective non-experimental correlational descriptive. Design: The sample was chosen conveniently from three different hospitals and included 118 patients who were subjected to PCI. Results: Three models were used to predict complications. In the first model, none of the baseline variables were predictive of complications. In the second model, the only type of procedure (diagnostic, stent or balloon) was predictive of complications. In the third model, compression time was found to be a risk factor and a predictor of complications after sheath removal. Conclusion: Nurses and medical professionals are in a vital position to prevent, detect and manage PCI complications at the earliest possible opportunity. It is a must to assess and categorize patients in accordance with their risk level to develop post PCI and post sheath removal complications, in order to plan management strategies to decrease the health costs and the suffering.