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Báo cáo y học: "Why are heart operations postponed"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Why are heart operations postponed? | Tagarakis et al. Journal of Cardiothoracic Surgery 2011 6 106 http www.cardiothoracicsurgery.Org content 6 1 106 JCTS JOURNAL OF CARDIOTHORACIC SURGERY STUDY PROTOCOL Open Access Why are heart operations postponed Georgios I Tagarakis Dimos Karangelis Christos Voucharas Marios E Daskalopoulos Theocharis Koufakis Maria Mouzaki Stefania Lampoura Dimitrios Papadopoulos Ilias Sataitidis and Nikolaos B Tsilimingas Abstract Aim To investigate the reasons that lead to postponement of cardiac operations in order to elucidate the problem and help patients through modes of prevention. Methods-Design We retrospectively included in the study all patients submitted to elective adult heart surgery in our department during the 4-year period 2007-2010 and noted all cases of postponement after official inclusion in the operating schedule. Results 94 out of a total of 575 patients 16.34 scheduled for elective cardiac operation had their procedure postponed. The reasons were mainly organisatory in 49 cases 52.12 which in order of significance were unavailability in operating rooms shortage in matching erythrocyte units and shortage in anaesthetic nursing staff. The rest of the cases 45 47.88 were postponed due to medical reasons which in order of significance were febrile situations including infections of the respiratory gastrointestinal and urinary system problems with the regulation of antiplatelet and antithrombotic drugs neurological manifestations such as stroke and transient ischaemic attacks exacerbation of asthma chronic obstructive pulmonary disease arrhythmias renal problems and allergic reactions to drugs. Patients with advanced age and increased Euroscore values were most possible to have their heart operation postponed. Conclusions Heart operations are postponed due to organisatory as well as medical reasons the latter mainly affecting older morbid patients who therefore require advanced preoperative care. Introduction Every physician employed in the practice of heart .