Incidence and Risk Factors of Hematoma Formation at Femoral Access Site among Patients post Cardiac Catheterization | ||||
Assiut Scientific Nursing Journal | ||||
Article 5, Volume 11, Issue 39 - Serial Number 1, September 2023, Page 58-68 PDF (620.31 K) | ||||
Document Type: Original Research | ||||
DOI: 10.21608/asnj.2023.226969.1652 | ||||
View on SCiNiTO | ||||
Authors | ||||
Somaia Mustafa Hamdi 1; Esmat Sayed Abd El megeed2; Mahmoud Abd Al Ghaffare3; Rasha Ali Ahmed Abdelmowla2 | ||||
1Head Nurse at Al-Azhar University Hospital, Assiut, Egypt. | ||||
2Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt. | ||||
3Lecturer of Cardiology, Faculty of Medicine, Al-Azhar University, Egypt. | ||||
Abstract | ||||
Background: Hematoma formation at the femoral access site is a common and potentially serious complication of invasive cardiovascular procedures. Aims: To assess the incidence and risk factors of hematoma formation at femoral access site among patients post cardiac catheterization. Design: Descriptive research design was used. Subject and setting: All available adult patients (200), aged 18-65 years old, from both sexes who were attend to cardiac Catheterization unit at Al- Azhar University Hospital for a diagnostic procedures or interventional cardiac catheterization within 6 months period. Tools: two tools were used (I) Patient interview questionnaire, and (II) risk factors assessment list. Results: Incidence of femoral access hematoma formation over six months was (20%) percentage. Regarding medical data more than half of the studied patients had hypertension (61.5%), majority had a history of previous hospitalization (84.0%), large portion of them performed cardiac catheterization for diagnostic purposes and were smokers (39.0%). Regarding the modifiable risk factors, obesity was the 29(14.5%), position change during compression 31(15.5%), Number of artery puncture (25 %) Renal dysfunction 19(9.5%), Early ambulation 27(13.5), Use of anticoagulant 17(8.5%). Regarding the non-modifiable risk factors were found among 29(14.5%) of the studied patients who were advanced in age 29(14.5%) and male gender was 27(13%) While, the non-modifiable risk factors were 14.5 1.5 and 9.5% including advanced age and hypertension among male patients. Conclusion: There was A hematoma formation among patients after cardiac catheterization .There were correlation between medical data, modifiable risk factors & non-modifiable risk factors. Recommendations: Developing a standardizing protocol about hemostasis, sheath removal for providing education and training to healthcare providers to identify and manage such risk factors. | ||||
Keywords | ||||
Cardiac catheterization; Femoral access; Hematoma; Incidence & Risk factors | ||||
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