Postoperative functioning of cardiac patients. Diagnostic methods of postoperative monitoring and risk of mortality

Gajos Małgorzata, Włoszczyk Patryk, Mioduska Monika, Wałęsa Grzegorz, Kujawska Agnieszka, Androsiuk Perkowska Joanna, Perkowski Radosław, Wnuk Zaparucha Agnieszka, Karczewska Katarzyna, Bieniek Daria, Husejko Jakub, Skierkowska Natalia, Topka Weronika, Missima Maurycy. Postoperative functioning of cardiac patients. Diagnostic methods of postoperative monitoring and risk of mortality. Journal of Education, Health and Sport. 2019;9(2):437-449. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.2579657

http://ojs.ukw.edu.pl/index.php/johs/article/view/6636

https://pbn.nauka.gov.pl/sedno-webapp/works/906019

The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part b item 1223 (26/01/2017).

1223 Journal of Education, Health and Sport eissn 2391-8306 7

© The Authors 2019;

This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland

Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.

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The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 16.01.2019. Revised: 30.01.2019. Accepted: 28.02.2019.

Postoperative functioning of cardiac patients. Diagnostic methods of postoperative monitoring and risk of mortality

Małgorzata Gajos¹, Patryk Włoszczyk², Monika Mioduska², Grzegorz Wałęsa²,  Agnieszka Kujawska^2,3, Joanna Androsiuk-Perkowska¹, Radosław Perkowski¹, Agnieszka Wnuk-Zaparucha², Katarzyna Karczewska², Daria Bieniek¹, Jakub Husejko¹, Natalia Skierkowska¹, Weronika Topka¹, Maurycy Missima²

1. Department and Clinic of Geriatrics, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.

2. Cardiology and Cardiosurgery Clinic, Military Clinical Hospital No. 10 with Policlinic in Bydgoszcz, Bydgoszcz, Poland

3. Department of Physiology, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland.

Abstract

Introduction: Cardiovascular diseases are the most common reason for deaths of people. Progress in cardiac surgery and cardiac diagnosis a significantly decreased the risk of surgery and postoperative mortality in patients. The aim of our study was to present methods for monitoring patients after cardiac surgery and to assess the risk of morality.

Material and methods: Articles in the EBSCO database have been analysed using keywords: postoperative functioning, cardiac surgery, risk of morality.

Results: Studies have shown that cardiac surgery patients are a large group with many co-existing health problems that affect the occurrence of problems in the postoperative period.

Hemodynamic monitoring of patients is carried out using a variety of techniques, both invasive and non-invasive. There are also many tools to assess post operative cognitive dysfunction.

Interesting are modern methods of hemodynamic monitoring, which can be used by patients at home, after leaving the hospital. It should be remembered that all methods of treatment and monitoring of cardiac surgery patients have an impact on their quality of life and functioning. Do not forget about non-pharmacological methods of affecting the functioning of postoperative patients included in the ERAS protocol.

Conclusions: Cardiac patients require a complex and interdisciplinary approach in the postoperative period. Many elements should be taken into account and prepared the patient for this situation. Progress in medicine more often reduces the risk of morality cardiac patients. However, should remember about the impact of all our activities on the quality of life and functioning of patients.

Keywords: postoperative functioning, cardiac surgery, risk of morality