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Clinical Predictors of Risk for Decreased Cardiac Tissue Perfusion After Percutaneo us Coronary Intervention: A Retrospective Cohort Study
Author(s) -
Monteiro Moreira Francine,
Cristina Dias Cunha Nascimento Teresa,
Murata Murakami Beatriz,
Cristina Bergamasco Ellen,
Takao Lopes Camila,
Ribeiro dos Santos Eduarda
Publication year - 2019
Publication title -
international journal of nursing knowledge
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.545
H-Index - 23
eISSN - 2047-3095
pISSN - 2047-3087
DOI - 10.1111/2047-3095.12212
Subject(s) - medicine , percutaneous coronary intervention , conventional pci , cardiology , myocardial infarction , logistic regression , retrospective cohort study , perfusion
OBJECTIVE To establish clinical predictors of risk for decreased cardiac tissue perfusion (DCTP) after percutaneous coronary intervention (PCI). METHODS Data on demographic, anthropometric, clinical, and procedural variables were collected as explanatory from a database of 1,542 adult patients undergoing PCI. A diagnosis of periprocedural myocardial infarction was used to confirm DCTP. A multivariate logistic regression determined the predictors of DCTP. RESULTS The independent predictors of risk for DCTP were age (OR = 1.02, CI 95% = 1.01–1.03, p = .008), multivessel disease (OR = 1.79, CI 95% = 1.30–2.46, p <.001) and intraprocedural lesion complications (OR = 4.56, CI 95% = 3.03–6.87, p <.001). CONCLUSION AND IMPLICATIONS FOR NURSING PRACTICE These results increase the level of evidence of risk for DCTP by refining its risk factors and can support nurses’ clinical judgment.