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Effect of nurse-initiated forced-air warming blanket on the reduction of hypothermia complications following coronary artery bypass grafting: a randomized clinical trial
- Source :
- European Journal of Cardiovascular Nursing. 20:445-453
- Publication Year :
- 2020
- Publisher :
- Oxford University Press (OUP), 2020.
-
Abstract
- AimsTo evaluate the effect of postoperative forced-air warming (FAW) on the incidence of excessive bleeding (ExB), arrhythmia, acute myocardial infarction (AMI), and blood product transfusion in hypothermic patients following on-pump CABG and compare temperatures associated with the use of FAW and warming with a sheet and wool blanket.Methods and resultsA randomized clinical trial conducted with 200 patients undergoing isolated on-pump CABG from January to November 2018. Patients were randomly assigned into an Intervention Group (IG, FAW, n = 100) and Control Group (CG, sheet and blanket, n = 100). The tympanic temperature of all patients was measured over a 24-h period. ExB was the primary outcome, while arrhythmia, AMI, and blood product transfusion were secondary outcomes. The effect of the interventions on the outcomes was investigated through using bivariate logistic regression, with a level of significance of 5%. The IG was 79% less likely to experience bleeding than the CG [odds ratio (OR) = 0.21, confidence interval (CI) 95% 0.12–0.39, P ConclusionsThese findings show that FAW can be used following CABG until patients reach normothermia to avoid undesirable clinical outcomes.Trial registrationREBeC RBR-5t582g.
- Subjects :
- Advanced and Specialized Nursing
business.industry
Bedding and Linens
Hypothermia
Odds ratio
medicine.disease
Intensive care unit
Confidence interval
Body Temperature
law.invention
Clinical trial
Medical–Surgical Nursing
Coronary artery bypass surgery
Randomized controlled trial
law
Blood product
Anesthesia
Humans
Medicine
Myocardial infarction
Coronary Artery Bypass
Rewarming
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 18731953 and 14745151
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- European Journal of Cardiovascular Nursing
- Accession number :
- edsair.doi.dedup.....b74120a4e638397c221e2b0cd0f2ce59