Hospital complications after heart surgery are often preventable
13 March 2014
With a simple program nurses can prevent complications with elderly patients after surgery. More than a third of the patients suffer complications after open heart surgery, such as acute confusion, depression, ulcer pressure or infection. This often leads to a longer hospital stay and a lower quality of life. This is unnecessary sets Roelof Ettema, researcher at University of Applied Sciences Utrecht and UMC Utrecht, in his thesis.
By improved surgical and anesthetic techniques older and sicker patients are eligible for open-heart surgery. Although they can withstand such an operation, they often develop complications. To counter this Ettema developed the PREDOCS program, in which the physical and psychosocial circumstances of the patient can improve in the period before the hospital, so that the risk of complications after surgery is lower.
The PREDOCS program provides a nurse with targeted information for older patients about the hospital and he or she identifies patients at increased risk of sudden confusion (delirium), depression, pressure sores or infection after surgery. Also preceding hospitalization the nurse informs patients with an increased risk of how they can reduce their risk of complications.
Read the complete article on the UMC Utrecht website. (In Dutch)