Hamdi, S., Abd El megeed, E., Abd Al Ghaffare, M., Abdelmowla, R. (2023). Incidence and Risk Factors of Hematoma Formation at Femoral Access Site among Patients post Cardiac Catheterization. Assiut Scientific Nursing Journal, 11(39), 58-68. doi: 10.21608/asnj.2023.226969.1652
Somaia Mustafa Hamdi; Esmat Sayed Abd El megeed; Mahmoud Abd Al Ghaffare; Rasha Ali Ahmed Abdelmowla. "Incidence and Risk Factors of Hematoma Formation at Femoral Access Site among Patients post Cardiac Catheterization". Assiut Scientific Nursing Journal, 11, 39, 2023, 58-68. doi: 10.21608/asnj.2023.226969.1652
Hamdi, S., Abd El megeed, E., Abd Al Ghaffare, M., Abdelmowla, R. (2023). 'Incidence and Risk Factors of Hematoma Formation at Femoral Access Site among Patients post Cardiac Catheterization', Assiut Scientific Nursing Journal, 11(39), pp. 58-68. doi: 10.21608/asnj.2023.226969.1652
Hamdi, S., Abd El megeed, E., Abd Al Ghaffare, M., Abdelmowla, R. Incidence and Risk Factors of Hematoma Formation at Femoral Access Site among Patients post Cardiac Catheterization. Assiut Scientific Nursing Journal, 2023; 11(39): 58-68. doi: 10.21608/asnj.2023.226969.1652
Incidence and Risk Factors of Hematoma Formation at Femoral Access Site among Patients post Cardiac Catheterization
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.
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