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Predictors of clinical outcomes of post-cardiovascular intervention patients in a selected hospital in Iloilo City

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Date
2019
Author
Jalandoni, Patrick Joseph B.
Thesis Adviser
Porque, Gelbert Jan S.
Defense Panel Chair
Alibogha, Salex E.
Defense Panel Member
Canaman, Jessica B.
Sale, Melba C.
Baldon, Charlie D.
Catoto, James C.
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Abstract
The study primarily aimed to determine the predictors of clinical outcomes of post cardiovascular intervention patients in a selected hospital in Iloilo City; describing patient, cardiac and procedure related factors, clinical outcomes, EuroSCORE II and determining significant correlations and differences among variables. A single site, retrospective-relational type of study with a comprehensive chart review was used as methods. The total sample size was 173 charts from January 2017 to December 2018 that were reviewed and analyzed. Heart attacks can happen between 30 - 90 years old where higher chances occur by the age of 60. PCI clinical outcomes include LOS of 3-5 days, readmission rate and mortality rate of 5 percent. Severe mortality, active endocarditis, insulin therapy, presence of comorbidities (HCVD and CAD) were correlated with increasing PCI bed days. Higher NYHA classification increases readmission incidences, while sex and NYHA classifications were factors contributory to mortality. Coronary artery disease prolongs PCI hospitalization days five times more than those who do not have the disease. Unlike its superior predictive mortality risk discrimination to open-heart surgeries, EuroSCORE II may not be applicable in predicting mortality outcomes of percutaneous coronary intervention - predicted PCI mortalities have been overestimated. Despite substantial specificity accuracy, calibration and discriminating power, binary logistic regression model applied to PCI requires to be clinically assessed, correlated and with sensitivity errors being highly considered for application to PCI.
Description
Abstract only
URI
https://hdl.handle.net/20.500.12852/511
Suggested Citation
Jalandoni, P. J. B. (2019). Predictors of clinical outcomes of post-cardiovascular intervention patients in a selected hospital in Iloilo City (Unpublished Master's thesis). Central Philippine University, Jaro, Iloilo City.
Type
Thesis
Subject(s)
Cardiac arrest OCLC - FAST (Faceted Application of Subject Terminology); Myocardial infarction OCLC - FAST (Faceted Application of Subject Terminology); Cardiovascular system OCLC - FAST (Faceted Application of Subject Terminology); Cardiovascular system--Diseases--Treatment OCLC - FAST (Faceted Application of Subject Terminology); Cardiovascular system--Diseases OCLC - FAST (Faceted Application of Subject Terminology); Coronary heart disease OCLC - FAST (Faceted Application of Subject Terminology); Philippines--Iloilo OCLC - FAST (Faceted Application of Subject Terminology); Postoperative care OCLC - FAST (Faceted Application of Subject Terminology)
Keywords
Cardiovascular Diseases MeSH; Myocardial Infarction MeSH; Postoperative Care MeSH; Iloilo TGN
Department
School of Graduate Studies
Degree
Master of Arts in Nursing
Shelf Location
GSL Theses 610.73072 J216
Physical Description
xi, 71 leaves
Collections
  • Master of Arts in Nursing [191]

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