Factors Influencing Pre-Cardiopulmonary Arrest Signs among Post-General Surgery Patients in Critical Care Service System
Issued Date
2023-01-01
Resource Type
ISSN
16617827
eISSN
16604601
Scopus ID
2-s2.0-85145682561
Pubmed ID
36613197
Journal Title
International Journal of Environmental Research and Public Health
Volume
20
Issue
1
Rights Holder(s)
SCOPUS
Bibliographic Citation
International Journal of Environmental Research and Public Health Vol.20 No.1 (2023)
Suggested Citation
Chinawong C., Utriyaprasit K., Sindhu S., Viwatwongkasem C., Suksompong S. Factors Influencing Pre-Cardiopulmonary Arrest Signs among Post-General Surgery Patients in Critical Care Service System. International Journal of Environmental Research and Public Health Vol.20 No.1 (2023). doi:10.3390/ijerph20010876 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/81518
Title
Factors Influencing Pre-Cardiopulmonary Arrest Signs among Post-General Surgery Patients in Critical Care Service System
Author's Affiliation
Other Contributor(s)
Abstract
Health service system factors can lead to pre-cardiopulmonary arrest signs (pre-CA), which refer to a critical condition in the body leading to a circulatory and respiratory system disruption. The purpose of this study was to assess the incidence rate of an event leading to pre-cardiopulmonary arrest signs within the first 24 h, and also to analyze the factors influencing the health service system in critical post-general surgery patients in the intensive care unit. These results of the study found the incidence rate of pre-CA was 49.05 per 1000 person-hours, especially 1 h after admission to the ICU. Hemodynamic instability, respiratory instability, and neurological alteration were the most common pre-CA symptoms. The patient factors associated with high pre-CA arrest sign scores were the age from 18–40 years, with an operation status as emergency surgery, elective surgery compared with urgent surgery, and the interaction of operation status and age in critical post-general surgery patients. The organization factors found advanced hospital level and nurse allocation were associated with pre-CA. To improve quality of care for critical post-general surgery patients, critical care service delivery should be delegated to nurses with nurse allocation and critical care nursing training. Guidelines must be established for critically ill post-general surgery patient care.