Occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients

Flavia Giron Camerini, Lolita Dopico da Silva, Danielle de Mendonça Henrique, Karla Biancha Silva Andrade, Luana Ferreira de Almeida

Abstract


Objective: to verify the occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients. Methods: retrospective cohort study, with analysis of medical records. A total of 867 medical records were investigated, from which a sample of 79 patients who received continuous infusion of sodium heparin was selected. The types of hemorrhagic events and the different invasive devices were submitted to non-parametric statistical treatments and to the association tests. Results: the most common types of hemorrhagic events occurred in the skin (47.4%); puncture site (15.8%); airways (15.8%); genitourinary system (15.8%) and gastrointestinal system (10.5%). Patients with nasoenteral catheters had a 15.8-foldhigher risk of gastrointestinal bleeding (p=0.032). Conclusion: the rate of bleeding events (21.5%) was high, and more frequent in the skin. Patients with nasoenteral catheters have a higher risk of gastrointestinal bleeding and patients with indwelling bladder catheters have a seven-fold increased risk of hematuria.

Keywords


Nursing Care; Hemorrhage; Anticoagulants.

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DOI: http://dx.doi.org/10.15253/rev%20rene.v18i4.20201

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