[Experience at an Internal Medicine service in the postoperative follow-up of 403 patients operated on at a cardiovascular surgery service].
Over the last 3 years, 403 patients operated in the Department of Cardiovascular Surgery of Broussais Hospital have been transferred to a Department of Internal Medicine for secondary postoperative care. A total of 245 non-cardiac complications (64%) and 134 cardiac or vascular complications (36%) were observed in 321 of these 403 patients (80%). Infections accounted for 26% of non-cardiac complications (63/245). They included 9 cases of mediastinitis, 2 cases of septicemia, 6 endocarditis, 6 wound infections, and 40 other infections (ENT, gastrointestinal, pulmonary, urogenital). The non-cardiac, non-infectious complications comprised mainly delayed healing (39 cases) and pleuropulmonary (29 cases), ENT (9 cases), gastrointestinal (31 cases), urogenital (12 cases), hematological (17 cases) and neuropsychiatric (9 cases) complications; and, finally, 37 inflammatory syndromes. The cardiac complications were pericarditis with or without tamponade (24 cases), arrhythmias or conduction disturbances (50 cases), haemodynamic (54 cases) and vascular (6 cases complications. These very varied complications sometimes occurred late and could be latent. They resulted in prolongation of the duration of hospitalization, so increasing the overall health costs.
Chevalier
P
P
Service de Médecine Interne, Hôpital Broussais, Paris.
De Jaeger
C
C
Van Viet
H
H
Leylavergne
J
J
Fabiani
J N
JN
Chauvaud
S
S
Périer
P
P
Deloche
A
A
Carpentier
A
A
Rullière
R
R
D002318:Cardiovascular Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007388:Internal Medicine; D008297:Male; D011182:Postoperative Care; D011183:Postoperative Complications; D012189:Retrospective Studies
Expérience d'un service de Médecine Interne dans les suites postopératoires de 403 patients opérés dans un service de Chirurgie Cardio-vasculaire.