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Abstract: Objective: To describe the hemodynamic and respiratory changes during early mobilization (EM) after cardiac surgery. Methods: An analytical observational retrospective cohort study was performed in a Coronary Care Unit of a tertiary hospital. 75 patients submitted to cardiac surgery (From March 2017 up to July 2017) were included. Inclusion criteria were hemodynamic and respiratory stability before starting EM. Hemodynamic and respiratory behavior during EM were evaluated. EM was performed in 3 steps: supine, seated at the edge of the bed (SEB) and biped (BIP). Heart rate (HR), breathing rate (BR), mean arterial pressure (MAP), oxygen saturation (O2Sat) and Borg and Pain scales were evaluated. Results: Six patients, (8%) could not complete the mobilization satisfactorily, which was significantly associated to greater extracorporeal circulation time (ECC T) (p= 0.02). HR, BR, MAP Borg and Pain scales, that were significantly changed during EM, returned fully after the procedure. O2Sat was significantly increased at the end of EM (p=0.000). Prolonged ECC time predicted a 4.6 fold risk for inability to perform EM for 48 hours. Conclusion: EM of patients undergoing cardiac surgery is a safe and feasible intervention. In addition, the prolonged ECC T was observed to be a risk factor for delayed mobilization in this type of patients.
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Humanos , Masculino , Femenino , Niño , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Complicaciones Posoperatorias , Cirugía Torácica/estadística & datos numéricos , Ambulación Precoz , Estudios Retrospectivos , Estudio Observacional , Hospitales PúblicosRESUMEN
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Humanos , Enfermedades Cardiovasculares/prevención & control , Cese del Hábito de Fumar/métodos , Consumo de Bebidas Alcohólicas/prevención & control , Prevención Primaria/organización & administración , Promoción de la Salud/organización & administración , Atención Primaria de Salud/organización & administración , Estilo de Vida , Factores de Riesgo , Programas Gente SanaAsunto(s)
Humanos , Masculino , Femenino , Estilo de Vida , Calidad de Vida , Estilo de Vida SaludableRESUMEN
BACKGROUND: The use of biomass as a cooking fuel is commonplace in developing countries and has been associated with chronic bronchitis and obstructive airway disease. METHODS: A cross-sectional survey was done in the village of Solis, close to Mexico City. Lifelong nonsmoking women 38 yr of age or older (n=841) completed a questionnaire on respiratory symptoms and illnesses and on cooking fuel use, and performed spirometry in their homes. Particulate matter concentration was measured with a nephelometer in the kitchen for 1 h, while the subject was cooking. RESULTS: The peak indoor concentration of particulate matter (PM10, particles with a diameter of 10 microm or less) often exceeded 2 mg/m3. Compared with those cooking with gas, current use of a stove burning biomass fuel was associated with increased reporting of phlegm (27 vs. 9%) and reduced FEV1/FVC (79.9 vs. 82.8%). Levels of FEV1 were 81 ml lower and cough was more common (odds ratio, 1.7; 95% confidence interval, 1.0-2.8) in women from homes with higher PM10 concentrations. All women found with moderate airflow obstruction (Global Initiative for Chronic Obstructive Lung Disease stage II and above) were cooking with biomass stoves. CONCLUSION: Women cooking with biomass fuels have increased respiratory symptoms and a slight average reduction in lung function compared with those cooking with gas.