Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care Unit
Introduction Several extrinsic factors contribute to the development of cardiac dysrhythmias. In intensive care unit (ICU) settings and among critically ill patients who are exposed to a large number of risk factors, cardiac disturbances are more common. Objectives This study aimed to examine the ep...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2023-03-01
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| Series: | SAGE Open Nursing |
| Online Access: | https://doi.org/10.1177/23779608231160932 |
| _version_ | 1797864477113188352 |
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| author | Mohsen Savaie MD Yasaman Sheikhi MD Reza Baghbanian MD Farhad Soltani MD Fereshteh Amiri MD Saeed Hesam PhD |
| author_facet | Mohsen Savaie MD Yasaman Sheikhi MD Reza Baghbanian MD Farhad Soltani MD Fereshteh Amiri MD Saeed Hesam PhD |
| author_sort | Mohsen Savaie MD |
| collection | DOAJ |
| description | Introduction Several extrinsic factors contribute to the development of cardiac dysrhythmias. In intensive care unit (ICU) settings and among critically ill patients who are exposed to a large number of risk factors, cardiac disturbances are more common. Objectives This study aimed to examine the epidemiology, risk factors, and outcome of cardiac dysrhythmias in a non-cardiac ICU. Methods This is a retrospective, single-center, observational study conducted in a tertiary noncardiac ICU at Imam Khomeini Hospital in Ahvaz, Iran. Out of the 360 adult patients aged 18 years and older who were admitted to ICU for longer than 24 h, 340 cases who met the study inclusion criteria were recruited between March 2018 until October 2018. Results The most common nonsinus dysrhythmias were new-onset atrial fibrillation (NOAF) (12.9%) and ventricular tachycardia (21 patients—6.2%). According to our results, previous percutaneous coronary instrumentation, acute kidney injury, sepsis, and hyperkalemia act as risk factors in the development of cardiac dysrhythmias. Additionally, we found out that thyroid dysfunction and pneumonia can predict the development of NOAF in critically ill patients. The estimated mortality rate among patients with NOAF in this study was 15.7% ( p < .05). Conclusion Cardiac dysrhythmias are common in ICU patients and treating the risk factors can help to prevent their development and improve patient management and outcome. |
| first_indexed | 2024-04-09T22:52:32Z |
| format | Article |
| id | doaj.art-1ff2c0d6be3d463ca3d771193dc67cfd |
| institution | Directory Open Access Journal |
| issn | 2377-9608 |
| language | English |
| last_indexed | 2024-04-09T22:52:32Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Nursing |
| spelling | doaj.art-1ff2c0d6be3d463ca3d771193dc67cfd2023-03-22T11:33:36ZengSAGE PublishingSAGE Open Nursing2377-96082023-03-01910.1177/23779608231160932Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care UnitMohsen Savaie MD0Yasaman Sheikhi MD1Reza Baghbanian MD2Farhad Soltani MD3Fereshteh Amiri MD4Saeed Hesam PhD5 Pain Research Center, , Ahvaz, Iran School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran Pain Research Center, , Ahvaz, Iran Pain Research Center, , Ahvaz, Iran Pain Research Center, , Ahvaz, Iran , Ahvaz, IranIntroduction Several extrinsic factors contribute to the development of cardiac dysrhythmias. In intensive care unit (ICU) settings and among critically ill patients who are exposed to a large number of risk factors, cardiac disturbances are more common. Objectives This study aimed to examine the epidemiology, risk factors, and outcome of cardiac dysrhythmias in a non-cardiac ICU. Methods This is a retrospective, single-center, observational study conducted in a tertiary noncardiac ICU at Imam Khomeini Hospital in Ahvaz, Iran. Out of the 360 adult patients aged 18 years and older who were admitted to ICU for longer than 24 h, 340 cases who met the study inclusion criteria were recruited between March 2018 until October 2018. Results The most common nonsinus dysrhythmias were new-onset atrial fibrillation (NOAF) (12.9%) and ventricular tachycardia (21 patients—6.2%). According to our results, previous percutaneous coronary instrumentation, acute kidney injury, sepsis, and hyperkalemia act as risk factors in the development of cardiac dysrhythmias. Additionally, we found out that thyroid dysfunction and pneumonia can predict the development of NOAF in critically ill patients. The estimated mortality rate among patients with NOAF in this study was 15.7% ( p < .05). Conclusion Cardiac dysrhythmias are common in ICU patients and treating the risk factors can help to prevent their development and improve patient management and outcome.https://doi.org/10.1177/23779608231160932 |
| spellingShingle | Mohsen Savaie MD Yasaman Sheikhi MD Reza Baghbanian MD Farhad Soltani MD Fereshteh Amiri MD Saeed Hesam PhD Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care Unit SAGE Open Nursing |
| title | Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care Unit |
| title_full | Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care Unit |
| title_fullStr | Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care Unit |
| title_full_unstemmed | Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care Unit |
| title_short | Epidemiology, Risk Factors, and Outcome of Cardiac Dysrhythmias in a Noncardiac Intensive Care Unit |
| title_sort | epidemiology risk factors and outcome of cardiac dysrhythmias in a noncardiac intensive care unit |
| url | https://doi.org/10.1177/23779608231160932 |
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