Special Topics: Postoperative Management and Vtilization of Health Services in Patients with PCI
Occurrence of MACE after PCI in patients with ACS and its influencing factors
Lingyu Wang, Guodi Ma, Ping Lin
Published 2016-10-26
Cite as Chin J Mod Nurs, 2016, 22(30): 4311-4315. DOI: 10.3760/cma.j.issn.1674-2907.2016.30.005
Abstract
ObjectiveTo investigate the occurrence of major adverse cardiac events (MACE) after percutaneous coronary intervention (PCI) in patients with acute coronary syndromes (ACS) and its influencing factors.
MethodsA total of 336 patients diagnosed with ACS and underwent PCI in a tertiary hospital of Harbin were selected as the research object, and the influencing factors questionnaire of MACE was used to investigate the occurrence of MACE and its influencing factors.
ResultsOne year after surgery, the incidence rate of MACE was 22.2%. Logistic regression analysis showed that living alone (OR=3.471, 95%CI=1.329-9.063, P=0.011 ), smoking (OR=2.463, 95%CI=1.225-4.834, P=0.009), total cholesterol (TC) (OR=1.968, 95%CI=1.251-3.097, P=0.003), low-density lipoprotein cholesterol (LDL-C) (OR=1.501, 95%CI=1.046-2.154, P=0.027), body mass index (BMI) (OR=1.365, 95%CI=1.207-1.544, P<0.001) and white blood cell count (OR=1.111, 95%CI=1.005-1.228, P=0.039) were independent factors of MACE.
ConclusionsThe results of this study shows that the rate of MACE are affected by many factors, and early identification and control are especially important.
Key words:
Nursing; Acute coronary syndromes; Percutaneous coronary intervention; Major adverse cardiac events; Influencing factor
Contributor Information
Lingyu Wang
School of Nursing, Harbin Medical University, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
Guodi Ma
Department of Cardiology, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
Ping Lin
School of Nursing, Harbin Medical University, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China
