The Relationship Between Co-Morbidities and Complications of Femoral Sheath Removal
Kara Heck, BSN, RN-BC, CCRN1 and Barbara Vincensi, PhD, RN2 (1Holland Hospital and 2Hope College Department of Nursing)
Femoral sheath insertion and removal is a high-risk procedure that is often associated with complications during and after the procedure. The purpose of this study is to determine if there is a relationship between co-morbidities and complications during or after the procedure. The framework applied to this project is Betty Neuman’s systems model, as the physiologic variables differ for each patient based on co-morbidities, effecting how the environmental stress of the femoral sheath is handled by each patient. The data was collected by retrospective chart review of 50 adult patients receiving peripheral arterial intervention at a small community hospital in the Midwest. The data was analyzed with SPSS version 19.0 using the chi square test to determine the relationships between co-morbidities and complications. The findings revealed that there is a significant relationship between hypertension and hematoma prior to sheath pull (X² = 9.571, p < .01). GastrointestinaI bleed also showed significant relationships between hematoma prior to sheath pull ((X² = 10.421, p < .01), hematoma after sheath pull (X² = 7.983, p < .01), re-bleed (X² = 5.87, p < .05), and overall complications (X² = 7.094, p <.01). These results reveal that co-morbidities do have an effect on patient outcomes following femoral sheath insertion and removal. Limitations of this study include a small sample size, resulting in decreased generalizability and power, little diversity, and one hospital site utilized for data collection. This study will be a guide for future research of the effects of certain co-morbidities and may help to promote safer nursing care in the removal of femoral sheaths.
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