Abstract
BackgroundCoronary artery disease remains the most common single cause of death worldwide. Percutaneous coronary intervention is an appropriate management for coronary artery disease which is not free from its potential complications. The purpose of this study was to determine the incidence rate and the predictors of groin complications post percutaneous coronary intervention in cardiac catheterization laboratories in Jordan.MethodsThis was a prospective observational study with a consecutive sample of 300 patients post percutaneous coronary intervention procedure. Data were collected from the cardiac health care center using a pre-structured observational sheet. Any groin complication developed within the first 24 h post procedure was recorded. All correlated variables were analyzed using logistic regression.ResultsThe sample included 237 (79%) men and 63 (21%) women with a mean age of 57.46 ± 10.51 years. A total of 114 patients (38%) developed one or more groin complications. Ecchymosis was the most frequent groin complication; 102 (34%). Females and participants greater than 65 years were nearly two times more likely to develop groin complications (OR = 2.13, P = .024, 95% CI: 1.11–4.01) and (OR = 2.14, P = .023, 95% CI: 1.11–4.13) compared to other groups. Patients with a systolic blood pressure before sheath removal greater than 180 mmHg were about ten times more likely to develop groin complications (OR = 9.82, P = .001, 95% CI: 2.58–37.37).ConclusionsDifferent factors can increase the risk of groin complications post percutaneous coronary intervention. Therefore, identification of high risk groups (i.e. females) might help in the application of different methods to control these complications.
Highlights
Coronary artery disease remains the most common single cause of death worldwide
The three renal failure patients who participated in this study developed groin complications
The results showed that female gender, age more than 65 years old, and systolic blood pressure before sheath removal (SBPBSR) more than 180 mmHg were significant predictors of groin complications development Table 7
Summary
Coronary artery disease remains the most common single cause of death worldwide. Percutaneous coronary intervention is an appropriate management for coronary artery disease which is not free from its potential complications. Cardiovascular disease is the leading cause of death among adults worldwide [1,2,3,4]. Cardiovascular disease accounted for more than 17.3. Coronary Artery Disease (CAD) is the most common form of CVD [1,2,3,4], and is the most common single cause of death worldwide [1,2,3,4]. Coronary artery disease is responsible for 45.1% of all deaths in the United States [1], and 39% in Europe [4].
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