Tools for managing childcare in the postoperative period of cardiac surgery: an integrative review.

Aline Cerqueira Santos Santana Da Silva,Marluci Andrade Conceição Stipp,Virgínia Maria De Azevedo Oliveira Knupp,Graciele Oroski Paes,José Antônio De Sá Neto,Fernanda Garcia Bezerra Góes

doi:10.1590/0034-7167-2020-0073

Abstract

To analyze the scientific literature on the application of management tools in the postoperative period of pediatric cardiac surgery. integrative review including studies published between 2004 and 2018 in the following databases: LILACS, BDENF, coleciona SUS, MEDLINE/PUBMED, CINAHL and SCOPUS, via Portal de Periódicos da Capes, Scientific Electronic Library Online (SciELO) and Academic Google research. Twelve articles that met the inclusion criteria were analyzed. The studies demonstrated that strategies such as extracorporeal membrane oxygenation, renal replacement therapy and the risk scores for Risk Adjustment for Congenital Heart Surgery 1 and Aristotle Basic Score favored the stratification the demand for care and predicted the risk for mortality. The applicability of risk scores and emerging strategies for the management of childcare in the postoperative period of cardiac surgery was described by the evaluation of possibilities of performance and/or efficiency of the treatments developed.

Highlights

Among the anomalies with the highest child morbidity and mortality rates, Congenital Heart Defects (CHDs) stand out for having an incidence of 9/1000 live births[1]
The search resulted in the following distribution: LILACS (n=25); MEDLINE (n= 42); CINAHL (n= 53); PUBMED (n= 34), Scientific Electronic Library Online (SciELO) (n= 71), with a total of 225 publications, of which 09 were duplicates
Studies developed with adults were excluded, as well as duplicate articles, letters, editorials, handbooks, and productions not related to the subject of the study

Summary

INTRODUCTION

Among the anomalies with the highest child morbidity and mortality rates, Congenital Heart Defects (CHDs) stand out for having an incidence of 9/1000 live births[1]. Management tools are incorporated into pediatric care with the objective of stratifying care demands and predicting the risk of mortality in the postoperative period of CHDs. In recent years, tools have been described as instruments that are applied in the scope of care and contribute to the improvement of health care quality, especially in activities related to the flow of care and monitoring and evaluation of therapeutic processes[8], which justifies the review of this topic. Tools have been described as instruments that are applied in the scope of care and contribute to the improvement of health care quality, especially in activities related to the flow of care and monitoring and evaluation of therapeutic processes[8], which justifies the review of this topic As this is a critical care area, the tool is understood as an instrument that is used in thoughtful and organized care management[9,10]

Study Design

RESULTS

DISCUSSION

Study limitations