PREVALENCE AND FACTORS ASSOCIATED WITH POSTOPERATIVE HEMODYNAMIC CHANGE IN THE POSTANAESTHETIC CARE UNIT AMONG ADULT SURGICAL PATIENTS

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Omama Shahid
Muhammad Saad
Muhammad Touqeer
Rimsha Abid
Ahmad Mustafa
Haidar Umar

Abstract

Background: Hemodynamic instability is a common and potentially serious complication in the immediate postoperative period. Identifying its prevalence and associated risk factors is crucial for improving patient safety and outcomes in the postanaesthetic care unit (PACU).


Objective: To assess the prevalence of postoperative hemodynamic changes and determine the factors associated with hemodynamic instability among adult surgical patients in the PACU.


Methods: A cross-sectional study was carried out on 200 adult surgical patients observed in the post-anesthesia care unit (PACU). Data were collected on demographic characteristics, clinical history, and intraoperative factors. Hemodynamic instability was defined using abnormal postoperative parameters, including blood pressure, heart rate, oxygen saturation, and respiratory rate. Statistical analyses included descriptive statistics, chi-square tests, independent t-tests, and logistic regression to identify associated factors.


Results: The most common postoperative hemodynamic abnormality was tachycardia (20.5%), followed by hypotension (18.0%) and hypertension (14.0%). Hemodynamic instability was significantly associated with age over 60 years (AOR = 2.35, p = 0.024), ASA physical status III/IV (AOR = 3.41, p < 0.001), use of general anesthesia (AOR = 2.07, p = 0.046), surgery duration greater than two hours (AOR = 2.58, p = 0.003), and preoperative hypertension (AOR = 1.88, p = 0.041).


Conclusion: Hemodynamic changes are common among postoperative patients in the PACU, particularly in those who are older, have higher ASA scores, undergo longer surgeries, or have pre-existing hypertension. Early identification of at-risk patients and enhanced monitoring protocols are recommended to mitigate complications.

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Author Biographies

Omama Shahid, Superior University, Lahore, Pakistan.

Faculty of Allied Health Sciences, Superior University, Lahore, Pakistan.

Muhammad Saad, North China University of science and technology, China.

North China University of science and technology, China.

Muhammad Touqeer, Superior University, Lahore, Pakistan.

Faculty of Allied Health Sciences, Superior University, Lahore, Pakistan.

Rimsha Abid, Superior University, Lahore, Pakistan.

Faculty of Allied Health Sciences, Superior University, Lahore, Pakistan.

Ahmad Mustafa, Khyber Medical College Peshawar, Pakistan.

Khyber Medical College Peshawar, Pakistan.

Haidar Umar, Bacha Khan Medical College Mardan, Pakistan.

Anesthesia Technologist, College of Medical Technology, Bacha Khan Medical College Mardan, Pakistan.