Adaptation And Use of the Papworth Haemostasis Checklist - Clinical Outcomes Analysis at Hospital Estadual Mário Covas

ABSTRACT Introduction: Postoperative bleeding is one of the main causes of complications in cardiovascular surgery, which highlights the importance of ensuring adequate intraoperative hemostasis, providing a better patient outcome. This study aimed to improve the prevention of postoperative bleeding in the Cardiovascular Surgery Department of the Hospital Estadual Mário Covas (Santo André, Brazil) using an adapted version of the Papworth Haemostasis Checklist to assess the impact of this standardization on bleeding rate, postoperative complications, reoperation, and mortality. Methods: This is a non-randomized controlled clinical trial, whose non-probabilistic sample consisted of patients undergoing cardiac surgery in the abovementioned service within a two-year interval. The Papworth Haemostasis Checklist was adapted to the Brazilian laboratory parameters and the questions were translated into Portuguese. This checklist was used before the surgeon started the chest wall closure. Patients were followed up until 30 days after surgery. A P-value

【摘要】引言：术后出血是心血管外科手术并发症的主要诱因之一，这凸显了确保充分术中止血、改善患者预后的重要性。本研究旨在借助适配后的帕普沃思止血检查表（Papworth Haemostasis Checklist），提升巴西圣安德烈市马里奥·科瓦斯州立医院（Hospital Estadual Mário Covas）心血管外科对术后出血的预防效果，评估该标准化方案对出血发生率、术后并发症、再次手术率及死亡率的影响。
方法：本研究为一项非随机对照临床试验，其非概率样本涵盖了上述医疗中心两年内接受心脏手术的患者。研究团队将帕普沃思止血检查表适配至巴西实验室参数标准，并将问卷内容译为葡萄牙语。该检查表需在主刀医生开始胸壁闭合前使用。所有患者均被随访至术后30天，研究记录P值（P-value）