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Original Articles
- Nursing
- Predictors of delayed extubation post–coronary artery bypass graft and its relationship with length of stay and in-hospital mortality in Jordan
- Mohannad Eid Aburuz, Fatma Refaat Ahmed, Haya Ibrahim Ali Abu Maloh, Elham Othman, Ahmed Abdel Hafez, Rawia Gamil, Ahmad Rajeh Saifan
- Received August 29, 2024 Accepted March 9, 2026 Published online May 19, 2026
- DOI: https://doi.org/10.4266/acc.003432 [Epub ahead of print]
- 529 View
- 20 Download
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Abstract
PDF - Background
Coronary artery bypass graft (CABG) surgery is an invasive procedure done to resolve symptoms and improve quality of life in patients with coronary artery disease. However, it is a major operation that has its own complications and risks. Delayed extubation (DE) after surgery has been associated with higher-than-average rates of morbidity and mortality. The objective of this study was to determine the incidence and most important predictors of DE following CABG surgery.
Methods
This prospective observational study was conducted on 300 adult patients who underwent non-urgent CABG. Data were collected from 4 hospitals in Alexandria, Egypt, by trained research assistants and were analyzed using logistic regression, independent t-testing, and Fisher's exact test.
Results
Seventy-five participants (25%) developed DE. Patients with age ≥60 years, operation time ≥7 hours, cardiopulmonary bypass time ≥120 minutes, or body mass index ≥28 kg/m2 had a 1.71, 1.88, 2.25, or 2.33 times higher risk of developing DE than those in the counterpoint groups. The only protective variable was the ejection fraction (EF). Patients with EF ≥50% were 21% less likely to develop DE than those with EF less than 50%. Participants who developed DE stayed longer in the intensive care unit (mean±standard deviation [SD], 7.9±1.60 vs. 3.1±1.2; P<0.001) and in the hospital (mean±SD, 22.6±3.1 vs. 15.1±2.9; P<0.001) than those who did not develop DE.
Conclusions
Performing CABG as early as possible, controlling body mass index, shortening the operation and cardiopulmonary bypass times, and enhancing EF might decrease the occurrence of postoperative DE and its associated mortality.
- Nursing
- A quasi-experimental study to assess the effect of Benson’s relaxation on anxiety and depression among patients with heart failure in Jordan
- Asad Allah Mohammed Aloran, Samiha Sohail Jarrah, Fatma Refaat Ahmed, Mohannad Eid AbuRuz
- Acute Crit Care. 2024;39(3):430-438. Published online August 1, 2024
- DOI: https://doi.org/10.4266/acc.2023.01053
- 6,605 View
- 246 Download
- 1 Web of Science
- 2 Crossref
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Abstract
PDF
- Background
Despite advancements in treatment, heart failure (HF) remains a leading cause of death. Anxiety and depression (A&D) are highly prevalent among patients with HF, negatively impacting their mortality, and morbidity. The Benson relaxation technique (BRT) is a non-pharmacological approach that is easy to learn, use, and apply for reducing A&D. This study aimed to investigate the effectiveness of the BRT in reducing A&D among patients with HF in Jordan.
Methods
This quasi-experimental pre and post-design study involved a consecutive sample of 204 participants with a confirmed diagnosis of HF. Data were collected from four hospitals in Jordan.
Results
A total of 204 patients participated in this study, with 138 males and 66 females. The mean A&D scores for the sample at baseline were 11.09±2.60 and 10.80±2.30, respectively. In the intervention group, there was a statistically significant difference between pre-intervention anxiety and post-intervention anxiety levels (P<0.001), as well as between pre-intervention depression and post-intervention depression levels (P<0.001). In contrast, the control group showed no statistically significant differences between pre-intervention and post-intervention A&D levels (P=0.83 and P=0.34) respectively.
Conclusions
BRT can be used as an adjunctive intervention for patients with HF to reduce A&D. Healthcare professionals should consider incorporating BRT into treatment plans, while nursing departments can lead its implementation. -
Citations
Citations to this article as recorded by
- Frequency of Depression in Patients with Heart Failure Reduced EF (HFrEF)
Ahsan Ali Gaad, Taimur Ashraf Arain, Mansha Mansha, Meena Kumari, Anam Lohana, Sagar Kumar, Suhaira Hafeez Syed, Mahin Saif, Muhammad Nauman Khan, Rabia Ramzan, Zakir Ullah, Abdul Ghaffar, Mohsin Abbasi
European Modern Studies Journal.2025; 9(1): 225. CrossRef - New applications of non-pharmacological therapy for reducing anxiety and depression: a component of comprehensive heart failure treatment
Min-Seok Kim
Acute and Critical Care.2024; 39(3): 439. CrossRef
- Frequency of Depression in Patients with Heart Failure Reduced EF (HFrEF)
- Nursing
- Quality of life among patients with supraventricular tachycardia post radiofrequency cardiac ablation in Jordan
- Mohammad Tayseer Al- Betar, Rami Masa'deh, Shaher H. Hamaideh, Fatma Refaat Ahmed, Hajar Bakkali, Mohannad Eid AbuRuz
- Acute Crit Care. 2023;38(3):333-342. Published online August 30, 2023
- DOI: https://doi.org/10.4266/acc.2023.00052
- 11,904 View
- 120 Download
- 5 Web of Science
- 3 Crossref
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Abstract
PDF
- Background
Supraventricular tachycardia (SVT) is a common arrhythmia with associated symptoms such as palpitation, dizziness, and fatigue. It significantly affects patients’ quality of life (QoL). Radiofrequency cardiac ablation (RFCA) is a highly effective treatment to eliminate arrhythmia and improve patients’ QoL. The purpose of this study was to assess the level of QoL among patients with SVT and examine the difference in QoL before and after RFCA.
Methods
One group pre-posttest design with a convenience sample of 112 patients was used. QoL was assessed by 36-Item Short Form (SF-36). Data were collected at admission through face-to-face interviews and 1-month post-discharge through phone interviews.
Results
There was a significant difference between QoL before (33.7±17.0) and 1 month after (62.5±18.5) the RFCA. Post-RFCA patients diagnosed with atrioventricular nodal reentrant tachycardia had higher QoL than other types of SVT. Moreover, there were significant negative relationships between QoL and the number and duration of episodes pre- and post-RFCA. There were no significant differences in QoL based on: age, sex, working status, marital status, smoking, coronary artery disease, diabetes mellitus, and hypertension.
Conclusions
After RFCA, the QoL of patients with ST improved for both physical and mental component subscales. -
Citations
Citations to this article as recorded by- Supraventricular Tachycardia Ablation in the Elderly—Characteristics and Outcomes
Yi Yi Chua, Julian Cheong Kiat Tay, Eric Tien Siang Lim, Germaine Jie Min Loo, Wei Sheng Jonathan Ong, Xuanming Pung, Daniel Thuan Tee Chong, Kah Leng Ho, Chi Keong Ching
Journal of Arrhythmia.2026;[Epub] CrossRef - Supraventricular tachycardia in children
Zoha Nizami, Phoebe Garcia, Paras Ahuja, Aaron James Nipper, Sachi Patel, Hridhay Sheth, Induja Gajendran, Reshvinder Dhillon
Progress in Pediatric Cardiology.2025; 76: 101771. CrossRef - Frequency of Disabling Symptoms in Supraventricular Tachycardia
Hameed Ullah, Nasir Ali, Abdul Waris, Ihtisham Saeed, Abid Ullah, Nazeef Ullah
Indus Journal of Bioscience Research.2024; 2(2): 1448. CrossRef
- Supraventricular Tachycardia Ablation in the Elderly—Characteristics and Outcomes
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