지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Purpose : This study aimed to evaluate the clinical outcomes of direct interhospital transfers (IHTs) of patients with acute aortic syndrome (AAS) led by advanced practice nurses (APNs). Methods : From September 2014 to June 2017, the study retrospectively investigated 183 patients with AAS who were transferred to a high-volume tertiary hospital. Results : One hundred forty-eight (81%) patients were admitted through direct IHTs, and 35 (19%) patients were admitted through non-direct IHTs. The direct IHT group had a significantly shorter time from symptom onset to hospital arrival than the non-direct IHT group (11.4 vs. 32.1 h, p =.043). There were no significant differences in other clinical outcomes, such as peri-transfer status, mortality, hospital length of stay, and readmission, between the two groups. In the direct IHT group, 55% of transfers were led by APNs. There was no significant difference in outcomes between APN- and physician-led transfers. Conclusions : Implementation of direct IHTs markedly shortened the time from symptom onset to hospital arrival in patients with AAS. Finally, direct IHTs can potentially improve the outcomes of patients with AAS, a condition with time-dependent mortality and morbidity. In addition, APNs can effectively lead the direct IHT of patients with AAS.
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참고문헌 (26)
참고문헌 신청
Aggarwal, B. / 2014 / Transfer metrics in patients with suspected acute aortic syndrome / Circulation : Cardiovascular Quality and Outcomes 7(5):780~782
Anderson, L. L. / 2015 / Direct transfer from the referring hospitals to the catheterization laboratory to minimize reperfusion delays for primary percutaneous coronary intervention: Insights from the national cardiovascular data registry / Circulation : Cardiovascular Interventions 8(9):e002477
Blackwell, C. W. / 2015 / Certification and education as determinants of nurse practitioner scope of practice : An investigation of the rules and regulations defining NP scope of practice in the United States / Journal of the American Association of Nurse Practitioner 27(10):552~557
Chaikof, E. L. / 2002 / Identifying and grading factors that modify the outcome of endovascular aortic aneurysm repair / Journal of Vascular Surgery 35(5):1061~1066
최종식 / 2014 / 전원 문의를 받은 후 결정 지연의 요인 분석 / 대한응급의학회지 25(6):715~721
Anderson, L. L. / 2015 / Direct transfer from the referring hospitals to the catheterization laboratory to minimize reperfusion delays for primary percutaneous coronary intervention: Insights from the national cardiovascular data registry / Circulation : Cardiovascular Interventions 8(9):e002477
Blackwell, C. W. / 2015 / Certification and education as determinants of nurse practitioner scope of practice : An investigation of the rules and regulations defining NP scope of practice in the United States / Journal of the American Association of Nurse Practitioner 27(10):552~557
Chaikof, E. L. / 2002 / Identifying and grading factors that modify the outcome of endovascular aortic aneurysm repair / Journal of Vascular Surgery 35(5):1061~1066
최종식 / 2014 / 전원 문의를 받은 후 결정 지연의 요인 분석 / 대한응급의학회지 25(6):715~721
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