KMID : 1221920200130020012
|
|
Journal of Korean Critical Care Nursing 2020 Volume.13 No. 2 p.12 ~ p.23
|
|
Clinical Outcomes of Direct Interhospital Transfers of Patients with Acute Aortic Syndrome Led by Advanced Practice Nurses
|
|
Kim Na-Ri
Jang Mi-Ja Choi Nam-Gyung Choi Ji-Yeon Kim Mi-Kyung Choi Su-Jung
|
|
Abstract
|
|
|
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.
|
|
KEYWORD
|
|
Transfer, Nurse practitioner, Aortic aneurysm, Dissection, Treatment outcome
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|