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김나리 ( Kim Na-Ri ) - Samsung Medical Center Department of Nursing
장미자 ( Jang Mi-Ja ) - Samsung Medical Center Department of Nursing
최남경 ( Choi Nam-Gyung ) - Samsung Medical Center Department of Nursing
최지연 ( Choi Ji-Yeon ) - Samsung Medical Center Department of Nursing
김미경 ( Kim Mi-Kyung ) - Samsung Medical Center Department of Nursing
최수정 ( Choi Su-Jung ) - Sungkyunkwan University Graduate School of Clinical Nursing Science Department of Nursing
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Abstract
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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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KeyWords
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전원, 전문간호사, 대동맥류, 박리, 치료 결과
Transfer, Nurse practitioner, Aortic aneurysm, Dissection, Treatment outcome
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원문 및 링크아웃 정보
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등재저널 정보
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