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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 626 - 634 (9page)
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Purpose: Acute aortic diseases, such as aortic dissection and aortic aneurysm, can be life-threatening vascular conditions. In this study, we compared outcomes before and after the implementation of a critical pathway (CP) for patients with acute aortic diseaseat the emergency department (ED).
Materials and Methods: This was a retrospective observational cohort study. The CP was composed of two phases: PRE-AORTA for early diagnosis and AORTA for prompt treatment. We compared patients who were diagnosed with acute aortic disease betweenpre-period (January 2010 to December 2011) and post-period (July 2012 to June 2014).
Results: Ninety-four and 104 patients were diagnosed with acute aortic disease in the pre- and post-periods, respectively. After the implementation of the CP, 38.7% of acute aortic disease cases were diagnosed via PRE-AORTA. The door-to-CT time was reducedmore in PRE-AORTA-activated patients [71.0 (61.0, 115.0) min vs. 113.0 (56.0, 170.5) min; p=0.026]. During the post-period, more patients received emergency intervention than during the pre-period (22.3% vs. 36.5%; p=0.029). Time until emergency interventionwas reduced in patients, who visited the ED directly, from 378.0 (302.0, 489.0) min in the pre-period to 200.0 (170.0, 299.0) min in the post-period (p=0.001). The number of patients who died in the ED declined from 11 to 4 from the pre-period to the post-period. Hospital mortality decreased from 26.6% to 14.4% in the post-period (p=0.033).
Conclusion: After the implementation of a CP for patients with acute aortic disease, more patients received emergency interventionwithin a shorter time, resulting in improved hospital mortality.
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참고문헌 (24)
참고문헌 신청
Hansen MS / 2007 / Frequency of and inappropriate treatment of misdiagnosis of acute aortic dissection / Am J Cardiol 99:852~856
Hagan PG / 2000 / The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease / JAMA 283:897~903
Sullivan PR / 2000 / Diagnosis of acute thoracic aortic dissection in the emergency department / Am J Emerg Med 18:46~50
Chua M / 2012 / Acute aortic dissection in the ED: risk factors and predictors for missed diagnosis / Am J Emerg Med 30:1622~1626
Leitman IM / 2013 / Early recognition of acute thoracic aortic dissection and aneurysm / World J Emerg Surg 8:47
Hagan PG / 2000 / The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease / JAMA 283:897~903
Sullivan PR / 2000 / Diagnosis of acute thoracic aortic dissection in the emergency department / Am J Emerg Med 18:46~50
Chua M / 2012 / Acute aortic dissection in the ED: risk factors and predictors for missed diagnosis / Am J Emerg Med 30:1622~1626
Leitman IM / 2013 / Early recognition of acute thoracic aortic dissection and aneurysm / World J Emerg Surg 8:47
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