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NTIS 바로가기중환자간호학회지 = Journal of Korean critical care nursing, v.13 no.2, 2020년, pp.12 - 23
김나리 (삼성서울병원) , 장미자 (삼성서울병원) , 최남경 (삼성서울병원) , 최지연 (삼성서울병원) , 김미경 (삼성서울병원 간호팀) , 최수정 (삼성서울병원)
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...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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급성 대동맥 증후군이란 무엇인가? | 급성 대동맥 증후군(acute aortic syndrome, AAS)은 대동맥의 내막을 포함한 대동맥 벽에 생긴 급성질환으로서 대동맥박리, 유 증상 대동맥류, 유 증상 대동맥벽내 혈종 및 대동맥 관통 궤양을 포함한 동일한 병태 생리를 갖는 질환군이다(Manzur et al., 2017). | |
Stanford 타입 A형 대동맥박리는 시간이 증가함에 따라 사망률이 어떻게 변화하는가? | , 2017). AAS는 초기 24시간 내에 사망률과 이환율이 높아 즉각적인 검사와 치료를 필요로 하는데 특히 수술이 필요한 Stanford 타입 A형 대동맥박리의 경우 1시간 경과할 때마다 사망률이 1%씩 증가한다(Meszaros et al., 2000). | |
급성 대동맥 증후군의 경우 치료가 지연될지라도 우수한 치료를 받을 수 있는 전문화된 병원으로 전원을 권고하는 이유는 무엇인가? | 중증도가 높은 IHT 환자들은 직접 입원한 환자보다 재원 일수, 비용, 사망률 등이 더 높다는 보고도 있다(Golestanian, Scruggs, Gangnon, Mak, &Wood, 2007). 하지만 AAS의 경우 입원 방식과 상관없이 치료 경험이 많은 병원(high volume hospital)이 치료 경험이 적은 병원(low volume hospital)에 비해 사망률을 절반 가까이 줄일 수 있기 때문에 IHT로 인해 치료가 지연될지라도 우수한 치료를 받을 수 있는 전문화된 병원으로 전원을 권고하고 있다(Merlo et al., 2016). |
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