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Outcomes before and after the Implementation of a Critical Pathway for Patients with Acute Aortic Disease

DC FieldValueLanguage
dc.contributor.author고영국-
dc.contributor.author김민정-
dc.contributor.author박인철-
dc.contributor.author신규철-
dc.contributor.author이혜선-
dc.contributor.author주현철-
dc.date.accessioned2017-10-26T07:25:35Z-
dc.date.available2017-10-26T07:25:35Z-
dc.date.issued2016-
dc.identifier.issn0513-5796-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/152011-
dc.description.abstractPURPOSE: 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 disease at 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 between pre-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 reduced more 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 intervention was 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 intervention within a shorter time, resulting in improved hospital mortality.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherYonsei University-
dc.relation.isPartOfYONSEI MEDICAL JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAcute Disease-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHAneurysm, Dissecting/diagnosis-
dc.subject.MESHAneurysm, Dissecting/mortality-
dc.subject.MESHAneurysm, Dissecting/surgery*-
dc.subject.MESHAorta-
dc.subject.MESHAortic Aneurysm/diagnosis-
dc.subject.MESHAortic Aneurysm/mortality-
dc.subject.MESHAortic Aneurysm/surgery*-
dc.subject.MESHAortic Diseases/diagnosis-
dc.subject.MESHAortic Diseases/mortality-
dc.subject.MESHAortic Diseases/surgery*-
dc.subject.MESHCritical Pathways*-
dc.subject.MESHEmergency Service, Hospital/organization & administration*-
dc.subject.MESHFemale-
dc.subject.MESHHospital Mortality-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOutcome and Process Assessment (Health Care)-
dc.subject.MESHPostoperative Complications/mortality-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Surgical Procedures/methods*-
dc.titleOutcomes before and after the Implementation of a Critical Pathway for Patients with Acute Aortic Disease-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorKyu Chul Shin-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorJoon Min Park-
dc.contributor.googleauthorHyun-Chel Joo-
dc.contributor.googleauthorYoung-Guk Ko-
dc.contributor.googleauthorIncheol Park-
dc.contributor.googleauthorMin Joung Kim-
dc.identifier.doi10.3349/ymj.2016.57.3.626.-
dc.contributor.localIdA00470-
dc.contributor.localIdA01628-
dc.contributor.localIdA04965-
dc.contributor.localIdA03312-
dc.contributor.localIdA03960-
dc.contributor.localIdA00127-
dc.relation.journalcodeJ02813-
dc.identifier.eissn1976-2437-
dc.identifier.pmid26996561-
dc.subject.keywordCritical pathway-
dc.subject.keywordaorta-
dc.subject.keywordaortic aneurysm-
dc.subject.keywordaortic dissection-
dc.subject.keywordclinical protocol-
dc.subject.keywordmortality-
dc.contributor.alternativeNameKo, Young Guk-
dc.contributor.alternativeNameKim, Min Joung-
dc.contributor.alternativeNamePark, In Cheol-
dc.contributor.alternativeNameShin, Kyu Chul-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.alternativeNameJoo, Hyun Chel-
dc.contributor.affiliatedAuthorKim, Min Joung-
dc.contributor.affiliatedAuthorPark, In Cheol-
dc.contributor.affiliatedAuthorShin, Kyu Chul-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.contributor.affiliatedAuthorJoo, Hyun Chel-
dc.contributor.affiliatedAuthorKo, Young Guk-
dc.citation.volume57-
dc.citation.number3-
dc.citation.startPage626-
dc.citation.endPage634-
dc.identifier.bibliographicCitationYONSEI MEDICAL JOURNAL, Vol.57(3) : 626-634, 2016-
dc.date.modified2017-10-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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