Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/9893
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dc.contributor.authorKucia, A.-
dc.contributor.authorTaylor, K.-
dc.contributor.authorHorowitz, J.-
dc.date.issued2001-
dc.identifier.citationHeart and Lung: the journal of acute and critical care, 2001; 30(3):186-190-
dc.identifier.issn0147-9563-
dc.identifier.issn1527-3288-
dc.identifier.urihttp://hdl.handle.net/2440/9893-
dc.description© 2001 Mosby, Inc. All rights reserved.-
dc.description.abstract<h4>Objective</h4>The goal of this study was to determine the effect of a coronary care-trained nurse (CCTN) on transfer times of patients presenting with acute coronary syndromes (ACS) from the emergency department (ED) to the coronary care unit (CCU) for definitive cardiac treatment (DCT).<h4>Design</h4>This was a prospective randomized controlled study.<h4>Setting</h4>The study took place in the ED of a metropolitan public teaching hospital in South Australia.<h4>Patients</h4>The study sample was comprised of 893 patients who presented to the ED with a complaint of chest pain.<h4>Intervention</h4>An experienced senior CCTN was randomly assigned to work in an ED for 16 randomly selected hours per week; comparable hours over the same period without a CCTN in attendance were used as control data. The major endpoint was time to CCU transfer where DCT was completed for patients with ACS.<h4>Results</h4>Out of 893 patients assessed as having possible ACS, 91 (10%) were admitted to the CCU, 47 with a diagnosis of unstable angina pectoris (UAP) and 44 with a diagnosis of acute myocardial infarction. Nineteen patients required thrombolysis and/or percutaneous coronary angioplasty. Mean times (in minutes) to transfer for DCT (95% CI) were 102 (70-134) and 117 (95-139) in the presence and absence of a CCTN, respectively, for all ACS, and 33 (10-55) and 54 (25-82), respectively, for acute myocardial infarction requiring thrombolysis and/or percutaneous coronary angioplasty.<h4>Conclusions</h4>These pilot data show a nonsignificant trend suggesting that DCT is expedited by assignment of senior CCTNs to EDs and provides direction for further study.-
dc.description.statementofresponsibilityAngela Marie Kucia, Kim Tina Natalie Taylor, and John David Horowitz-
dc.language.isoen-
dc.publisherMosby Inc-
dc.source.urihttp://dx.doi.org/10.1067/mhl.2001.115076-
dc.subjectHumans-
dc.subjectCoronary Disease-
dc.subjectAcute Disease-
dc.subjectProspective Studies-
dc.subjectPilot Projects-
dc.subjectTime and Motion Studies-
dc.subjectEmergency Nursing-
dc.subjectNurses-
dc.subjectCoronary Care Units-
dc.titleCan a nurse trained in coronary care expedite emergency department management of patients with acute coronary syndromes?-
dc.typeJournal article-
dc.identifier.doi10.1067/mhl.2001.115076-
pubs.publication-statusPublished-
dc.identifier.orcidKucia, A. [0000-0002-7606-7717]-
dc.identifier.orcidHorowitz, J. [0000-0001-6883-0703]-
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