Relationship between the frequency of nursing activities and adverse outcomes in patients with acute coronary syndrome: A retrospective cohort study

The aim of this retrospective cohort study was to identify the relationship between the frequency of nursing activities during the first hospitalization and adverse outcomes in patients with acute coronary syndrome by using electronic health records. Patients diagnosed with acute coronary syndrome f...

Full description

Saved in:
Bibliographic Details
Published in:Nursing & health sciences 2019-12, Vol.21 (4), p.531-537
Main Authors: Yu, Hye Yon, Ahn, Eun Kyoung, Seo, Eun Ji
Format: Article
Language:English
Subjects:
acute coronary syndrome
Acute Coronary Syndrome - nursing
Acute coronary syndromes
Adverse
Aged
Cohort analysis
Cohort Studies
Computerized medical records
Coronary artery disease
electronic health record
Female
Health records
Health risk assessment
Hemoglobin
Hospitalization
Humans
Korea
Length of stay
major adverse cardiac event
Male
Medical Errors - statistics & numerical data
Middle Aged
Nursing
nursing activity
Nursing Care - standards
Nursing Care - statistics & numerical data
Retrospective Studies
Risk Factors
Time Factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The aim of this retrospective cohort study was to identify the relationship between the frequency of nursing activities during the first hospitalization and adverse outcomes in patients with acute coronary syndrome by using electronic health records. Patients diagnosed with acute coronary syndrome from April 2010 to April 2015 were examined for eligibility based on 36 months of major adverse cardiac events as the main outcome. Among the 652 patients who were enrolled, 66 patients experienced major adverse cardiac events. The average frequency of nursing activities was 1098.7 (±2703.8), and four variables (length of hospital stay, albumin level, hemoglobin level, and frequency of nursing activities) were significantly associated with 36 months of major adverse cardiac events. After adjusting for these variables, the frequency of nursing activities was found to be the only significant factor associated with the incidence of 36 months of major adverse cardiac events. This finding suggests that patients with acute coronary syndrome who require more frequent nursing activities during the first hospitalization could be vulnerable to adverse outcomes and should be closely monitored.
ISSN:1441-0745
1442-2018
DOI:10.1111/nhs.12645