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

• 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
• ISSN: 1441-0745; 1442-2018
• DOI: 10.1111/nhs.12645

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.