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Sökning: id:"swepub:oai:DiVA.org:liu-62420" > The post-infarction...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00002789naa a2200277 4500
001oai:DiVA.org:liu-62420
003SwePub
008101130s2009 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-624202 URI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Broers, C J M4 aut
2451 0a The post-infarction nurse practitioner project :b A prospective study comparing nurse intervention with conventional care in a non-high-risk myocardial infarction population.
264 1c 2009
338 a print2 rdacarrier
520 a OBJECTIVES: To confirm the feasibility of nurse practitioner interventionin non-high-risk patients with recent myocardial infarction (MI). DESIGN: Observational study. SETTING: Acute coronary care unit in a teaching hospital. METHODS: We performed an open-label feasibility study to identify non-high-risk MI patients and evaluate the outcome of a new nurse practitioner intervention programme. The initial pilot phase served to identify the non-high-risk population. In the subsequent confirmation phase, 500 consecutive non-high-risk post-MI patients with preserved LV function without heart failure were included to receive nurse practitioner management. The nurse practitioner intervention started on transfer from the coronary care unit to the cardiology ward and continued thereafter for up to 30 days. MAIN OUTCOME MEASURES: Time to first event analysis of death from all causes or repeat myocardial infarction. RESULTS: 500 Patients without signs of heart failure or depressed LV function were identified as nonhigh- risk and eligible for inclusion in the nurse practitioner intervention programme. In the implementation phase, none of the patients died and 0.9% developed a repeat myocardial infarction after 30 days of follow-up. Compared with the pilot phase, patients in the implementation phase spent fewer days in hospital (mean 11.1 versus 6.2 days; p<0.001). CONCLUSION: It is feasible to identify non-high-risk post-MI patients, who can be managed adequately by a nurse practitioner. Embedding experienced nurse practitioners within critical care pathways may result in significant decreases in length of hospital stay. (Neth Heart J 2009;17:61-7.Neth Heart J 2009;17:61-7.).
700a Sinclair, N4 aut
700a van der Ploeg, T J4 aut
700a Jaarsma, T4 aut
700a van Veldhuisen, D J4 aut
700a Umans, V A W M4 aut
773t Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundationg 17:2, s. 61-7q 17:2<61-7x 1568-5888
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-62420

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