Abstract:
INTRODUCTION:This study aimed to develop a new model on the basis of the National Early Warning Score to predict intensive care unit admission and the mortality of patients with acute pancreatitis. METHODS:Patients diagnosed with acute pancreatitis in the emergency department were enrolled. The values of the National Early Warning Score, Modified Early Warning Score, and Bedside Index of Severity in Acute Pancreatitis in predicting intensive care unit admission and mortality of patients with acute pancreatitis were evaluated. RESULTS:A total of 379 patients with acute pancreatitis were enrolled; 77 patients (20.3%) were admitted to the intensive care unit and 14 (3.7%) died. The National Early Warning Score and calcium level were identified as independent risk factors of intensive care unit admission. Serum calcium exhibited a moderate correlation with National Early Warning Score (r = -0.46; P < 0.001), Modified Early Warning Score (r = -0.37; P < 0.001), and Bedside Index of Severity in Acute Pancreatitis (r = -0.39; P < 0.001). A new model called National Early Warning Score-calcium was developed by combining National Early Warning Score and calcium blood test result, which had larger areas under the curve for predicting intensive care unit admission and mortality than the other 3 scoring systems. DISCUSSION:A new model developed by combining National Early Warning Score and calcium exhibited better value in predicting the prognosis of acute pancreatitis than the models involving National Early Warning Score, Modified Early Warning Score, and Bedside Index of Severity in Acute Pancreatitis alone.
journal_name
J Emerg Nursjournal_title
Journal of emergency nursingauthors
Tan JW,Zhang XQ,Geng CM,Peng LLdoi
10.1016/j.jen.2019.11.003subject
Has Abstractpub_date
2020-03-01 00:00:00pages
171-179issue
2eissn
0099-1767issn
1527-2966pii
S0099-1767(19)30542-2journal_volume
46pub_type
杂志文章abstract::Trauma nurse experts often are included on the professional teams who survey hospitals for trauma center designation. Evaluation of trauma nursing care includes interviews with staff and review of policies, procedures, and other documents. Medical records are reviewed to validate the verbal reports and examine complia...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:INTRODUCTION:Emergency nurses routinely treat a wide variety of animal-related injuries, yet the trauma literature rarely addresses injuries associated with livestock. METHODS:The purpose of this retrospective, descriptive study was to examine the incidence, demographics, severity, and other factors associated with tr...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1067/men.2001.114583
更新日期:2001-04-01 00:00:00
abstract::The care of the psychiatric patient in the emergency department offers yet another opportunity for emergency nurses to draw on specialty nursing resources or to create expanded roles for emergency practitioners themselves. As our emergency departments continue to encounter increasing numbers of patients, the need for ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract::Hydrofluoric acid is a caustic compound found in a wide variety of items for household and industrial uses. Dermal exposures can be visually unimpressive on presentation but still have fatal complications. This case review includes a description of a patient presenting with a dermal hydrofluoric acid burn that was eff...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.08.005
更新日期:2021-01-01 00:00:00
abstract:INTRODUCTION:The primary purpose of this study was to assess relationships between opioid prescribing practices, patient and ED attributes, and patient satisfaction ratings of nursing and physician care among patients with high utilization of the emergency department for pain relief. METHODS:A retrospective cohort stu...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2017.03.022
更新日期:2017-11-01 00:00:00
abstract::TAC and half-strength TAC appear to be highly effective and convenient local anesthetic agents that offer an advantage over injected lidocaine in acceptance by children. The use of TAC is not without risk (cocaine toxicity, theft, and abuse). The decision of whether to use TAC is usually made by the physicians in the ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1994-06-01 00:00:00
abstract:INTRODUCTION:The Centers for Disease Control and Prevention (CDC) reports 136.9 million ED visits in 2015, of which 21.4 million (15.6%) were by patients who were 65 or older. This US population demographic is expected to grow by 112% over the next 40 years, becoming just below 25% of the total US population. Emergency...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2019.02.004
更新日期:2019-07-01 00:00:00
abstract:PROBLEM:A 7.2% increase in patient volume from 130,700 to 140,800 in 2012 prompted St Joseph's Regional Medical Center Emergency Department to review existing triage processes to decrease turnaround time. "Pivot triage" is a new, efficient intake process that entails use of 4 rather than 8 determinants to identify acui...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2015.07.014
更新日期:2016-09-01 00:00:00
abstract:INTRODUCTION:The purpose of this study was to describe characteristics, insights, and decision making of expert emergency nurses practicing in a triage environment. METHODS:A qualitative, descriptive study design was used. A purposive sample of 10 expert nurses from 2 midwestern emergency departments was recruited for...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1067/men.2002.127513
更新日期:2002-10-01 00:00:00
abstract:INTRODUCTION:ED crowding is a public health crisis, limiting quality and access to lifesaving care. The purpose of this study was to (1) evaluate the feasibility of radio-frequency identification tags to measure clinician-patient contact and (2) to test the relationship between ED occupancy and clinician-patient contac...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2018.03.005
更新日期:2018-11-01 00:00:00
abstract::Developing a criteria-based performance appraisal tool is a rewarding effort, but not one to be taken lightly. It took weeks. At times, the project loomed as "mission impossible." A reflection of its success is the fact that other ED staff members (e.g., charge nurses, clerks, triageurs, and lab assistants) now want c...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1993-08-01 00:00:00
abstract::Care of the patient with MI who receives thrombolytic therapy is an exciting challenge for the emergency nurse. By interrupting the process of cellular ischemia and necrosis, thrombolysis can salvage jeopardized myocardial tissue and lead to better patient outcome. Nursing interventions can help prevent possible compl...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract::Our DMAT pulled together with the energy, flexibility, and adaptability necessary to make things work. Sally Coan expressed it best, saying, "I was with a group of people who would do anything [that was] needed." Dedication and trust within the DMAT helped create lasting friendships. The islanders were appreciative an...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract::The purpose of this facility-level case report was to describe our facility's leadership process of applying the Donabedian model to structure an early response to the coronavirus disease pandemic relative to emergency care. Using the Donabedian model as a guide, both structure and process changes were implemented to ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.10.008
更新日期:2020-12-11 00:00:00
abstract:INTRODUCTION:This comparative correlational study investigated families who use the emergency department for childhood asthma to identify determinants of follow-up care. The primary hypothesis was: families who obtain follow-up care differ in predisposing, enabling, and need characteristics from families who do not obt...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2008.09.008
更新日期:2009-09-01 00:00:00
abstract:INTRODUCTION:This quality-improvement project aimed to evaluate the effectiveness of implementing multidisciplinary education and deploying utilization tools aimed at reducing the inappropriate insertion of indwelling urinary catheters (IUCs) in the emergency department. Literature supports the use of decision support ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2012.07.022
更新日期:2014-05-01 00:00:00
abstract::ED volume and acuity were anticipated to increase at an inner-city hospital. A strategy to mitigate the impact was needed. METHODS:A multidisciplinary team facilitated a workflow modification project implementing a Super Track to treat low-acuity patients. A literature review led to the creation of an evidence-based ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.jen.2016.03.029
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:Abuse experiences can have negative health consequences for women. Many women present to the emergency department for episodic, nonemergent care and may have unique needs as survivors of abuse. The purpose of this study was to describe child sexual abuse experiences, intimate partner violence, substance us...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2011.09.011
更新日期:2013-07-01 00:00:00
abstract::The illicit manufacturing and use of methamphetamine continues to be a significant and growing problem in the United States. Children are often found in homes where this activity is occurring and are affected by it on many levels. This article will provide background information on the manufacturing of methamphetamine...
journal_title:Journal of emergency nursing
pub_type: 杂志文章,评审
doi:10.1016/j.jen.2006.12.003
更新日期:2007-02-01 00:00:00
abstract::This descriptive study was conducted among 130 families in Milas, Turkey, who have children ages 0 to 14 years. Among the 130 families, a total of 53 children (40.8%) experienced a burn event. Twenty-seven subjects (51%) had treated the burn with inappropriate remedies including yogurt, toothpaste, tomato paste, ice, ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2009.12.018
更新日期:2010-03-01 00:00:00
abstract::The rise in ED utilization among older adults is a nursing concern, because emergency nurses are uniquely positioned to have a positive impact on the care of older adults. Symptoms have been associated with ED utilization; however, it remains unclear whether symptoms are the primary reason for ED utilization. The purp...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2016.10.001
更新日期:2017-01-01 00:00:00
abstract:INTRODUCTION:The objective of this study was to examine the effect of a novel mindfulness-based time-out intervention on state of mindfulness among emergency nurses and, accordingly, on patient satisfaction. METHODS:A pre-post intervention design among nurses in the emergency department was used with a between-subject...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.09.009
更新日期:2020-11-30 00:00:00
abstract:INTRODUCTION:Nurses, by the nature of their practice, are in a unique position to help patients complete advance directives (ADs). This article focuses on an open-ended question that was part of a larger quantitative survey, "What do emergency nurses need to increase their ability to assist patients with ADs?" METHODS...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2005.02.001
更新日期:2005-04-01 00:00:00
abstract:INTRODUCTION:Patient satisfaction, an important measurable outcome, allows nurses to assess what can be improved in nursing practice. The purpose of this study is to compare expectations of patients and nurses using 3 nursing care attributes: 1) friendliness, courtesy, and respectfulness; 2) comfort measures; and 3) de...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2013.02.010
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION:Contracting the human immunodeficiency virus (HIV) is a genuine concern for sexually assaulted patients. Emergency departments are a place where sexually assaulted patients seek care, including treatment to prevent HIV. Prompt administration of nonoccupational postexposure prophylaxis is essential because ...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2017.10.014
更新日期:2018-03-01 00:00:00
abstract:INTRODUCTION:Today the proportion of acute patients entering the health care system through emergency departments continues to grow, the number of uninsured patients relying primarily on treatment in the emergency department is increasing, and patients' average acuities are rising. At the same time, support resources a...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2009.11.027
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:The primary purpose of this study was to compare the rate of hemolysis in blood samples obtained by an i.v. catheter versus the rate in samples obtained by venipuncture (Vacutainer tubes and needles; Becton Dickinson Vacutainer Systems, Franklin Lakes, N.J.). Subsequently, variance in i.v. catheter diameter w...
journal_title:Journal of emergency nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0099-1767(96)80213-3
更新日期:1996-12-01 00:00:00
abstract::Agitated patients may come to the emergency department because of flares of a psychiatric illness, drug withdrawal, or reaction to a medical condition or trauma. Pharmacologic agents such as lorazepam may offer benefits to these patients, regardless of the cause of their symptoms. It is important to be familiar with t...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:INTRODUCTION:Trauma is a leading cause of death in South Korea. This study aimed to identify the factors associated with secondary traumatic stress of nurses working at regional trauma centers. METHODS:A survey-based cross-sectional design was utilized. Data were collected through a structured questionnaire consisting...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2020.08.006
更新日期:2020-11-20 00:00:00
abstract:UNLABELLED:Indwelling urinary catheters (IUCs) are placed frequently in older adults in the emergency department (ED). Though often a critical intervention, IUCs carry significant risks. Our objective was to examine current knowledge, attitudes, and practice of emergency nurses and other providers regarding IUC placeme...
journal_title:Journal of emergency nursing
pub_type: 杂志文章
doi:10.1016/j.jen.2015.02.013
更新日期:2015-09-01 00:00:00