Utilization of Coronary Care Units in Sweden

1977 ◽  
Vol 5 (3) ◽  
pp. 141-144 ◽  
Author(s):  
Bernard S. Bloom ◽  
Egon Jonsson ◽  
Marie-Louise Dolk
Keyword(s):  
Coronary Care Unit ◽  
Optimal Solution ◽  
The United States ◽  
Teaching Hospitals ◽  
Hospital Units ◽  
Rational Distribution ◽  
Continued Use ◽  
Coronary Care ◽  
Good Organization ◽  
Coronary Care Units

Coronary care unit usage has expanded rapidly in all high income countries with little attention to effectivity or cost. A study of six randomly chosen Swedish units showed that larger units in teaching hospitals had significantly lower age-adjusted mortality rates, higher proportions of myocardial infarction patients, and greater productivity and efficiency. Comparisons with a study from the United States showed better results in the Swedish hospital units according to all variables measured. Although proof of effectiveness of CCU's is lacking, their continued use is assured. A less than optimal solution is a rational distribution of units based upon epidemiologically determined need, while stressing good organization and efficiency.

scholarly journals Pilot study of the relationship between heart rate and ectopy and unrestricted vs restricted visiting hours in the coronary care unit

1993 ◽  
Vol 2 (2) ◽  
pp. 134-136 ◽  
Author(s):  
DA Schulte ◽  
LO Burrell ◽  
SH Gueldner ◽  
MH Bramlett ◽  
B Fuszard ◽  
...  
Keyword(s):  
Heart Rate ◽  
Coronary Care Unit ◽  
Premature Ventricular Contractions ◽  
Unit Design ◽  
Natural Support ◽  
Group A ◽  
Coronary Care ◽  
Group B ◽  
The Relationship ◽  
Coronary Care Units

OBJECTIVE: To determine the relationship between cardiac performance (as measured by heart rate and ectopy) and unrestricted vs restricted visiting hours in the coronary care unit. DESIGN: Patients were from two coronary care units. Group A had unrestricted visiting hours, and group B had restricted visiting hours. Heart rate and ectopy were measured three times both in patients with unrestricted visiting hours and in those with restricted visiting hours: (1) before visitors arrived, (2) 5 minutes after visitors arrived and (3) 1 to 5 minutes after the visitors left. A total of 25 visits were analyzed. FINDINGS: There were no significant differences in rates of premature ventricular contractions and premature atrial contractions between the two groups. Patients with unrestricted visiting hours had a significantly lower heart rate after visits than patients with restricted visits. CONCLUSION: Consideration should be given to development of unrestricted visiting policies that promote the continuing presence and natural support of the family and significant others for patients in coronary care units.

scholarly journals The Effect of Teach-Back Training on Self-Care and Readmission of Patients with Heart Failure

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Hedie Mesbahi ◽  
Fatihe Kermansaravi ◽  
Fatemeh Kiyani
Keyword(s):  
Heart Failure ◽  
Coronary Care Unit ◽  
Intervention Group ◽  
Self Care ◽  
T Test ◽  
Teaching Hospitals ◽  
Control Group ◽  
Patients With Heart Failure ◽  
Care Training ◽  
Coronary Care

Background: Teach-back training is one of the interactive teaching methods that assess the learner's understanding by asking questions and provide a proper educational context for behavior change. Involving patients with heart failure in treatment is a top priority. Objectives: Accordingly, the present study aimed to explore the effect of teach-back training on self-care and readmission of patients with heart failure. Methods: The present quasi-experimental study was conducted on 80 patients with heart failure in the Coronary Care Unit (CCU) and Post Coronary Care Unit (PCCU) of teaching hospitals affiliated to Zahedan University of Medical Sciences in southeastern Iran in 2019. The patients were selected via the convenience sampling method and randomly placed into two intervention and control groups. In the intervention group, self-care training was performed individually using the teach-back method in four sessions, each lasting 30 to 60 minutes. In contrast, the participants in the control group conventionally received self-care training. The instruments used to collect the data were the demographic information form and the European Heart Failure Self Care Behavior (EHFSCB). The EHFSCB was completed by the participants in the two groups in two stages before and three months after the intervention. The number of readmissions and the number of visits to the doctor at the end of the third month after discharge were recorded for all patients by directly asking the patients. The collected data were analyzed using SPSS-22 software, the independent samples t-test, paired-samples t-test, and chi-square test at a significant level of P < 0.05. Results: After three months, the mean scores of total self-care behaviors during the intervention were significantly different between the two groups (P < 0.001). Besides, the average number of readmissions due to heart disease three months after the intervention showed the positive effect of the intervention in reducing readmissions in patients in the intervention group (P = 0.002). Conclusions: This study showed that teach-back training could affect self-care behaviors positively and reduce the number of readmissions of patients with heart failure. Therefore, it is recommended that nurses use this training method to teach self-care behaviors to heart patients.

scholarly journals Monitoring Acute Myocardial Infarction Complicated with Cardiogenic Shock — from the Emergency Room to Coronary Care Units

2017 ◽  
Vol 3 (2) ◽  
pp. 61-71
Author(s):  
Andreea Barcan ◽  
Zsuzsanna Suciu ◽  
Emese Rapolti
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Cardiogenic Shock ◽  
Coronary Care Unit ◽  
Therapeutic Interventions ◽  
Assessment And Monitoring ◽  
Novel Biomarkers ◽  
Coronary Care ◽  
Critical Patients ◽  
Coronary Care Units

AbstractCardiogenic shock remains the leading cause of death in patients hospitalized for acute myocardial infarction, despite many advances encountered in the last years in reperfusion, mechanical, and pharmacological therapies addressed to stabilization of the hemodynamic condition of these critical patients. Such patients require immediate initiation of the most effective therapy, as well as a continuous monitoring in the Coronary Care Unit. Novel biomarkers have been shown to improve diagnosis and risk stratification in patients with cardiogenic shock, and their proper use may be especially important for the identification of the critical condition, leading to prompt therapeutic interventions. The aim of this review was to evaluate the current literature data on complex biomarker assessment and monitoring of patients with acute myocardial infarction complicated with cardiogenic shock in the Coronary Care Unit.

Management of temporary epicardial pacing wires in the cardiac surgical patient

2021 ◽  
pp. 1-7
Author(s):  
Jeevan Francis ◽  
Sneha Prothasis ◽  
Rutwik Hegde ◽  
Antony Attia ◽  
Keith Buchan
Keyword(s):  
Cardiac Rhythm ◽  
Coronary Care Unit ◽  
Early Period ◽  
Surgical Patient ◽  
Cardiac Surgical Patient ◽  
Temporary Pacing ◽  
Coronary Care ◽  
Epicardial Pacing ◽  
Hospital Wards ◽  
Coronary Care Units

Temporary epicardial pacing wires are used after cardiothoracic surgery to maintain a stable cardiac rhythm. They must be distinguished from the more commonly encountered transvenous temporary pacing wires, which are often used in coronary care units for the same purpose. Patients with temporary epicardial pacing wires may be transferred to hospital wards where these wires are not usually encountered, such as COVID wards, the general intensive care unit, the coronary care unit or general surgical wards if a laparotomy was required in the early period following cardiac surgery. Serious complications may arise in managing patients with temporary epicardial pacing wires, which are well known in the cardiothoracic unit but not so well known elsewhere in the hospital. This article discusses the dangers associated with the management of temporary epicardial pacing wires in adult patients, some of which are common to temporary transvenous pacing wires and others are unique to temporary epicardial pacing wires.

Nosocomial infections in coronary care units in the United States

1998 ◽  
Vol 82 (6) ◽  
pp. 789-793 ◽  
Author(s):  
MichaelJ Richards ◽  
JonathanR Edwards ◽  
DavidH Culver ◽  
RobertP Gaynes
Keyword(s):  
United States ◽  
Nosocomial Infections ◽  
The United States ◽  
Coronary Care ◽  
Coronary Care Units

Management of Ventricular Fibrillation during Acute Myocardial Infarction

1984 ◽  
Vol 23 (04) ◽  
pp. 209-213
Author(s):  
B. J. Northover
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Ventricular Fibrillation ◽  
Coronary Care Unit ◽  
Patient Survival ◽  
Left Ventricular ◽  
Ventricular Failure ◽  
Before And After ◽  
Coronary Care ◽  
The Creation

SummaryAnalysis of electrocardiograms tape-recorded from patients admitted to hospital with acute myocardial infarction revealed that the pattern of ventricular extrasystolic activity was not significantly different among those who subsequently developed ventricular fibrillation and those who did not. Episodes of ventricular fibrillation occurred predominantly within 4 hours from the start of infarction. Patients were 3 times less likely to survive an episode of ventricular fibrillation if they also had left ventricular failure than if this feature was absent. Management of episodes of ventricular fibrillation was compared in patients before and after the creation of a specially staffed and equipped coronary care unit. The success of electric shock as a treatment for ventricular fibrillation was similar before and after the creation of the coronary care unit. An attempt was made to determine which features in the management of ventricular fibrillation in this and in previously published series were associated with patient survival.

Predictive Value of Decreasing Antithrombin III in Deep-Vein Thrombosis

1980 ◽  
Vol 44 (03) ◽  
pp. 135-137 ◽  
Author(s):  
Thorkild Lund Andreasen
Keyword(s):  
Deep Vein Thrombosis ◽  
Predictive Value ◽  
Coronary Care Unit ◽  
Antithrombin Iii ◽  
Predictive Values ◽  
Vein Thrombosis ◽  
At Iii ◽  
Coronary Care ◽  
Time Of Admission ◽  
Deep Vein

SummaryAntithrombin III (At-III) was measured at the time of admission and two days later in 131 patients laid up in a coronary care unit. The patients were examined for deep-vein thrombosis (DVT) clinically and by means of 125I-fibrinogen scanning. 19 patients developed DVT. In 11 subjects with and 25 without DVT At-III decreased more than 10%. And in 7 with and 17 without DVT At-III decreased more than 15%. One person with DVT had subnormal At-III. By using decrease of At-III or subnormal initial At-III to predict DVT the following predictive value (PV) were found. Decrease ≤ 10%, PV pos.= 0.32 and PV neg. = 0.93. Decrease ≤ 15%, PV pos. = 0.32 and PV neg. = 0.90. The positive predictive values obtained were too low to let decreasing At-III give occasion for prophylactic anticoagulant treatment.

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