Application of GRACE and CRUSADE in the nursing care for patients with acute coronary syndrome
10.3760/cma.j.issn.1674-2907.2017.24.006
- VernacularTitle:GRACE评分和CRUSADE评分在急性冠脉综合征患者护理中的应用比较
- Author:
Zhilian ZHANG
1
;
Cuixia DONG
;
Xiaoye NIU
;
Lin ZHANG
;
Yanbo WANG
;
Xinshun GU
Author Information
1. 河北医科大学第二医院护理部
- Keywords:
Acute coronary syndrome;
Nursing care;
Percutaneous coronary intervention;
Global registry of acute coronary events;
Can rapid risk stratification of unstable angina patients suppress adverse outcomes with early implementation of the ACC/AHA guidelines
- From:
Chinese Journal of Modern Nursing
2017;23(24):3088-3092
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of global registry of acute coronary events (GRACE) and Can Rapid risk stratification of unstable angina patients suppress adverse outcomes with early implementation of the ACC/AHA guidelines(CRUSADE) score in the nursing care for patients with acute coronary syndrome (ACS).Methods A total of 128 patients with ACS undergoing percutaneous coronary intervention (PCI) who were admitted from March 2015 to May 2016 were enrolled in this study and divided into usual care group (63 cases) and optimized care group (65 cases). Patients in the usual care group received usual care according to the guidelines, while patients in the optimized care group received optimized care according to GRACE and CRUSADE score. The major adverse cardiac events, the incidence of bleeding complications, average hospitalization and hospitalization costs were recorded and compared between the two groups. Results The characteristics of angiography (multiple vessel rate and target vessel distribution) and procedures of PCI (position, number, length and diameter of stents, coronary blood flow classification after the implantation of stents) were similar (all P>0.05). There were tendencies of reduction in the incidence of MACE, bleeding complications and average hospitalization time in patients of optimized care group compared to the usual care group, with no statistically significant differences between the two groups (P>0.05). The hospitalization costs in the optimized care group (33491±1982)RMB were significantly less than those in the usual care group (36562±2395)RMB. The difference was statistically significant (t=-7.914,P<0.001).Conclusions Optimized care according to GRACE and CRUSADE can improve the treatment effects of ACS patients undergoing PCI and decrease the cost.
