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Your search keyword '"Yung-Chung Huang"' showing total 3 results
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3 results on '"Yung-Chung Huang"'

1. The impact of door-to-electrocardiogram time on door-to-balloon time after achieving the guideline-recommended target rate.

Author

Chih-Kuo Lee, Shih-Wei Meng, Ming-Hsien Lee, Hsiu-Chi Chen, Chia-Ling Wang, Hui-Ning Wang, Min-Tsun Liao, Mu-Yang Hsieh, Yung-Chung Huang, Edward Pei-Chuan Huang, and Chih-Cheng Wu

Subjects
Medicine, Science
Abstract

BACKGROUND:Little is known about the components and contributing factors of door-to-balloon time after implementation of Door-to-Balloon Alliance quality-improving (QI) strategies, including the impact of door-to-ECG time on door-to-balloon time. OBJECTIVE:We investigated whether modification of emergency department (ED) triage processes could improve door-to-ECG and door-to-balloon times after implementation of QI strategies. METHODS:This was a retrospective before-and-after study of a prospectively collected database. From June 2014 to October 2014, interventions were implemented in our ED, including a protocol-driven ECG initiation and moving an ECG station and technician to the triage area. The primary outcome was the percentage of patients with ST-elevation myocardial infarction (STEMI) who received ECG within 10 min of arrival; the secondary outcome was the percentage of patients with door-to-balloon times of

Published
2019
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2. A-qCPR risk score screening model for predicting 1-year mortality associated with hospice and palliative care in the emergency department

Author

Dachen Chu, Ruei-Fang Wang, Yung-Chung Huang, Chao-Chih Lai, Ping-Yeh Fu, Chung-Hsien Chaou, Chen Yang Hsu, Sheng-Jean Huang, Hsiu-Hsi Chen, and Shih-Pin Lin

Subjects
medicine.medical_specialty, Palliative care, Framingham Risk Score, Adolescent, business.industry, Palliative Care, Hospices, 030208 emergency & critical care medicine, General Medicine, Emergency department, Prognosis, 03 medical and health sciences, 0302 clinical medicine, Anesthesiology and Pain Medicine, ROC Curve, Risk Factors, 030220 oncology & carcinogenesis, Emergency medicine, Humans, Medicine, Emergency Service, Hospital, 1 year mortality, business, Retrospective Studies
Abstract

Background:Evaluating the need for palliative care and predicting its mortality play important roles in the emergency department.Aim:We developed a screening model for predicting 1-year mortality.Design:A retrospective cohort study was conducted to identify risk factors associated with 1-year mortality. Our risk scores based on these significant risk factors were then developed. Its predictive validity performance was evaluated using area under receiving operating characteristic analysis and leave-one-out cross-validation.Setting and participants:Patients aged 15 years or older were enrolled from June 2015 to May 2016 in the emergency department.Results:We identified five independent risk factors, each of which was assigned a number of points proportional to its estimated regression coefficient: age (0.05 points per year), qSOFA ⩾ 2 (1), Cancer (4), Eastern Cooperative Oncology Group Performance Status score ⩾ 2 (2), and Do-Not-Resuscitate status (3). The sensitivity, specificity, positive predictive value, and negative predictive value of our screening tool given the cutoff larger than 3 points were 0.99 (0.98–0.99), 0.31 (0.29–0.32), 0.26 (0.24–0.27), and 0.99 (0.98–1.00), respectively. Those with screening scores larger than 9 points corresponding to 64.0% (60.0–67.9%) of 1-year mortality were prioritized for consultation and communication. The area under the receiving operating characteristic curves for the point system was 0.84 (0.83–0.85) for the cross-validation model.Conclusions:A-qCPR risk scores provide a good screening tool for assessing patient prognosis. Routine screening for end-of-life using this tool plays an important role in early and efficient physician-patient communications regarding hospice and palliative needs in the emergency department.

Published
2020
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3. Appendix1008 – Supplemental material for A-qCPR risk score screening model for predicting 1-year mortality associated with hospice and palliative care in the emergency department

Author

Ruei-Fang Wang, Chao-Chih Lai, Ping-Yeh Fu, Yung-Chung Huang, Sheng-Jean Huang, Dachen Chu, Shih-Pin Lin, Chung-Hsien Chaou, Hsu, Chen-Yang, and Hsiu-Hsi Chen

Subjects
FOS: Clinical medicine, 111702 Aged Health Care, FOS: Health sciences, 110308 Geriatrics and Gerontology
Abstract

Supplemental material, Appendix1008 for A-qCPR risk score screening model for predicting 1-year mortality associated with hospice and palliative care in the emergency department by Ruei-Fang Wang, Chao-Chih Lai, Ping-Yeh Fu, Yung-Chung Huang, Sheng-Jean Huang, Dachen Chu, Shih-Pin Lin, Chung-Hsien Chaou, Chen-Yang Hsu and Hsiu-Hsi Chen in Palliative Medicine

Published
2020
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