关键词: 数智平台；A型主动脉夹层；围手术期；管理

Abstract: Objective: To develop an intelligent platform-based perioperative management program for patients with Type A Aortic Dissection (TAAD) and evaluate its effects, in order to improve patient outcomes. Methods: The perioperative management program based on an informatization platform for patients with TAAD was first constructed based on evidence and expert consultation. Then from January 2022 to January 2024, patients with TAAD who underwent surgery in a tertiary grade A hospital in Zhejiang province were included by convenience sampling method. The intervention group (n=56) was treated with the perioperative management program based on an informatization platform during February 2023 to January 2024, while the control group (n=53) received routine nursing program from January to November, 2022. We compared indicators including time needed for preoperative preparation, length of postoperative mechanical ventilation and ICU stay, as well as the number of times circulating nurses went out during operation. Besides, the usability of the platform was evaluated by the Usefulness, Satisfaction, and Ease of Use (USE) Questionnaire. Results: The results showed that the time needed for preoperative preparation, time of postoperative mechanical ventilation and the length of patients' ICU stay were all shortened and the number of times circulating nurses went out of the operating room was also reduced (P<0.001). The score of the USE Questionnaire was 6.34±0.29. Conclusion: The perioperative management program based on an informatization platform shows good usablity and can shorten the preparation time for TAAD surgery, reduce the duration of postoperative mechanical ventilation and ICU stay, as well as the number of times circulating nurses leaving the operating room to ultimately improve patient outcomes.

Key words: intelligent platform; Type A Aortic Dissection; perioperative period; management