# The “Smart + Specialty” integrated model improves emergency efficiency and success in aortic dissection

## TL;DR

A new treatment model called 'smart + specialty' improves emergency care for aortic dissection patients, increasing success rates and satisfaction while reducing adverse events.

## Contribution

The paper introduces and validates the 'smart + specialty' integrated model for emergency aortic dissection treatment.

## Key findings

- The study group had a 100% treatment success rate compared to 92.59% in the control group.
- Adverse events were significantly lower in the study group (3.53%) than in the control group (12%).

## Abstract

To explore the impact of the integrated treatment model under the “smart + specialty” concept on the treatment success rate and adverse events in emergency patients with aortic dissection (AoD).

A total of 166 patients with AoD treated at our hospital from March 2022 to April 2024 were selected and divided into two groups according to the order of treatment. The control group consisted of 81 patients treated from March 2022 to March 2023 and received routine emergency procedures, while the study group included 85 patients treated from April 2023 to April 2024 under the “smart + specialty” integrated treatment model. The treatment success rate, treatment efficiency, incidence of adverse events, and nursing satisfaction were compared between the two groups.

The treatment success rate in the study group was 100% (85/85), which was higher than the control group's rate of 92.59% (75/81), with a statistically significant difference (P = .03). The study group had shorter triage time, diagnosis time, emergency stay time, referral time to intensive care unit (ICU), and symptom remission time compared to the control group, with statistically significant differences (P < .001). The total incidence of adverse events in the study group was 3.53% (3/85), significantly lower than the control group's rate of 12.00% (9/75), and the total family nursing satisfaction in the study group was 96.47% (82/85), significantly higher than the control group's rate of 87.65% (71/81), with statistically significant differences (P = .04).

The “smart + specialty” integrated treatment model can improve treatment efficiency and success rates in emergency AoD patients, reduce the risk of adverse events, and enhance family nursing satisfaction.