RUcore: Rutgers University Community Repository
E-cigarette or vaping product use associated lung injury: an emergency medicine approach for early diagnosis and treatment
Descriptive
TitleInfo
Title
E-cigarette or vaping product use associated lung injury: an emergency medicine approach for early diagnosis and treatment
Name
(type = personal)
NamePart
(type = family)
Ortiz-Bernal
NamePart
(type = given)
Laura
DisplayForm
Laura Ortiz-Bernal
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Kamienski
NamePart
(type = given)
Mary
DisplayForm
Mary Kamienski
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
(type = personal)
NamePart
(type = family)
Astralaga
NamePart
(type = given)
Ingrid
DisplayForm
Ingrid Astralaga
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
outside member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
Genre
(authority = ExL-Esploro)
ETD doctoral
OriginInfo
DateCreated
(qualifier = exact);
(encoding = w3cdtf);
(keyDate = yes)
2021
DateOther
(type = degree);
(qualifier = exact);
(encoding = w3cdtf)
2021-05
Language
LanguageTerm
(authority = ISO 639-3:2007);
(type = text)
English
Abstract
(type = abstract)
Introduction. Electronic cigarettes (e-cigarettes) have gained popularity among the public leading to a catastrophic increase in use within recent years. An epidemic of E-cigarette or vaping product-use associated lung injury (EVALI) has killed 68 people and resulted in 2800 hospitalizations. EVALI presents with respiratory, gastrointestinal, and constitutional symptoms. A lack of provider knowledge exists regarding identification, screening, and management. No validated screening tools exist to screen for EVALI. A need for EVALI education among providers and standardized screening approaches is warranted.
Methodology. Design: Pre and post-test, retrospective, and prospective chart review approach. Setting: An Emergency Department of a hospital in New Jersey. Sample: (N=50); 39 Registered Nurses, 6 Physicians, 4 Physician Assistants, and 1 Nurse Practitioner. Interventions: Implementation of an EVALI screening tool, a pre and post-test before and after an educational vaping seminar, retrospective and prospective chart reviews to identify EVALI patients, and Likert Scale Survey for participant feedback of EVALI screening tool.
Results. A Wilcoxon Signed Rank Test showed a statistically significant increase in participant test scores. A 22% increase in vaping screening amongst all patients. There were 25 patients identified for possible EVALI via screening tool compared to 16 patients identified pre-intervention; 12.5% of patients received all recommended treatment pre-intervention and 24% post-intervention. There were 25% of patients that met CDC confirmed case EVALI pre-intervention and 12% post-intervention. However, 50% of patients identified prior received all of the CDC recommended treatment, and 100% of patients identified after received all treatment. Likert Survey results showed that the EVALI screening tool was effective, feasible, improved patient outcomes, improved provider competency, and recommended for sustained use.
Conclusion. EVALI results in severe lung injury and death if gone unidentified or treated. The adolescent population is at the highest risk for acquiring EVALI. This study addressed the lack of provider knowledge of EVALI and was the first to use a screening tool to identify EVALI in the emergency department. This study paves the way for new methods and standardized approaches to screening the vaping population to identify EVALI in emergency medicine.
Methodology. Design: Pre and post-test, retrospective, and prospective chart review approach. Setting: An Emergency Department of a hospital in New Jersey. Sample: (N=50); 39 Registered Nurses, 6 Physicians, 4 Physician Assistants, and 1 Nurse Practitioner. Interventions: Implementation of an EVALI screening tool, a pre and post-test before and after an educational vaping seminar, retrospective and prospective chart reviews to identify EVALI patients, and Likert Scale Survey for participant feedback of EVALI screening tool.
Results. A Wilcoxon Signed Rank Test showed a statistically significant increase in participant test scores. A 22% increase in vaping screening amongst all patients. There were 25 patients identified for possible EVALI via screening tool compared to 16 patients identified pre-intervention; 12.5% of patients received all recommended treatment pre-intervention and 24% post-intervention. There were 25% of patients that met CDC confirmed case EVALI pre-intervention and 12% post-intervention. However, 50% of patients identified prior received all of the CDC recommended treatment, and 100% of patients identified after received all treatment. Likert Survey results showed that the EVALI screening tool was effective, feasible, improved patient outcomes, improved provider competency, and recommended for sustained use.
Conclusion. EVALI results in severe lung injury and death if gone unidentified or treated. The adolescent population is at the highest risk for acquiring EVALI. This study addressed the lack of provider knowledge of EVALI and was the first to use a screening tool to identify EVALI in the emergency department. This study paves the way for new methods and standardized approaches to screening the vaping population to identify EVALI in emergency medicine.
Subject
(authority = RUETD)
Topic
Family Nurse Practitioner in Emergency Care
Subject
(authority = local)
Topic
EVALI
Subject
(authority = local)
Topic
EVALI screening tool
Subject
(authority = local)
Topic
E-cigarettes
Subject
(authority = local)
Topic
Screening tool
Subject
(authority = local)
Topic
Vaping related lung injury
Subject
(authority = LCSH)
Topic
Lungs -- Wounds and injuries -- Treatment
Subject
(authority = LCSH)
Topic
Lungs -- Wounds and injuries -- Diagnosis
Subject
(authority = LCSH)
Topic
Vaping
RelatedItem
(type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
ETD_11704
PhysicalDescription
Form
(authority = gmd)
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
1 online resource (129 pages) : illustrations
Note
(type = degree)
DNP
Note
(type = bibliography)
Includes bibliographical references
RelatedItem
(type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier
(type = local)
rucore10004500001
Location
PhysicalLocation
(authority = marcorg);
(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/t3-tb3g-hk11
Back to the top
Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
ORTIZ-BERNAL
GivenName
LAURA
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2021-04-16 16:12:35
AssociatedEntity
Name
LAURA ORTIZ-BERNAL
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2021-05-31
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = end)
2023-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2023.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
Back to the top
Technical
RULTechMD
(ID = TECHNICAL1)
ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
CreatingApplication
Version
1.7
DateCreated
(point = end);
(encoding = w3cdtf);
(qualifier = exact)
2021-04-16T20:08:17
DateCreated
(point = end);
(encoding = w3cdtf);
(qualifier = exact)
2021-05-13T11:11:12
Back to the top
Statistical Profile