ID 102833
Title Transcription
ビョウインカン レンケイ デ シャカイ フッキ オ メザス : ヤク 10プンカン ノ シンテイシ ニモ カカワラズ ビョウインカン レンケイ デ シャカイ フッキシタ Brugada ショウコウグン ノ イチレイ オ ツウジテ
Title Alternative
A Case of Brugada syndrome who completely recovered from out-of-hospital cardiac arrest because of good inter-hospital coordination
Author
Takahashi, Naoki Department of Emergency Medicine, Izankai TAOKA Hospital
Ueyama, Yuuji Department of Emergency Medicine, Izankai TAOKA Hospital
Yamanaka, Akemi Department of Emergency Medicine・Department of Anesthesiology, Izankai TAOKA Hospital
Yoshioka, Kazuo Department of Surgery, Izankai TAOKA Hospital
Imanaka, Hideaki ER・Disaster Department, Tokushima University Hospital KAKEN Search Researchers
Keywords
out-of hospital cardiac arrest
utstein style
brugada syndrome
good inter-hospital coordination
Content Type
Journal Article
Description
Background : We present a case of Brugada syndrome, who fully recovered from out-ofhospital cardiac arrest(OHCA)because of good coordination between the emergency room(ER) of a community hospital and the intensive care unit(ICU)of a university hospital. However, effects of inter-hospital coordination on outcomes after OHCA need further elucidation. Objectives : To clarify the role of inter-hospital coordination in OHCA cases in Tokushima City, Tokushima, Japan. Methods : In accordance with the Utstein-style, we reviewed medical records of OHCA patients who visited our ER from April2009to December2011. Results : Of149cases,53patients achieved return of spontaneous circulation(ROSC)after OHCA. While seven patients experienced witnessed cardiogenic arrest due to ventricular fibrillation, 3patients(42.9%)among them survived at 1month and 2patients(28.6%)obtained satisfactory neurological recovery. Discussions : The survival rate of OHCA patients in our ER was better compared to the national survey. We speculated the reason of good outcome was that we appropriately transferred the patients to the advanced hospital ICU for high-integrity care. Good inter-hospital coordination should be organized to enhance full recovery in OHCA patients. This strategy may also prevent the concentration of patients requiring emergency medical care to few specific hospitals such as emergency medical centers. Conclusions : We rescued a case of OHCA thanks to good inter-hospital coordination. We should develop a safety net further for community residents.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
68
Issue
3-4
Start Page
119
End Page
124
Sort Key
119
Published Date
2012-08-25
Remark
EDB ID
FullText File
language
jpn
departments
University Hospital