ID 109921
Title Transcription
イリョウ カソ チイキ デノ エンカク シンリョウ シエン システム オ モチイタ ノウコウソク キュウセイキ イリョウ
Title Alternative
Acute ischemic care in a depopulated area using a telemedicine system for emergency medicine (k-support)
Author
Obata, Fumiaki Naka-cho National Health Insurance Kitou Clinic|Tokushima Prefectural Kaifu Hospital General Medicine
Kageji, Teruyoshi Department of Local Neurosurgery, Tokushima University Hospital KAKEN Search Researchers
Oka, Hirofumi Department of Local Neurosurgery, Tokushima University Hospital Tokushima University Educator and Researcher Directory
Tabata, Ryo Tokushima Prefectural Kaifu Hospital General Medicine|Department of General Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School KAKEN Search Researchers
Tani, Kenji Department of General Medicine, Institute of Biomedical Sciences, Tokushima University Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Bando, Hiroyasu Tokushima Prefectural Kaifu Hospital General Medicine
Keywords
drip and ship method
recombinant tissue plasminogen activator
k-support
telemedicine
telestroke
Content Type
Journal Article
Description
Introduction : The validity of intravenous rt-PA therapy for acute ischemic stroke patients within 4.5 hours after onset is reported, but the rate of the delivery of rt-PA therapy is assumed lower due to its lack of stroke specialists and its geographic location in depopulated areas. In February 2013, we developed the telemedicine system in our medically under-served area as a potential solution of medical disparities. Objects and Methods : After the introduction for 16 months, 95 acute ischemic stroke patients were transferred to our hospital, seven (7.37%) of which were subjected to the “drip and ship” method of rt-PA infusion using a telemedicine system for emergency medicine (k-support). We examined the time course after onset and the treatment outcome of these seven cases. Results : Seven cases had rt-PA infusion started in the depopulated area. In five cases, recanalization of occluded vessels were demonstrated resulting in improved clinical symptoms. Conclusion : It was able to give a standard therapy using rt-PA infusion for acute ischemic stroke and the quality of the cerebral infarction medical treatment was improved by building the telemedicine system in the depopulated area.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
71
Issue
3-4
Start Page
71
End Page
76
Sort Key
71
Published Date
2015-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences