ID 97915
Title Transcription
ノウソッチュウ センモンイ フザイ チイキ ニオケル ノウソッチュウ チリョウ ト ヨゴ ノ ケントウ : トクシマケン ナンブ Ⅱ ホケン イリョウケン ト トクシマ ダイガク ノウソッチュウ センター トノ ヒカク ケントウ
Title Alternative
Evaluating stroke treatment in the south Tokushima II medical areas without stroke specialists
Author
Satomi, Junichiro Department of Neurosurgery, Tokushima University Hospital KAKEN Search Researchers
Kageji, Teruyoshi Department of Neurosurgery, Tokushima University Hospital KAKEN Search Researchers
Nishimura, Masaji Emergency and Critical Care Medicine, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
t‐PA
stroke care
cerebral infarction
south Tokushima II medical areas
Content Type
Journal Article
Description
INTRODUCTION:
For cranial nerve diseases, particularly stroke, early-stage treatment by stroke specialists can significantly alter patient prognosis. With respect to the treatment of acute cerebral infarction, t‐PA was approved for health insurance coverage in Japan in November2005, and has greatly influenced medical practice. However, the use of t‐PA necessitates an expertise in stroke treatment, and the drug cannot be used in areas where stroke specialists are absent. Consequently, disparities may be occurring in stroke treatment among different areas. We accordingly aimed to evaluate stroke patients in the south Tokushima Ⅱ medical areas(south Ⅱ medical areas)without stroke specialists and those transferred to the stroke care unit in the Stroke Center of Tokushima University Hospital(Tokushima University Hospital SCU), and to clarify the presence or absence of disparities in area-based stroke treatment in Tokushima.
METHODS:
The subjects were103stroke patients in the south Tokushima II medical areas without stroke specialists and 317 stroke patients in Tokushima University Hospital SCU, who were assessed between October1,2009and September30,2010.
RESULTS:
In the areas without stroke specialists, the prognosis of42% of the cerebral infarction patients was related to the absence of stroke specialists, and to geographical disadvantages. In48% of the cerebral infarction patients in the areas without stroke specialists, the lapse time after the onset of cerebral infarction exceeded3h at their initial examinations. However, this is considered likely to be improved by the implementation of stroke awareness activities.
DISCUSSION:
Cerebral infarction, which is common in the elderly, is expected to increase in frequency and severity in the future. Therefore, rigorous prevention, awareness activities to spread super-acute stroke treatment using t‐PA, and medical environmental improvement are necessary.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
68
Issue
1-2
Start Page
35
End Page
40
Sort Key
35
Published Date
2012-04-25
Remark
EDB ID
FullText File
language
jpn
departments
University Hospital
Medical Sciences