ID | 119203 |
タイトル別表記 | Drip-and-Ship Thrombolytic Therapy for Stroke Patients
|
著者 |
Obata, Fumiaki
Tokushima Prefectural Kaifu Hospital
岡, 博文
Tokushima University
坂東, 弘康
Tokushima Prefectural Kaifu Hospital
|
キーワード | drip-and-ship protocol
recombinant tissue plasminogen activator
telemedicine
telestroke
stroke
|
資料タイプ |
学術雑誌論文
|
抄録 | There are a few stroke specialists in medically under-served areas in Japan. Consequently, in remote area patients may not receive thrombolysis with intravenous recombinant tissue plasminogen activator (iv rt-PA), the standard treatment for acute ischemic stroke. Using a mobile telestroke support system (TSS) that accesses the internet via a smart phone, we implemented iv rt-PA infusion therapy under a drip-and-ship protocol to treat the stroke patients in medically under-served areas. The physicians at the Tokushima Prefectural Kaifu Hospital (TPKH), located in rural Japan, can relay CT or MRI scans and other patient data via their smart phone to off-site stroke specialists. In the course of 34 months, we used the TSS in 321 emergencies. A total of 9 of 188 (4.8%) with acute ischemic stroke, received iv rt-PA infusion therapy using a mobile TSS; in 5 among these (55.6%), we obtained partial or complete recanalization of occluded arteries. None suffered post-treatment hemorrhage and their average NIH stroke score fell from 14.6 at the time of admission to 6.8 at 24 h post-infusion. The drip-and-ship protocol contributed to the safe and effective treatment of the stroke patients living in medically under-served rural areas.
|
掲載誌名 |
Neurologia Medico-Chirurgica
|
ISSN | 04708105
13498029
|
cat書誌ID | AN00358613
|
出版者 | The Japan Neurosurgical Society
|
巻 | 56
|
号 | 12
|
開始ページ | 753
|
終了ページ | 758
|
発行日 | 2016
|
権利情報 | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License(https://creativecommons.org/licenses/by-nc-nd/4.0/).
|
EDB ID | |
出版社版DOI | |
出版社版URL | |
フルテキストファイル | |
言語 |
eng
|
著者版フラグ |
出版社版
|
部局 |
病院
医学系
|