直近一年間の累計
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ID 102833
タイトルヨミ
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
タイトル別表記
A Case of Brugada syndrome who completely recovered from out-of-hospital cardiac arrest because of good inter-hospital coordination
著者
高橋, 直希 医療法人倚山会田岡病院救急科
上山, 裕二 医療法人倚山会田岡病院救急科
山中, 明美 医療法人倚山会田岡病院救急科・麻酔科
吉岡, 一夫 医療法人倚山会田岡病院院長・外科
今中, 秀光 徳島大学病院ER・災害診療部 KAKEN研究者をさがす
キーワード
out-of hospital cardiac arrest
utstein style
brugada syndrome
good inter-hospital coordination
資料タイプ
学術雑誌論文
抄録
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.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
68
3-4
開始ページ
119
終了ページ
124
並び順
119
発行日
2012-08-25
備考
EDB ID
フルテキストファイル
言語
jpn
部局
病院