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タイトル別表記
Drip-and-Ship Thrombolytic Therapy for Stroke Patients
著者
影治, 照喜 Tokushima Prefectural Kaifu Hospital KAKEN研究者をさがす
Obata, Fumiaki Tokushima Prefectural Kaifu Hospital
岡, 博文 Tokushima University
田畑, 良 The University of Tokushima KAKEN研究者をさがす
谷, 憲治 The University of Tokushima KAKEN研究者をさがす
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
56
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