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Potential benefit of physician-staffed helicopter emergency medical service for regional trauma care system activation: An observational study in rural Japan
http://hdl.handle.net/10458/0002000477
http://hdl.handle.net/10458/000200047726bb0bf3-e248-4745-b65e-44b6adfece7e
| 名前 / ファイル | ライセンス | アクション |
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article (515 KB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2024-02-03 | |||||
| タイトル | ||||||
| タイトル | Potential benefit of physician-staffed helicopter emergency medical service for regional trauma care system activation: An observational study in rural Japan | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| キーワード | physician-staffed helicopter emergency medical service | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| キーワード | field triage | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| キーワード | rural trauma system | |||||
| 資源タイプ | ||||||
| 資源タイプ | journal article | |||||
| 著者 |
安部, 智大
× 安部, 智大× 長野, 健彦× 落合, 秀信 |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Objective: Involvement of all regional medical facilities in a trauma system is challenging in rural regions. We hypothesized that the physician-staffed helicopter emergency medical service potentially encouraged local facilities to participate in trauma systems by providing the transport of patients with trauma to those facilities in a rural setting. Materials and Methods: We performed two retrospective observational studies. First, yearly changes in the numbers of patients with trauma and destination facilities were surveyed using records from the Miyazaki physician-staffed helicopter emergency medical service from April 2012 to March 2014. Second, we obtained data from medical records regarding the mechanism of injury, severity of injury, resuscitative interventions performed within 24 h after admission, secondary transports owing to undertriage by attending physicians, and deaths resulting from potentially preventable causes. Data from patients transported to the designated trauma center and those transported to non-designated trauma centers in Miyazaki were compared. Results: In total, 524 patients were included. The number of patients transported to non-designated trauma centers and the number of non-designated trauma centers receiving patients increased after the second year. We surveyed 469 patient medical records (90%). There were 194 patients with major injuries (41%) and 104 patients with multiple injuries (22%), and 185 patients (39%) received resuscitative interventions. The designated trauma centers received many more patients with trauma (366 vs. 103), including many more patients with major injuries (47% vs. 21%, p < 0.01) and multiple injuries (25% vs. 13%, p < 0.01), than the non-designated trauma centers. The number of patients with major injuries and patients who received resuscitative interventions increased for non-designated trauma centers after the second year. There were 9 secondary transports and 26 deaths. None of these secondary transports resulted from undertriage by staff physicians and none of these deaths resulted from potentially preventable causes. Conclusion: The rural physician-staffed helicopter emergency medical service potentially encouraged non-designated trauma centers to participate in trauma systems while maintaining patient safety. |
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| 言語 | en | |||||
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| 内容記述タイプ | Other | |||||
| 内容記述 | Citation: Abe T, Nagano T, Ochiai H. Potential benefit of physician-staffed helicopter emergency medical service for regional trauma care system activation: An observational study in rural Japan. J Rural Med. 2017 May;12(1):12-19. doi: 10.2185/jrm.2919. Epub 2017 May 24. PMID: 28593012; PMCID: PMC5458347. |
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| 言語 | en | |||||
| 書誌情報 |
en : Journal of Rural Medicine 巻 12, 号 1, p. 12-19, 発行日 2017 |
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| 出版者 | ||||||
| 出版者 | THE JAPANESE ASSOCIATION OF RURAL MEDICINE | |||||
| 言語 | en | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1880-487X | |||||
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| 関連タイプ | isVersionOf | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.2185/jrm.2919 | |||||
| 権利 | ||||||
| 言語 | en | |||||
| 権利情報 | © 2017 by THE JAPANESE ASSOCIATION OF RURAL MEDICINE | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
