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  1. 医学部
  1. 医学部
  2. 学術雑誌掲載論文  (医学部)

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/10458/0002000477
26bb0bf3-e248-4745-b65e-44b6adfece7e
名前 / ファイル ライセンス アクション
tomohiroabe.pdf article (515 KB)
Item type 学術雑誌論文 / Journal Article(1)
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

WEKO 28643
e-Rad 70727974

en Abe, Tomohiro

ja 安部, 智大

ja-Kana アベ, トモヒロ


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長野, 健彦

× 長野, 健彦

WEKO 34192
e-Rad_Researcher 60642254

ja 長野, 健彦

ja-Kana ナガノ, タケヒコ

en Nagano, Takehiko


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落合, 秀信

× 落合, 秀信

WEKO 28646
e-Rad_Researcher 40224258

ja 落合, 秀信

ja-Kana オチアイ, ヒデノブ

en Ochiai, Hidenobu


Search repository
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.
言語 en
内容記述
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.
言語 en
書誌情報 en : Journal of Rural Medicine

巻 12, 号 1, p. 12-19, 発行日 2017
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
DOI
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
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Cite as

安部, 智大, 長野, 健彦, 落合, 秀信, 2017, Potential benefit of physician-staffed helicopter emergency medical service for regional trauma care system activation: An observational study in rural Japan: THE JAPANESE ASSOCIATION OF RURAL MEDICINE, 12–19 p.

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