CCU Network as Primary Care of Acute Myocardial Infarction : The Effectiveness and Limitations of Coronary Care Unit
スポンサーリンク
概要
- 論文の詳細を見る
The early pre-hospital care of patients with acute myocardial infarction (AMI) is critical because of high mortality during acute phase of AMI. A CCU network has been established by the Metropolitan Tokyo CCU Communication Society and the help of the Ambulance Units through the Control room of the Tokyo Fire Department, performing ECG telephone line transmission and telephone consultation. Out of 1439 patients admitted by means of CCU network during the 8-month period (Jan. 1982-Aug. 1982), 505 (30.3 percent) had AMI as a final cardiac diagnosis. Many patients were admitted directly to the CCU by ambulance from the place where the patient was located, with the shortest overall time of 7 hours 25 minutes. Fifty-three percent of patients with AMI were admitted within 6 hours after the onset of symptoms. The mean patients' decision time was 9 hours 48 minutes, which comprised one half of the overall period as well as physician delay of 6 hours 36 minutes on the average. Thus, community oriented educational programs to more fully inform the population and individual hospital evaluations to hospitalize patients with chest discomfort are needed in order to shorten the decision time and physician delay expediting the care of these patients.
- 社団法人日本循環器学会の論文
- 1984-07-20
著者
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Hirosawa Koshichiro
Heart Institute Japan Tokyo Women's Medical College
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Nagamine Koichi
Ccu Nippon Medical School
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Endo Takao
First Department Of Internal Medicine Nippon Medical School
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Hayakawa Hirokazu
The First Department Of Medicine Nippon Medical School
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Hayakawa Hirokazu
Internal Medicine Department Of Cardiology Nippon Medical School
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Hirosawa Koshichiro
Japanese Red Cross College Of Nursing
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Hayakawa Hirokazu
Department Of Physiological Laboratory Nippon Medical School
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ENDO TAKAO
Nippon Medical School Hospital
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Tanaka Keiji
CCU, Nippon Medical School
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Takano Teruo
CCU, Nippon Medical School
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ENDO TAKAO
CCU, Nippon Medical School
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NAGAMINE KOICHI
CCU, Nippon Medical School
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KATOH TAKAO
CCU, Nippon Medical School
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Hayakawa Hirokazu
Department Of Cardiology Nippon Medical School
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Kurihara Hiirotaka
Department Of Internal Medicine Nippon Medical School
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Hirosawa Koshichiro
Heart Institute Japan Tokyo Women's Medical College
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