Analysis of the Treatment of Acute Myocardial Infarction Using Ambulance Records in Japanese Cities
スポンサーリンク
概要
- 論文の詳細を見る
By means of ambulance records, the current state of medical services for the treatment of acute myocardial infarction(AMI) was investigated in Chiba City and Ichihara City, Japan. From all patients transported by ambulance personnel in 1992(n=31,191), 388 patients who were admitted within 2 weeks after the onset were studied. Types of admitting institution, diagnoses, medical treatments and prognoses were investigated. According to medical records, 168 patients fulfilled the criteria of definite AMI and were admitted alive. Percutaneous transluminal coronary angioplasty(PTCA) and recanalization(PTCR) were performed on 54 and 6 patients, respectively. The hospital case-fatality rates were lower in the patients who underwent emergency PTCA or PTCR than in the others. Emergency PTCA or PTCR, and admission to coronary care units(CCU) or institutions equipped with coronary angiography, decreased the fatality risk, even after considering age, sex, and disease severity. These results show the importance of the selection of institutions for AMI patients. Because 40% of definite AMI patients were sent to institutions without CCU, it is essential that enough CCU are available through an improvement in cooperation between the various types of institutions, and in the proper transfer of AMI patients to CCU
- 社団法人日本循環器学会の論文
- 1999-02-20
著者
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Watanabe Shigeru
Third Department Of Internal Medicine Chiba University School Of Medicine
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SHIMA Masayuki
Department of Public Health, Hyogo College of Medicine
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MASUDA Yoshiaki
Third Department of Internal Medicine, Chiba University School of Medicine
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Adachi Motoaki
Department Of Public Health Graduate School Of Medicine Chiba University
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Adachi Motoaki
Department Of Public Health Chiba University School Of Medicine
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Masuda Yoshiaki
The Third Department Of Internal Medicine Chiba University
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Funabashi Nobusada
Third Department of Internal Medicine
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Shima Masayuki
Department Of Public Health Chiba University School Of Medicine
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Masuda Yoshiaki
Third Department Of Internal Medicine Chiba University
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Watanabe Shigeru
The Third Department Of Internal Medicine Chiba University
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Adachi Motoaki
Department of Chemical Engineering, Graduate School of Engineering, Osaka Prefecture University, 1-1 Gakuen-cho, Naka-ku, Sakai 599-8531, Japan
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ADACHI Motoaki
Department of Chemical Engineering, Graduate School of Engineering, Osaka Prefecture University
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