Epidemiology of Diseases in Tokorozawa City Resulting in Emergency Calls from Patients Who Experienced Disease Onset While in a Toilet
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Background: Going to the toilet alters blood circulation. Purpose: To investigate the epidemiology of diseases in which onset occurred while the patient was in a toilet. Methods: Between May 2003 and April 2004, we prospectively collected data from 74 consecutive patients who placed an emergency call in Tokorozawa city after going to a toilet. The gender, age, atmospheric temperature, and diagnosis upon arrival at the hospital of the subjects were analyzed. Results: Forty males and 34 females, with an average age of 68±16 years, were analyzed. Sixty-two patients had been using a Western-style toilet (sitting position), 2 had been using a Japanese-style toilet (squatting position), and two had been using a urinal; the style of toilet was not documented in the remaining 8 cases. Thirty-eight patients had used a toilet to defecate, and 28 patients had used a toilet to urinate; the activities of the remaining 8 patients were not documented. The percentage of patients who used a toilet to defecate and the percentage who used a toilet to urinate were not significantly different. Overall, 23 patients had central nervous diseases, 12 patients had syncope, 11 patients had gastroenteral diseases, 9 patients had cardiac diseases, 6 patients had shock, 4 patients had cardiopulmonary arrest, and 9 patients had other diseases. The incidence of cardiac diseases was higher than that of syncope when the atmospheric conditions were cold. Conclusion: Patients at risk or who have a past history of central nervous disease should be given medication to prevent disease onset while going to the toilet; similarly, patients at risk for syncope or cardiac disease should ensure that the atmosphere in their toilet is kept cool or warm, respectively.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
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