View and development of stroke care unit (SCU) with current state and the future

概要

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Neurological institute was established in the Nippon Medical School Chiba Hokusou Hospital in April, 1999. We established stroke hot-line in a hospital and a clinic neighboring in about 300 places in April, 2000. Using stroke hot-line, 149 patients was hospitalized until April 30, 2005. They corresponded to 3.1% of the number of all inpatients of our institute. The helicopter emergency medical service (HEMS) of Chiba started on October, 2001. The HEMS (we called doctor helicopter) transported 1, 650 patients to our hospital, and 246 patients of them (22.2%) were hospitalized at our stroke care unit until December 31, 2004. The duration from the patient's emergency call to our hospital arrival was 28.4±6.8min (15-57min) using HEMS. The acute thrombolytic therapy was approved for use within 3 hours of the acute cerebral infarction by the Ministry of Health, Labour and Welfare, Japan, and has been available since October 2005 in Japan, yet few patients receive thrombolytics because of delay of patients' emergency call. The time is very important in the acute stroke therapy. Using the advantage of the doctor helicopter (HEMS) and stroke hot-line, we hope that many patients can receive benefit of the acute stroke therapy and that they rehabilitate into society.
一般社団法人日本集中治療医学会の論文