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院外心停止に対する蘇生中止基準に関する研究
https://doi.org/10.24517/00051589
https://doi.org/10.24517/000515899e7cd50b-732f-4df2-9473-b7b3029defe7
名前 / ファイル | ライセンス | アクション |
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ME-PR-GOTO-Y-kaken 2018-4p.pdf (89.5 kB)
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Item type | 報告書 / Research Paper(1) | |||||
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公開日 | 2019-04-18 | |||||
タイトル | ||||||
タイトル | 院外心停止に対する蘇生中止基準に関する研究 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Development of termination of resuscitation rule for out-of-hospital cardiac arrest | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_18ws | |||||
資源タイプ | research report | |||||
ID登録 | ||||||
ID登録 | 10.24517/00051589 | |||||
ID登録タイプ | JaLC | |||||
著者 |
後藤, 由和
× 後藤, 由和 |
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著者別表示 |
Goto, Yoshikazu
× Goto, Yoshikazu |
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提供者所属 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 金沢大学医薬保健研究域医学系 | |||||
書誌情報 |
平成29(2017)年度 科学研究費補助金 基盤研究(C) 研究成果報告書 en : 2017 Fiscal Year Final Research Report 巻 2015-04-01 - 2018-03-31, p. 4p., 発行日 2018-05-30 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 我が国で初めてとなる救急隊の現場活動時間を考慮した「現場蘇生中止基準」を開発するべく, 消防庁の全国集計データを用いて観察研究を行った. 開発した基準は, 次の3基準すべてを満たす症例に適応できると考えられた. すなわち, 目撃なし・電気ショック適応の初期心電図なし・救急隊の蘇生処置が15分で自己心拍再開なしの3項目である.本基準に該当する症例は全院外心停止例の約9%と推定され, 心停止後1か月死亡に対する陽性適中率と特異度は, それぞれ99.1%と98.8%であった. 本基準の導入は, 救急隊の搬送例の減少, 搬送時に生じるリスク回避および病院における医療資源の効率化に役立つと考えられる. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Using Japanese nationwide registry for out-of-hospital cardiac arrest (OHCA), we have developed a termination-of-resuscitation (TOR) rule in the field for patients with refractory OHCA, including the resuscitation duration by emergency medical services (EMS) personnel. The developed TOR rule is as follows: EMS personnel could consider termination of resuscitation in the field if patients meet all 3 of following criteria; (1) unwitnessed arrest (2)initial non-shockable rhythm, and (3) no return of spontaneous circulation after 15 minutes of EMS-initiated cardiopulmonary resuscitation. The specificity and positive predictive value for predicting 1-month death in patients who met these 3 criteria were 99.1% and 98.8%, respectively. Implementation of this TOR rule would have reduced the percentage of patients transported to the emergency department, approximately 9%, and the number of attendant hazards to EMS personnel, and have improved the utilization of hospital healthcare resources. | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 研究課題/領域番号:15K08543, 研究期間(年度):2015-04-01 - 2018-03-31 | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 出典:研究課題「院外心停止に対する蘇生中止基準に関する研究」課題番号15K08543 (KAKEN:科学研究費助成事業データベース(国立情報学研究所)) (https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K08543/15K08543seika/)を加工して作成 |
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著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/search/?qm=60282167 | |||||
関連名称 | https://kaken.nii.ac.jp/search/?qm=60282167 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15K08543/ | |||||
関連名称 | https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-15K08543/ | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K08543/15K08543seika/ | |||||
関連名称 | https://kaken.nii.ac.jp/report/KAKENHI-PROJECT-15K08543/15K08543seika/ |