徳島大学 教育・研究者情報データベース(EDB)

1. (日) 高橋 直希

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2. (日) 上山 裕二

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3. (日) 山中 明美

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4. 吉岡 一夫([徳島大学.大学院ヘルスバイオサイエンス研究部.再生修復医歯学部門.器官病態修復医学講座.消化器・移植外科学])

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5. 今中 秀光

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(英) A Case of Brugada syndrome who completely recovered from out-of-hospital cardiac arrest because of good inter-hospital coordination

(日) 病院間連携で社会復帰を目指す:約10分間の心停止にも関わらず病院間連携で社会復帰したBrugada症候群の一例を通じて

(日) Background : We present a case of Brugada syndrome, who fully recovered from out-ofhospitalcardiac arrest(OHCA)because of good coordination between the emergency room(ER)of a community hospital and the intensive care unit(ICU)of a university hospital. However, effectsof inter-hospital coordination on outcomes after OHCA need further elucidation. Objectives :To clarify the role of inter-hospital coordination in OHCA cases in Tokushima City, Tokushima, Japan.Methods : In accordance with the Utstein-style, we reviewed medical records of OHCA patientswho visited our ER from April2009to December2011. Results : Of149cases,53patientsachieved return of spontaneous circulation(ROSC)after OHCA. While seven patients experiencedwitnessed cardiogenic arrest due to ventricular fibrillation, 3patients(42．9%)among themsurvived at 1month and 2patients(28．6%)obtained satisfactory neurological recovery. Discussions: The survival rate of OHCA patients in our ER was better compared to the national survey.We speculated the reason of good outcome was that we appropriately transferred the patients tothe advanced hospital ICU for high-integrity care. Good inter-hospital coordination should be organizedto enhance full recovery in OHCA patients. This strategy may also prevent the concentrationof patients requiring emergency medical care to few specific hospitals such as emergencymedical centers. Conclusions : We rescued a case of OHCA thanks to good inter-hospital coordination.We should develop a safety net further for community residents.

1. (英) Male