| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○カテゴリ (推奨): | □ | 研究
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| ○学究種別 (推奨): |
| ○組織 (推奨): |
| ○著者 (必須): | 1. | 影治 照喜
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| 2. | (英) Obata Fumiaki (日) (読)
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| 3. | 岡 博文
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| 4. | 兼松 康久
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| 5. | 田畑 良
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| 6. | 谷 憲治
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| 7. | 坂東 弘康 ([徳島県立中央病院])
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| 8. | 永廣 信治
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| ○題名 (必須): | □ | (英) Drip-and-ship thrombolytic therapy Supported by the telestroke system for acute ischemic stroke patients living in medically under-served Areas. (日)
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| ○要約 (任意): | □ | (英) There are a few stroke specialists in medically under-served areas in Japan. Consequently, in remote area patients may not receive thrombolysis with intravenous recombinant tissue plasminogen activator (iv rt-PA), the standard treatment for acute ischemic stroke. Using a mobile telestroke support system (TSS) that accesses the internet via a smart phone, we implemented iv rt-PA infusion therapy under a drip-and-ship protocol to treat the stroke patients in medically under-served areas. The physicians at the Tokushima Prefectural Kaifu Hospital (TPKH), located in rural Japan, can relay CT or MRI scans and other patient data via their smart phone to off-site stroke specialists. In the course of 34 months, we used the TSS in 321 emergencies. A total of 9 of 188 (4.8%) with acute ischemic stroke, received iv rt-PA infusion therapy using a mobile TSS; in 5 among these (55.6%), we obtained partial or complete recanalization of occluded arteries. None suffered post-treatment hemorrhage and their average NIH stroke score fell from 14.6 at the time of admission to 6.8 at 24 h post-infusion. The drip-and-ship protocol contributed to the safe and effective treatment of the stroke patients living in medically under-served rural areas. (日)
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| ○キーワード (推奨): | 1. | (英) Aged (日) (読)
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| 2. | (英) Aged, 80 and over (日) (読)
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| 3. | (英) Female (日) (読)
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| 4. | (英) Fibrinolytic Agents (日) (読)
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| 5. | (英) Humans (日) (読)
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| 6. | 日本 (Japan)
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| 7. | (英) Male (日) (読)
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| 8. | (英) Medically Underserved Area (日) (読)
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| 9. | (英) Stroke (日) (読)
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| 10. | (英) Telemedicine (日) (読)
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| 11. | (英) Thrombolytic Therapy (日) (読)
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| 12. | (英) Time-to-Treatment (日) (読)
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| 13. | (英) Tissue Plasminogen Activator (日) (読)
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| 14. | (英) Treatment Outcome (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | Neurologia Medico-Chirurgica (日本脳神経外科学会)
(pISSN: 0470-8105, eISSN: 1349-8029)
| ○ISSN (任意): | □ | 1349-8029
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| ○巻 (必須): | □ | 56
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| ○号 (必須): | □ | 12
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| ○頁 (必須): | □ | 753 758
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2016年 6月 22日 (平成 28年 6月 22日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.2176/nmc.oa.2016-0100 (→Scopusで検索)
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| ○PMID (任意): | □ | 27333939 (→Scopusで検索)
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| ○CRID (任意): |
| ○WOS : | □ | 000390413100005
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| ○Scopus (任意): | 1. | 2-s2.0-85006508608
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| ○備考 (任意): | 1. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 2. | (英) CoiStatement: The authors have no personal financial or institutional interest in any of the drugs, materials, or devices cited in this study. (日)
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