| Project/Area Number |
13307017
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| Research Category |
Grant-in-Aid for Scientific Research (A)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Public health/Health science
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| Research Institution | Osaka University |
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Principal Investigator |
GUGIMOTO Hisashi Osaka University, Osaka University Graduate School of Medicine, Professor (90127241)
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| Co-Investigator(Kenkyū-buntansha) |
SHIMAZU Takeshi Osaka University Graduate School of Medicine, 医学系研究科, Associate Professor (50196474)
TANAKA Hiroshi Osaka University Graduate School of Medicine, 医学系研究科, Associate Professor (90252676)
KUWAGATA Yasuyuki Osaka University Graduate School of Medicine, 医学系研究科, Assistant Professor (50273678)
OGURA Hiroshi Osaka University Graduate School of Medicine, 医学系研究科, Assistant Professor (70301265)
SHIOZAKI Tadahiko Osaka University Graduate School of Medicine, 医学系研究科, Assistant Professor (60278687)
西野 正人 大阪大学, 医学系研究科, 助手 (60263290)
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| Project Period (FY) |
2001 – 2003
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| Project Status |
Completed (Fiscal Year 2003)
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| Budget Amount *help |
¥50,700,000 (Direct Cost: ¥39,000,000、Indirect Cost: ¥11,700,000)
Fiscal Year 2003: ¥16,250,000 (Direct Cost: ¥12,500,000、Indirect Cost: ¥3,750,000)
Fiscal Year 2002: ¥18,330,000 (Direct Cost: ¥14,100,000、Indirect Cost: ¥4,230,000)
Fiscal Year 2001: ¥16,120,000 (Direct Cost: ¥12,400,000、Indirect Cost: ¥3,720,000)
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| Keywords | Telemedicine / Emergency medicine / Medical education / Medical consultation / Telecommunication apparatus |
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| Research Abstract |
We developed a telecommunication apparatus (TMS-6103, Nihon Kohden Wellness Corporation, Tokyo, Japan) and evaluated its clinical utility as a telemedical support. This system includes 4 visual communication units; CCD camera to see each physicians, CCD camera to see the whole patient body, CCD camera and light system for films, and electrical line-in for an ultrasonograply or a endoscopy. It is capable of transmitting on a real-time basis such vital signs as blood pressure, ECG recordings. It is also capable of transmitting X-ray and CT findings, as well as moving video-camera pictures, ultrasonography and endoscopy images. From August 2002 to March 2004, our telemedical support system had been operated for a daily clinical procedure. This is well tuned case consultation system between 4 secondary emergency hospitals (Suita city hospital, Fukushima hospital, Tahara hospital, Nishimuko hospital and our Trauma and Acute Critical Care Center.
In this period, 71 cases were consulted with this system. Twenty-nine percent of patients were transferred to the tertiary emergency center including acute lung injury, peritonitis, hemorrhagic shock and septic shock. Other cases were not required to transfer and only consultation or decision-making have been done. Consulting cases from Suita city hospital increased gradually since the duty of resident physicians increased. Characteristic consulting pattern established in this hospital when resident physicians wonder if the case should be transferred to the critical care center or not. This system has facilitated high quality, on-site decision-making by allowing for expert supervision and consultation with off-site specialists. We are convinced of its utility and confident that patients will benefit greatly from this kind of ready care.
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