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A study on emergency care system on the basis of emergency transports and inhospital care data

Research Project

Project/Area Number 16H05247
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Epidemiology and preventive medicine
Research InstitutionKyushu University

Principal Investigator

Hagihara Akihito  九州大学, 医学研究院, 教授 (50291521)

Co-Investigator(Kenkyū-buntansha) 小野塚 大介  九州大学, 医学研究院, 助教 (50446829)
永田 高志  九州大学, 医学研究院, 助教 (90501809)
Research Collaborator HASEGAWA manabu  
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥6,630,000 (Direct Cost: ¥5,100,000、Indirect Cost: ¥1,530,000)
Fiscal Year 2018: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2017: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2016: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords救急医療 / 救急医療体制 / 病院外心肺停止 / 救急搬送 / 除細動 / 心肺蘇生 / 通信指令員 / 大相撲 / 社会医学 / 急性期疾患 / 急性期治療 / アウトカム / 救急医療システム / 空間時間統計学 / 地理情報システム
Outline of Final Research Achievements

In Japan, it is expected that demand for emergency medical services will increase due to advancement of aging society. Thus, in order to obtain findings conducive to the construction of effective emergency care system, we used emergency transport and in-hospital care data, and evaluated factors related to effective emergency transport system. We also identified factors related to effective care for acute patients who were transported by an ambulance car. The care outcome of an emergency patient is largely influenced by transportation time and inpatient care. In an actual setting, however, medical facilities which can provide advanced care is limited in number. Thus, transportation time and advanced care is in a trade-off relation. In this study, we analyzed emergency patient data, which includes transportation time, prehospital medical intervention, and in-hospital care, and obtained findings effective in constructing an effective emergency transportation and medical care system.

Academic Significance and Societal Importance of the Research Achievements

わが国は本格的な高齢化社会を迎え、効率的な救急医療体制の整備が不可欠となっている。救急搬送需要は既に救急搬送能力を超えているといわれており、効率的な体制の整備が不可欠である。また、救急患者は搬送時間と入院後の治療が予後に大きく影響する。しかし高度な医療を提供できる医療施設は限られており、搬送時間と入院後の治療はしばしばトレードオフの関係にある。本研究で得られた知見は効率的な救急医療体制のあり方を考えるうえで有益であり、社会的な意義を有していると思われる。

Report

(4 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • Research Products

    (19 results)

All 2018 2017 2016

All Journal Article (19 results) (of which Int'l Joint Research: 14 results,  Peer Reviewed: 19 results,  Open Access: 3 results,  Acknowledgement Compliant: 5 results)

  • [Journal Article] Comparing intracerebral hemorrhages associated with direct oral anticoagulants or warfarin.2018

    • Author(s)
      Kurogi R, Nishimura K, Nakai M, Kada A, Kamitani Set al.
    • Journal Title

      Neurology

      Volume: 0

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Extreme influenza epidemics and out-of-hospital cardiac arrest2018

    • Author(s)
      Onozuka D, Hagihara A
    • Journal Title

      International Journal of Cardiology

      Volume: 263 Pages: 58-162

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] ut-of-Hospital Cardiac Arrests During the Japanese Professional Baseball Championship Series2018

    • Author(s)
      Onozuka D, Hagihara A
    • Journal Title

      American Journal of Cardiology

      Volume: 121 Pages: 1471-1476

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dispatcher-assisted cardio-pulmonary resuscitation and survival in out-of-hospital cardiac arrest cases2018

    • Author(s)
      Hagihara A, Onozuka D, Shibuta H, Hasegawa M, Abe T, Nagata T
    • Journal Title

      International Journal of Cardiology

      Volume: 265 Pages: 240-245

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Grand Sumo tournament and out-of-hospital cardiac arrests in Tokyo2018

    • Author(s)
      Hagihara A, Onozuka D, Miyazaki S, Hasegawa M, Nagata T
    • Journal Title

      J Am Heart Association

      Volume: 7

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of advanced life support on patients who suffered cardiac arrest outside of hospital and were defibrillated2018

    • Author(s)
      Hagihara Akihito、Onozuka Daisuke、Nagata Takashi、Hasegawa Manabu
    • Journal Title

      American Journal of Emergency Medicine

      Volume: 36 Issue: 1 Pages: 73-78

    • DOI

      10.1016/j.ajem.2017.07.018

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Interaction of defibrillation waveform with the time to defibrillation or the number of defibrillation attempts on survival from out-of-hospital cardiac arrest2018

    • Author(s)
      Hagihara Akihito、Onozuka Daisuke、Ono Junko、Nagata Takashi、Hasegawa Manabu
    • Journal Title

      Resuscitation

      Volume: 122 Pages: 54-60

    • DOI

      10.1016/j.resuscitation.2017.11.053

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Reply to letter, “More questions than answers - advanced life support interventions for out of hospital cardiac arrest”2018

    • Author(s)
      Hagihara Akihito、Onozuka Daisuke、Nagata Takashi、Hasegawa Manabu
    • Journal Title

      American Journal of Emergency Medicine

      Volume: 36 Issue: 3 Pages: 500-501

    • DOI

      10.1016/j.ajem.2017.11.065

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Out-of-Hospital Cardiac Arrests during the Japanese Professional Baseball Championship Series2018

    • Author(s)
      Onozuka Daisuke、Hagihara Akihito
    • Journal Title

      Am J Cardiol

      Volume: in press Issue: 12 Pages: 1471-1476

    • DOI

      10.1016/j.amjcard.2018.02.038

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Age?× Gender Interaction Effect on Resuscitation Outcomes in Patients With Out-of-Hospital Cardiac Arrest2017

    • Author(s)
      Hagihara Akihito、Onozuka Daisuke、Ono Junko、Nagata Takashi、Hasegawa Manabu
    • Journal Title

      The American Journal of Cardiology

      Volume: 120 Issue: 3 Pages: 387-392

    • DOI

      10.1016/j.amjcard.2017.05.003

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Out-of-hospital cardiac arrest attributable to sunshine: a nationwide, retrospective, observational study2017

    • Author(s)
      Onozuka Daisuke、Hagihara Akihito
    • Journal Title

      European Heart Journal - Quality of Care and Clinical Outcomes

      Volume: 3(2) Pages: 107-113

    • DOI

      10.1093/ehjqcco/qcw056

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Solar radiation and out-of-hospital cardiac arrest in Japan2017

    • Author(s)
      Onozuka Daisuke、Hagihara Akihito
    • Journal Title

      Environmental Pollution

      Volume: 230 Pages: 46-52

    • DOI

      10.1016/j.envpol.2017.06.048

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Spatiotemporal variation in heat-related out-of-hospital cardiac arrest during the summer in Japan2017

    • Author(s)
      Onozuka Daisuke、Hagihara Akihito
    • Journal Title

      Sci Total Environ

      Volume: 583 Pages: 401-407

    • DOI

      10.1016/j.scitotenv.2017.01.081

    • Related Report
      2017 Annual Research Report 2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Factors associated with the outcome of out-of-hospital cardiopulmonary arrest among people over 80 years old in Japan2017

    • Author(s)
      Nagata T, Abe T, Hasegawa M, Hagihara A
    • Journal Title

      Resuscitation

      Volume: 113 Pages: 63-69

    • DOI

      10.1016/j.resuscitation.2017.01.014

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Within-summer variation in out-of-hospital cardiac arrest due to extremely long sunshine duration2017

    • Author(s)
      Onozuka D, Hagihara A
    • Journal Title

      Int J Cardiol

      Volume: 231 Pages: 120-124

    • DOI

      10.1016/j.ijcard.2016.12.179

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Out-of-hospital cardiac arrest risk attributable to temperature in Japan2017

    • Author(s)
      Onozuka D, Hagihara A
    • Journal Title

      Sci Rep

      Volume: 7 Issue: 1 Pages: 39538-39538

    • DOI

      10.1038/srep39538

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Associations of day-to-day temperature change and diurnal temperature range with out-of-hospital cardiac arrest2017

    • Author(s)
      Onozuka D, Hagihara A
    • Journal Title

      Eur J Prev Cardiol

      Volume: 24(2) Issue: 2 Pages: 204-212

    • DOI

      10.1177/2047487316674818

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Extreme temperature and out-of-hospital cardiac arrest in Japan: A nationwide, retrospective, observational study2017

    • Author(s)
      Onozuka D, Hagihara A
    • Journal Title

      Sci Total Environ

      Volume: 575 Pages: 258-264

    • DOI

      10.1016/j.scitotenv.2016.10.045

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Spatiotemporal variations of extreme low temperature for emergency transport: a nationwide observational study2016

    • Author(s)
      Onozuka D, Hagihara A
    • Journal Title

      Int J Biometeorol

      Volume: in press Issue: 6 Pages: 1081-1094

    • DOI

      10.1007/s00484-016-1288-7

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant

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Published: 2016-04-21   Modified: 2020-03-30  

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