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

2018 Fiscal Year Final Research Report

• Project/Area Number: 16H05247
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Epidemiology and preventive medicine
• Research Institution: Kyushu 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
• Keywords: 救急医療 / 救急医療体制

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.

Free Research Field

社会疫学

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。