2020 Fiscal Year Final Research Report
Elucidation of the actual conditions of stroke care in regional key hospital and assessment of the quality equalization of medical care
Project/Area Number |
19K17606
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Research Category |
Grant-in-Aid for Early-Career Scientists
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Allocation Type | Multi-year Fund |
Review Section |
Basic Section 53020:Cardiology-related
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Research Institution | Saga University |
Principal Investigator |
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Project Period (FY) |
2019-04-01 – 2021-03-31
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Keywords | 脳卒中 / 医療の質 / 地域医療 / 救急診療 |
Outline of Final Research Achievements |
In this study, consecutive 527 patients admitted to a regional key hospital in northwestern Saga Prefecture for stroke were compared with national data on clinical background at the time of admission in order to evaluate the actual status of stroke care in that region. At the same time, we evaluated the neurological severity of stroke at the time of hospital discharge. As a result, the number of patients with undiagnosed and untreated risk factors for stroke was higher than expected, and the mortality rate tended to be low, but the degrees of neurological severity at discharge showed that a relatively large number of patients were discharged with moderate or greater disability. In the future, it is important to prevent strokes through appropriate management of risk factors and the establishment of cooperation between hospitals and doctors.
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Free Research Field |
循環器学
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Academic Significance and Societal Importance of the Research Achievements |
地域間における医療格差は大きな社会的問題であり、超高齢化が進む社会の中で、特に都市部と比較して農村部における医療格差の実態を把握し、地域の実情に合わせた改善を図っていくことは極めて重要な社会的な医療福祉課題である。特に、脳卒中は本邦において発症頻度が高く、また一度発症すると神経学的後遺症が残ることも多い疾患であるため、地域間での医療格差を是正し、適切な医療が広く実施されることが求められている。本研究を通じて、当該医療地域の脳卒中診療の実態が明らかとなり、よりよい診療の質改善へ向けた新たな取り組みのための議論の材料につながることが期待された。
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