| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2024-12-12 |
| タイトル |
|
|
タイトル |
Emergency medical service response for cases of stroke-suspected seizure: A population-based study |
|
言語 |
en |
| 作成者 |
Yamada, Hidetada
Aoki, Shiro
Nezu, Tomohisa
Neshige, Shuichiro
Motoda, Atsuko
Yamazaki, Yu
Maruyama, Hirofumi
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
© 2024. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
This is not the published version. Please cite only the published version. |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
この論文は出版社版ではありません。引用の際には出版社版をご確認、ご利用ください。 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Optimal operation of specialized medical resources |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Suspected stroke |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Epileptic seizure |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Prehospital time |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Primary stroke center |
| 内容記述 |
|
|
内容記述 |
Objectives We evaluated the on-scene time of emergency medical services (EMS) for cases where discrimination between acute stroke and epileptic seizures at the initial examination was difficult and identified factors linked to delays in such scenarios. Materials and Methods A retrospective review of cases with suspected seizure using the EMS database of fire departments across six Japanese cities between 2016 and 2021 was conducted. Patient classification was based on transport codes. We defined cases with stroke-suspected seizure as those in whom epileptic seizure was difficult to differentiate from stroke and evaluated their EMS on-scene time compared to those with epileptic seizures. Results Among 30,439 cases with any seizures, 292 cases of stroke-suspected seizure and 8,737 cases of epileptic seizure were included. EMS on-scene time in cases of stroke-suspected seizure was shorter than in those with epileptic seizure after propensity score matching (15.1±7.2 min vs. 17.0±9.0 min; p = 0.007). Factors associated with delays included transport during nighttime (odds ratio [OR], 1.73, 95 % confidence interval [CI] 1.02–2.93, p = 0.041) and transport during the 2020–2021 pandemic (OR, 1.77, 95 % CI 1.08–2.90, p = 0.022). Conclusion This study highlighted the difference between the characteristics in EMS for stroke and epileptic seizure by evaluating the response to cases with stroke-suspected seizure. Facilitating prompt and smooth transfers of such cases to an appropriate medical facility after admission could optimize the operation of specialized medical resources. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Elsevier |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連情報 |
|
|
関連タイプ |
isVersionOf |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.1016/j.jstrokecerebrovasdis.2024.107681 |
| 開始ページ |
|
|
開始ページ |
107681 |
| 書誌情報 |
en : Journal of Stroke and Cerebrovascular Diseases
巻 33,
号 6,
p. 107681,
発行日 2024-03-15
|
| 旧ID |
55851 |
JSCD_33_107681.pdf (180.8 KB)
