WEKO3
アイテム
新生児における空路搬送の安全性、速達性、その効果
http://hdl.handle.net/10232/00031375
http://hdl.handle.net/10232/00031375bfa498d5-ab20-4812-976b-938031470cd1
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Diss_平川_英司_ISK575_2020 (21.5 MB)
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Abstract_平川_英司_4516810371_2020 (231.5 kB)
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Result_Hirakawa_Eiji_isk_575 (929.7 kB)
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Comments_Hirakawa_Eiji_isk_575 (469.9 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2020-10-05 | |||||
| タイトル | ||||||
| タイトル | Safety, speed, and effectiveness of air transportation for neonates. | |||||
| タイトル言語 | en | |||||
| タイトル | ||||||
| タイトル | 新生児における空路搬送の安全性、速達性、その効果 | |||||
| タイトル言語 | ja | |||||
| 著者 |
平川, 英司
× 平川, 英司 |
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| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | neonatal air transportation | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | obstetrics clinic | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Rapid Response Team | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | resuscitation | |||||
| キーワード | ||||||
| 主題言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | SNAPPE-II | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
| 資源タイプ | doctoral thesis | |||||
| 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 | |||||
| 要約 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Background : In Japan, 44.3% of neonates are delivered in private clinics without an attending pediatrician. Obstetricians in the clinics must resuscitate asphyxiated neonates in unstable condition, such as respiratory failure, and they are frequently transferred to tertiary perinatal medical centers. There has been no study comparing the physiological status and prognosis of neonates transported by ambulance with those transported by helicopter. Methods: Medical and transport records were used to compare the physiological status of neonates transported to Kagoshima City Hospital by land and those transported by air between January 1, 2013, and December 31, 2017. Results : Data from 425 neonates transferred by land and 143 by air were analyzed. There were no significant differences between the two groups in mean gestational age, mean birthweight, fetal blood pH, Apgar score, or the Score for Neonatal Acute Physiology with Perinatal Extension-II (SNAPPE-II) on arrival to the tertiary center (16.3 ± 15.4 [95% confidence interval (CI): 13.2–17.7] vs 16.4 ± 15.4 [95% CI: 13.9–19.0], respectively; P = 0.999); both groups had SNAPPE-II score 10–19, indicating no difference in mortality risk. The times to starting first aid and to admission to the intensive care unit were significantly reduced in neonates transported by air than by land. In subgroup analysis of patients of a gestational age ≤28 weeks, all cases of severe intraventricular hemorrhage (IVH) were observed in the land transportation group. Conclusions: Neonatal transportation by air is as safe as land transportation, and time to first aid and intensive care are significantly reduced by transportation by air than by land. Air transport could also contribute to the prevention of IVH in neonatal transportation. This is the peer reviewed version of the following article: Eiji Hirakawa, Satoshi Ibara, Hideaki Yoshihara, Masato Kamitomo, Yuichi Kodaira, Masaya Kibe, Chie Ishihara, Yoshiki Naito, Masakatsu Yamamoto, Tsuyoshi Yamamoto, Tatsu Takayama, Tomonori Kurimoto, Yuta Mikami, Hiroshi Ohashi. Safety, speed, and effectiveness of air transportation for neonates Pediatrics international (2021), 63(4), 415-422 © 2020 Japan Pediatric Society which has been published in final form at https://doi.org/10.1111/ped.14401 This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
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| 内容記述言語 | en | |||||
| 作成日 | ||||||
| 日付 | 2020-09-04 | |||||
| 日付タイプ | Collected | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| NDC | ||||||
| 主題Scheme | NDC | |||||
| 主題 | 490 | |||||
| ファイル（説明） | ||||||
| 内容記述 | 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨 | |||||
| 公開者・出版者 | ||||||
| 出版者 | Japan Pediatric Society | |||||
| 出版者言語 | en | |||||
| 公開者・出版者 | ||||||
| 出版者 | 鹿児島大学 | |||||
| 出版者言語 | ja | |||||
| 備考 | ||||||
| 備考言語 | ja | |||||
| 備考 | 【指導教員:茨聡】 | |||||
| date.appl | ||||||
| appl | 【学位申請日】2020-08-05 | |||||
| 学位名 | ||||||
| 学位名の言語 | ja | |||||
| 学位名 | 博士(医学) | |||||
| 学位名 | ||||||
| 学位名の言語 | en | |||||
| 学位名 | Doctor of Philosophy in Medical Science | |||||
| 学位授与機関名 | ||||||
| 学位授与機関識別子Scheme | kakenhi | |||||
| 学位授与機関識別子 | 17701 | |||||
| 学位授与機関名の言語 | ja | |||||
| 学位授与機関名 | 鹿児島大学 | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2020-09-30 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 甲総研第575号 | |||||
