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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 81(2)

Gatekeeping in an inpatient rehabilitation facility to reduce morbidity and mortality due to cardiac disease : screening program using of BNP and ECG Auto-diagnosis

https://doi.org/10.18999/nagjms.81.2.303
https://doi.org/10.18999/nagjms.81.2.303
5fbebd0d-282a-4566-9152-3d270209b425
名前 / ファイル ライセンス アクション
14_Kano.pdf 14_Kano.pdf (406.2 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-06-13
タイトル
タイトル Gatekeeping in an inpatient rehabilitation facility to reduce morbidity and mortality due to cardiac disease : screening program using of BNP and ECG Auto-diagnosis
著者 Kano, Naoaki

× Kano, Naoaki

WEKO 92116

Kano, Naoaki

Search repository
Kato, Toyonori

× Kato, Toyonori

WEKO 92117

Kato, Toyonori

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Tomohara, Takiko

× Tomohara, Takiko

WEKO 92118

Tomohara, Takiko

Search repository
Futamura, Yukiko

× Futamura, Yukiko

WEKO 92119

Futamura, Yukiko

Search repository
Yoshida, Shogo

× Yoshida, Shogo

WEKO 92120

Yoshida, Shogo

Search repository
Okumura, Takahiro

× Okumura, Takahiro

WEKO 92121

Okumura, Takahiro

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Maeda, Kengo

× Maeda, Kengo

WEKO 92122

Maeda, Kengo

Search repository
Murohara, Toyoaki

× Murohara, Toyoaki

WEKO 92123

Murohara, Toyoaki

Search repository
Oda, Koji

× Oda, Koji

WEKO 92124

Oda, Koji

Search repository
キーワード
主題Scheme Other
主題 rehabilitation
キーワード
主題Scheme Other
主題 BNP
キーワード
主題Scheme Other
主題 screening
キーワード
主題Scheme Other
主題 cardiac complications
キーワード
主題Scheme Other
主題 ECG
抄録
内容記述 The Kaifukuki-Rehabilitation Ward (KRW) is a type of inpatient rehabilitation facility in Japan. In the KRW of our institute, mortality and frequency of emergency referrals in 2013 were rather high, 2.6% and 4.3%, respectively. We aimed to investigate the usefulness of an original gatekeeping system to reduce mortality and morbidity from cardiac complications, and to improve the quality of medical care in the KRW. A total of 370 consecutive patients admitted to the KRW of Kobayashi Memorial Hospital between 1 May 2015 and 31 March 2016 were enrolled in this prospective observational study. All patients underwent a screening evaluation in which we defined patients as being screen positive (SC-positive) if they had at least one of 20 diagnostic ECG codes and/or BNP level over 140 pg/dL at admission. A cardiologist provided weekly interventions to those among SC-positive patients who needed cardiac disease treatment during hospitalization. In all, 129 patients were classified as SC-positive (mean age 80 years, 124 [32%] male), and weekly intervention was needed in 28 patients, including start of cardiac medication in 17 cases. Mortality and frequency of emergency transfer due to cardiac disease during hospital stay were 0.3% and 0.3%, respectively. Our gatekeeping system involving a screening evaluation at admission and weekly intervention in selected patients by a cardiologist may be useful in reducing mortality and rate of transfer due to cardiac disease and may improve quality of medical care in KRWs.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.81.2.303
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/812.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 81, 号 2, p. 303-312, 発行日 2019-05
著者版フラグ
値 publisher
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