Cargando…
Outcomes of patients with decompression illness transported by physician-staffed helicopter according to Japanese Registry data (2015–2020)
OBJECTIVE: No nationwide reports have focused on patients with decompression illness (DCI) transported by doctor helicopter (DH) in Japan. We performed this retrospective study to examine this population using data from the Japan DH registry system (JDRS). PATIENTS AND METHODS: Patients were initial...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Association of Rural Medicine
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579929/ https://www.ncbi.nlm.nih.gov/pubmed/37854510 http://dx.doi.org/10.2185/jrm.2023-012 |
_version_ | 1785121838034059264 |
---|---|
author | Yanagawa, Youichi Nunotani, Marika Abe, Keiki Nagasawa, Hiroki Takeuchi, Ikuto |
author_facet | Yanagawa, Youichi Nunotani, Marika Abe, Keiki Nagasawa, Hiroki Takeuchi, Ikuto |
author_sort | Yanagawa, Youichi |
collection | PubMed |
description | OBJECTIVE: No nationwide reports have focused on patients with decompression illness (DCI) transported by doctor helicopter (DH) in Japan. We performed this retrospective study to examine this population using data from the Japan DH registry system (JDRS). PATIENTS AND METHODS: Patients were initially selected from the JDRS database. They were divided into two groups: those transported by the Eastern Shizuoka DH (ES-DH) and those transported by other DHs. Variables were compared between the two groups. RESULTS: There were 44 patients who had DCI out of 41,592 patients in the JDRS. The majority of cases (70%) were transported by the ES-DH. In the ES-DH group, age, rate of request type using key words, and rate of instrumental intervention to secure an airway were significantly greater, and the median Glasgow Coma Scale score was significantly lower than that of the other DH group. However, there was no statistically significant difference in the rate of cases with fatal outcomes between the two groups. CONCLUSIONS: This is the first report regarding the current status of patients with DCI transported by DH in Japan. Most patients were transported by ES-DH to the Izu Peninsula. In addition, the patients transported by ES-DH due to decompression illness tended to be severely ill; however, the outcomes of the ES-DH and other DH groups did not differ to a statistically significant extent and therefore effective recompression therapy could be successfully performed at suitable hospitals owing to timely transportation. |
format | Online Article Text |
id | pubmed-10579929 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Japanese Association of Rural Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-105799292023-10-18 Outcomes of patients with decompression illness transported by physician-staffed helicopter according to Japanese Registry data (2015–2020) Yanagawa, Youichi Nunotani, Marika Abe, Keiki Nagasawa, Hiroki Takeuchi, Ikuto J Rural Med Original Article OBJECTIVE: No nationwide reports have focused on patients with decompression illness (DCI) transported by doctor helicopter (DH) in Japan. We performed this retrospective study to examine this population using data from the Japan DH registry system (JDRS). PATIENTS AND METHODS: Patients were initially selected from the JDRS database. They were divided into two groups: those transported by the Eastern Shizuoka DH (ES-DH) and those transported by other DHs. Variables were compared between the two groups. RESULTS: There were 44 patients who had DCI out of 41,592 patients in the JDRS. The majority of cases (70%) were transported by the ES-DH. In the ES-DH group, age, rate of request type using key words, and rate of instrumental intervention to secure an airway were significantly greater, and the median Glasgow Coma Scale score was significantly lower than that of the other DH group. However, there was no statistically significant difference in the rate of cases with fatal outcomes between the two groups. CONCLUSIONS: This is the first report regarding the current status of patients with DCI transported by DH in Japan. Most patients were transported by ES-DH to the Izu Peninsula. In addition, the patients transported by ES-DH due to decompression illness tended to be severely ill; however, the outcomes of the ES-DH and other DH groups did not differ to a statistically significant extent and therefore effective recompression therapy could be successfully performed at suitable hospitals owing to timely transportation. The Japanese Association of Rural Medicine 2023-10-01 2023-10 /pmc/articles/PMC10579929/ /pubmed/37854510 http://dx.doi.org/10.2185/jrm.2023-012 Text en ©2023 The Japanese Association of Rural Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Original Article Yanagawa, Youichi Nunotani, Marika Abe, Keiki Nagasawa, Hiroki Takeuchi, Ikuto Outcomes of patients with decompression illness transported by physician-staffed helicopter according to Japanese Registry data (2015–2020) |
title | Outcomes of patients with decompression illness transported by
physician-staffed helicopter according to Japanese Registry data
(2015–2020) |
title_full | Outcomes of patients with decompression illness transported by
physician-staffed helicopter according to Japanese Registry data
(2015–2020) |
title_fullStr | Outcomes of patients with decompression illness transported by
physician-staffed helicopter according to Japanese Registry data
(2015–2020) |
title_full_unstemmed | Outcomes of patients with decompression illness transported by
physician-staffed helicopter according to Japanese Registry data
(2015–2020) |
title_short | Outcomes of patients with decompression illness transported by
physician-staffed helicopter according to Japanese Registry data
(2015–2020) |
title_sort | outcomes of patients with decompression illness transported by
physician-staffed helicopter according to japanese registry data
(2015–2020) |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579929/ https://www.ncbi.nlm.nih.gov/pubmed/37854510 http://dx.doi.org/10.2185/jrm.2023-012 |
work_keys_str_mv | AT yanagawayouichi outcomesofpatientswithdecompressionillnesstransportedbyphysicianstaffedhelicopteraccordingtojapaneseregistrydata20152020 AT nunotanimarika outcomesofpatientswithdecompressionillnesstransportedbyphysicianstaffedhelicopteraccordingtojapaneseregistrydata20152020 AT abekeiki outcomesofpatientswithdecompressionillnesstransportedbyphysicianstaffedhelicopteraccordingtojapaneseregistrydata20152020 AT nagasawahiroki outcomesofpatientswithdecompressionillnesstransportedbyphysicianstaffedhelicopteraccordingtojapaneseregistrydata20152020 AT takeuchiikuto outcomesofpatientswithdecompressionillnesstransportedbyphysicianstaffedhelicopteraccordingtojapaneseregistrydata20152020 |