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Efficacy of the Drip and Ship Method in 24-h Helicopter Transportation and Teleradiology for Isolated Islands

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Title: Efficacy of the Drip and Ship Method in 24-h Helicopter Transportation and Teleradiology for Isolated Islands
Authors: HIU, Takeshi / OZONO, Keisuke / KAWAHARA, Ichiro / YAMASAKI, Kazumi / SATOH, Kei / OTSUKA, Hiroaki / NAKAMICHI, Chikaaki / IWANAGA, Hiroshi / FUKUDA, Yutaka / HONDA, Kazuya / HIU, Hiroyuki / ONO, Tomonori / HARAGUCHI, Wataru / USHIJIMA, Ryujiro / TSUTSUMI, Keisuke
Issue Date: 15-Dec-2019
Publisher: 日本脳神経外科学会
Citation: Neurologia medico-chirurgica, 59(12), pp.504-510; 2019
Abstract: Our hospital, located on the mainland, serves as a hub center for nine hospitals on the remote islands of Nagasaki Prefecture, Japan. There are no stroke specialists on these islands. We can transfer emergency patients from these islands to our hospital at any time, using a teleradiology system and three types of helicopter transport. We examined the efficacy of the drip and ship (DS) method for treating patients with acute ischemic stroke (AIS) on these islands, in comparison with patients on the mainland. From 2010 to 2017, we reviewed 98 consecutive patients with AIS who received intravenous recombinant tissue plasminogen activator (IV rt-PA) in our hospital or were transported to our hospital after IV rt-PA. Patients were divided into the Islands group (received IV rt-PA on the islands, DS; 31 cases) and the Mainland group (67 cases). The median transport distance from the islands was 112 km. The rate of patients achieving favorable outcomes was 54.8% in the Islands group and 64.2% in the Mainland group, with no significant differences. Multivariate analysis revealed that patients living on isolated islands did not have increased risks of unfavorable outcomes. Endovascular therapy (EVT), as part of the drip, ship, and retrieve method, was performed in 22.6% of patients in the Islands group and EVT in 38.8% of those in the Mainland group. The DS method seems feasible and safe for patients living on isolated islands with the use of 24-h helicopter transportation and teleradiology.
Keywords: drip and ship / drip and ship and retrieve / isolated islands / helicopter transportation / teleradiology
URI: http://hdl.handle.net/10069/39891
ISSN: 04708105
DOI: 10.2176/nmc.oa.2019-0111
Rights: © 2019 by The Japan Neurosurgical Society This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License.
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/39891

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