並列タイトル等救急医療におけるCT使用による各疾患の死亡率低減効果
タイトル(掲載誌)Open medicine Vol. p.(2018 Sep)
一般注記type:Thesis
Performing accurate diagnosis using computed tomography (CT) in emergency medicine may reduce mortality rates in various diseases. In this observational, correlational and cross-sectional study, we conducted multiple regression analyses to investigate the relationship between CT utilization rates and mortality. In addition, we estimated the annual net profits from CT to show the profitability of introducing a CT system in each Japanese prefecture. We conducted a multiple regression analysis to investigate correlations between CT utilization rates and mortality from each disease adjusted for the population density, number of doctors, as well as transportation time to the medical institution. The results of multiple regression analysis showed that traffic accident mortality was related to CT utilization rate and population density. Extrinsic death such as mortality due to falling, drowning and asphyxia was related to CT utilization, indicating that CT in emergency medicine reduced mortality. Moreover, the annual net profit from multi-slice CT (MSCT) was estimated as positive. Our study clearly demonstrates that CT utilization rates relate to a reduction in mortality from accidents, indicating that screening patients with CT in the emergency room has a beneficial effect and reduces mortality. Therefore, CT equipment has a beneficial effect in both emergency medicine and hospital management.
博士(医学)・甲第693号・平成30年11月30日
© 2018 Shinya Imai et al., published by De Gruyter. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License(https://creativecommons.org/licenses/by-nc-nd/4.0/).
identifier:Open medicine Vol.13 p.394-401 (2018 Sep)
identifier:23915463
identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3504
identifier:Open medicine Vol. p.(2018 Sep), 13: 394-401
連携機関・データベース国立情報学研究所 : 学術機関リポジトリデータベース(IRDB)(機関リポジトリ)
提供元機関・データベース奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU