{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390304792177920768.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.57444/shikokuactamedica.81.1.2_41"}},{"identifier":{"@type":"URI","@value":"https://tokushima-u.repo.nii.ac.jp/records/2013443"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2025304149"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"ja","@value":"徳島県におけるICTを利用した，脳卒中患者搬送プロトコール"},{"@language":"en","@value":"Development of a Novel Stroke Patient Transport Protocol Utilizing ICT in Tokushima Prefecture"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"<p>　In the acute phase of stroke, it is imperative to initiate appropriate medical intervention without delay following the onset of symptoms.　Consequently, there exists a critical need to establish a streamlined and precise prehospital transport system to ensure the rapid conveyance of patients from the emergency scene to specialized medical institutions. 　　In recent years, the emergence of mechanical thrombectomy has markedly transformed therapeutic strategies for patients with acute ischemic stroke.　Conventional intravenous thrombolysis with tissue plasminogen activator has demonstrated limited efficacy in achieving recanalization in cases involving major cerebral artery occlusion and has yielded only modest improvements in clinical outcomes.　In contrast, mechanical thrombectomy has exhibited significant therapeutic benefit in patients with large vessel occlusion. 　　In Tokushima Prefecture, initiatives are currently underway to develop a stroke patient transport protocol aligned with the ongoing advancements in stroke treatment.　As part of these efforts, the Stroke Center, in collaboration with the Tokushima Prefectural Fire Department, implemented a prehospital stroke scale in January 2022, thereby facilitating the prompt identification and direct transfer of patients likely to require mechanical thrombectomy to the stroke center.　Furthermore, an ICT-based platform, JoinTriage, has been introduced to enhance communication between emergency medical services and the stroke center.　JoinTriage enables Emergency Medical Services personnel to efficiently assess patients using the prehospital stroke scale and instantly transmit the data to the stroke team, thus accelerating the initiation of endovascular therapy. 　　This paper presents the outcomes of these initiatives and delineates the developmental trajectory of the newly established stroke transport protocol in Tokushima Prefecture.</p>"},{"@language":"ja","@value":"<p>　脳卒中の急性期においては，発症後直ちに適切な診療を開始する必要がある。このため，救急現場から医療機関への迅速かつ的確な搬送体制の整備が喫緊の課題である。近年，血栓回収療法の登場により，急性期脳梗塞患者に対する治療戦略は大きく変化した。従来のrt-PA静注療法では，主幹動脈などの大血管閉塞に対する再開通率が低く，予後改善効果も限定的であった。一方，血栓回収療法は大血管閉塞に対して高い有効性を示す。 　徳島県では，進化を続ける脳卒中治療に対応すべく，脳卒中患者搬送プロトコールの整備を進めている。その一環として，われわれは徳島県消防局と連携し，2022年１月より病院前脳卒中スケールを導入し，血栓回収療法が必要と考えられる患者を迅速に受け入れる体制を構築した。さらに，救急隊との情報共有には「JoinTriage」というICTアプリケーションを活用している。JoinTriageは，救急隊が病院前脳卒中スケールによる評価を簡便に実施し，その情報をリアルタイムで脳卒中センターへ送信することにより，迅速な血栓回収療法の開始を可能とするものである。本稿では，これらの取り組みから得られた成果と，新たな徳島県脳卒中搬送プロトコール策定に至る経緯について報告する。</p>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1420564276190512640","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"90363142"},{"@type":"NRID","@value":"1000090363142"},{"@type":"NRID","@value":"9000345251267"},{"@type":"NRID","@value":"9000397838073"},{"@type":"NRID","@value":"9000409624171"},{"@type":"NRID","@value":"9000402924407"},{"@type":"NRID","@value":"9000283421133"},{"@type":"NRID","@value":"9000411588279"},{"@type":"NRID","@value":"9000412075473"},{"@type":"NRID","@value":"9000386133869"},{"@type":"NRID","@value":"9000410657848"},{"@type":"NRID","@value":"9000410143342"},{"@type":"NRID","@value":"9000257961226"},{"@type":"NRID","@value":"9000391659837"}],"foaf:name":[{"@language":"ja","@value":"兼松 康久"},{"@language":"en","@value":"Kanematsu Yasuhisa"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima Prefectural Central Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島県立中央病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920777","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"亘 雄也"},{"@language":"en","@value":"Watari Yuya"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima Prefectural Central Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島県立中央病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920768","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"鹿草 宏"},{"@language":"en","@value":"Kagusa Hiroshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima Prefectural Central Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島県立中央病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420282801189937920","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"70780005"},{"@type":"NRID","@value":"1000070780005"},{"@type":"NRID","@value":"9000397838077"},{"@type":"NRID","@value":"9000370258053"},{"@type":"NRID","@value":"9000369739148"},{"@type":"NRID","@value":"9000412075472"},{"@type":"NRID","@value":"9000410143336"},{"@type":"NRID","@value":"9000391659842"}],"foaf:name":[{"@language":"ja","@value":"山口 泉"},{"@language":"en","@value":"Yamaguchi Izumi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島大学病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920772","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"宮本 健志"},{"@language":"en","@value":"Miyamoto Takeshi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島大学病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920775","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"高麗 雅章"},{"@language":"en","@value":"Korai Masaaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島大学病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920781","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"島田 健司"},{"@language":"en","@value":"Shimada Kenji"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島大学病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920773","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"田村 哲也"},{"@language":"en","@value":"Tamura Tetsuya"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima Prefectural Central Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島県立中央病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920776","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"黒田 一駿"},{"@language":"en","@value":"Kuroda Kazutaka"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurology, Tokushima Prefectural Central Hospital, Tokushima, Japan"},{"@language":"ja","@value":"同　脳神経内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920769","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"佐藤 健太"},{"@language":"en","@value":"Sato Kenta"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurology, Tokushima Prefectural Central Hospital, Tokushima, Japan"},{"@language":"ja","@value":"同　脳神経内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920778","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"山本 雄貴"},{"@language":"en","@value":"Yamamoto Yuki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurology, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"同　脳神経内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920780","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"山本 伸昭"},{"@language":"en","@value":"Yamamoto Nobuaki"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurology, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"同　脳神経内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420001326217074432","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"10335812"},{"@type":"NRID","@value":"1000010335812"},{"@type":"NRID","@value":"9000002608828"},{"@type":"NRID","@value":"9000414552236"},{"@type":"NRID","@value":"9000409579758"},{"@type":"NRID","@value":"9000404787275"},{"@type":"NRID","@value":"9000409624173"},{"@type":"NRID","@value":"9000405663249"},{"@type":"NRID","@value":"9000314383196"},{"@type":"NRID","@value":"9000256523760"},{"@type":"NRID","@value":"9000241948701"},{"@type":"NRID","@value":"9000414805012"},{"@type":"NRID","@value":"9000409882944"},{"@type":"NRID","@value":"9000409175784"},{"@type":"NRID","@value":"9000413344053"},{"@type":"NRID","@value":"9000258059283"},{"@type":"NRID","@value":"9000253520916"},{"@type":"NRID","@value":"9000283281903"},{"@type":"NRID","@value":"9000258060723"},{"@type":"NRID","@value":"9000258349354"},{"@type":"NRID","@value":"9000257981422"},{"@type":"NRID","@value":"9000283751782"},{"@type":"NRID","@value":"9000413743466"},{"@type":"NRID","@value":"9000414805026"},{"@type":"NRID","@value":"9000408612736"},{"@type":"NRID","@value":"9000273024769"},{"@type":"NRID","@value":"9000259838194"},{"@type":"NRID","@value":"9000253522201"},{"@type":"NRID","@value":"9000413699771"},{"@type":"NRID","@value":"9000402412071"},{"@type":"NRID","@value":"9000411000382"},{"@type":"NRID","@value":"9000258061004"},{"@type":"NRID","@value":"9000258213496"},{"@type":"NRID","@value":"9000257959629"}],"foaf:name":[{"@language":"ja","@value":"和泉 唯信"},{"@language":"en","@value":"Izumi Yuishin"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurology, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"同　脳神経内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410304792177920779","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"髙木 康志"},{"@language":"en","@value":"Takagi Yasushi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokushima University Hospital, Tokushima, Japan"},{"@language":"ja","@value":"徳島大学病院脳神経外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00373699"},{"@type":"EISSN","@value":"27583279"}],"prism:publicationName":[{"@language":"ja","@value":"四国医学雑誌"},{"@language":"en","@value":"SHIKOKU ACTA MEDICA"}],"dc:publisher":[{"@language":"en","@value":"Tokushima Medical Association"},{"@language":"ja","@value":"徳島医学会"}],"prism:publicationDate":"2025-06-27","prism:volume":"81","prism:number":"1.2","prism:startingPage":"41","prism:endingPage":"44"},"dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://tokushima-u.repo.nii.ac.jp/records/2013443"},{"@id":"https://search.jamas.or.jp/link/ui/2025304149"}],"availableAt":"2025-06-27","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=prehospital%20transport%20system","dc:title":"prehospital transport system"},{"@id":"https://cir.nii.ac.jp/all?q=mechanical%20thrombectomy","dc:title":"mechanical thrombectomy"},{"@id":"https://cir.nii.ac.jp/all?q=ICT-based%20platform","dc:title":"ICT-based platform"}],"dcterms:subject":[{"subjectScheme":"Other","notation":[{"@language":"en","@value":"prehospital transport system"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"mechanical thrombectomy"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"ICT-based platform"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2014325940"},{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:00906:0006919161"}]}