自動インプラント式心筋回転器除細動器を搭載した患者の運転の安全性
N J Finch1, R B Leman, J M Kratz
1Department of Medicine, Medical University of South Carolina, Charleston 29425-2221.
JAMA
|October 6, 1993
まとめ
自動植入式心筋回転器 (AICD) を使ったほとんどの患者は,医師のアドバイスに反して,運転を再開します. 車の運転中に装置の放電を経験するなど,安全運転を感じる人も多い.
科学分野:
- 心臓病学 心臓病学
- 医療機器 医療機器について
- 患者の行動について
背景:
- 自動植入式心臓変容器-除細動器 (AICD) は,生命を脅かす不律症の管理に不可欠です.
- AICD患者には,安全上の懸念から,しばしば運転制限が課されます.
研究 の 目的:
- AICD移植後の患者の運転行動を調査するために.
- AICDの配置後の運転制限に対する患者の遵守を理解するために.
主な方法:
- 40人のAICD患者 (平均年齢62.7歳) にアンケートが提出されました.
- この調査では,病院からの退院後の運転習慣と快適性のレベルが評価されました.
主要な成果:
- 患者の70%が運転を再開し,ほとんどの患者は移植後8ヶ月以内に運転を開始しました.
- 50%が毎日運転し,40%が家庭の主な運転手でした.
- 2人の患者はAICDの退院中に運転を続けた; 91%は安全な運転を感じた.
結論:
- AICDを患っている患者の大多数は,医師の助言を無視して運転を続けています.
- AICDの移植後の患者の運転行動は,さらなる調査と議論を正当化します.
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