Nakayama Tojo, Tanaka Soichiro, Uematsu Mitsugu, Kikuchi Atsuo, Hino-Fukuyo Naomi, Morimoto Tetsuji, Sakamoto Osamu, Tsuchiya Shigeru, Kure Shigeo
Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan.
Department of Pediatrics, Tohoku University School of Medicine, Sendai, Japan.
Brain Dev. 2014 Feb;36(2):143-7. doi: 10.1016/j.braindev.2013.02.001. Epub 2013 Feb 26.
during the eastern Japan earthquake in 2011 and the following prolonged blackout, pediatric patients with home medical devices sought electricity at the pediatric department. We retrospectively studied the effect of this earthquake and the following blackout.
we hand-reviewed pediatric admission records in Tohoku University Hospital for new inpatients attributed to the earthquake from March 11, 2011 to April 12, 2011. A survey by questionnaire regarding the situation during the earthquake was performed for parents of technology-assisted patients.
during the study period, 24 pediatric patients were admitted to the pediatric department. Eighteen technology-assisted pediatric patients, including those with home respirators, accounted for 75% of new pediatric admissions. Patients who were admitted for electricity shortage stayed in the hospital for a mean of 11.0days (3-25days). The questionnaire survey showed that 55% of technology-assisted patients were admitted to medical centers for evacuation. The majority of patients (89%) with ventilators were eventually admitted to medical centers during the earthquake. Most of the parents of technology-assisted patients experienced a prolonged petrol shortage and difficulty in communications with medical centers.
the current study suggests that technology-assisted pediatric patients with neurological disorders as the primary disease can overwhelm the capacity of hospital inpatient facilities in certain situations. Disaster preparedness should consider assuring power requirements in healthcare facilities and preparing backup power generators lasting for at least 24h for these patients. Preparing alternative measures for emergent electricity and communications could remedy serious conditions during a disaster.
在2011年日本东部地震及随后的长时间停电期间，使用家用医疗设备的儿科患者前往儿科寻求电力供应。我们回顾性研究了此次地震及后续停电的影响。
我们人工查阅了东北大学医院2011年3月11日至2011年4月12日因地震入院的新儿科患者记录。对使用技术辅助设备患者的家长进行了关于地震期间情况的问卷调查。
在研究期间，24名儿科患者入住儿科。18名使用技术辅助设备的儿科患者，包括使用家用呼吸器的患者，占新入院儿科患者的75%。因电力短缺入院的患者平均住院11.0天（3 - 25天）。问卷调查显示，55%使用技术辅助设备的患者因疏散入住医疗中心。地震期间，大多数（89%）使用呼吸机的患者最终入住医疗中心。大多数使用技术辅助设备患者的家长经历了长时间的汽油短缺以及与医疗中心沟通困难。
当前研究表明，以神经系统疾病为主要疾病的使用技术辅助设备的儿科患者在某些情况下可能使医院住院设施不堪重负。灾难准备工作应考虑确保医疗机构的电力需求，并为这些患者准备至少持续24小时的备用发电机。准备紧急电力和通信的替代措施可以在灾难期间缓解严重情况。
