Ultrasound cardiography examinations detect victims' long-term realized and potential consequences after major disasters: a case-control study.
10.1186/s12199-018-0721-4
- Author:
Hidenori ONISHI
1
;
Osamu YAMAMURA
2
;
Shinsaku UEDA
3
;
Muneichi SHIBATA
4
;
Soichi ENOMOTO
5
;
Fumie MAEDA
6
;
Hiromasa TSUBOUCHI
7
;
Takeshi HIROBE
8
;
Sadao SHIMIZU
9
;
Kazuhiko HANZAWA
10
;
Tadanori HAMANO
5
;
Yasunari NAKAMOTO
5
;
Hiroyuki HAYASHI
11
;
Hidekazu TERASAWA
12
Author Information
1. Department of Medical Technology, Kitasato Junior College of Health and Hygienic Sciences, Niigata, Japan.
2. Department of Community Medicine, Faculty of Medical Science, University of Fukui, 23-3 Matsuokashimoaizuki Yoshida-gun Eiheiji-cho, Fukui, 910-1104, Japan. kapi@u-fukui.ac.jp.
3. Department of Thoracic Surgery, Ishinomaki Red Cross Hospital, Miyagi, Japan.
4. Department of Cardiology, Makabe Hospital, Miyagi, Japan.
5. Second Department of Internal Medicine, Faculty of Medical Science, University of Fukui, 23-3 Matsuokashimoaizuki Yoshida-gun Eiheiji-cho, Fukui, 910-1104, Japan.
6. Department of Clinical Laboratory, University of Fukui Hospital, Fukui, Japan.
7. Department of Radiotechnology, Fukui Ken Saiseikai Hospital, Fukui, Japan.
8. Department of Clinical Laboratory, Fukui Prefectural Hospital, Fukui, Japan.
9. Department of Research Laboratory, National Hospital Organization Awara Hospital, Fukui, Japan.
10. Department of Respiratory Surgery, Graduate School of Medicine, University of Niigata, Niigata, Japan.
11. Department of General Medicine, University of Fukui Hospital, Fukui, Japan.
12. Department of Community Medicine, Faculty of Medical Science, University of Fukui, 23-3 Matsuokashimoaizuki Yoshida-gun Eiheiji-cho, Fukui, 910-1104, Japan.
- Publication Type:Journal Article
- Keywords:
Disaster-related diseases;
Great East Japan Earthquake;
Temporary housing;
Tsunami disaster area;
Ultrasound cardiography examination
- MeSH:
Aged;
Aged, 80 and over;
Cardiovascular Diseases;
diagnosis;
diagnostic imaging;
Case-Control Studies;
Disasters;
statistics & numerical data;
Earthquakes;
Female;
Health Behavior;
Humans;
Japan;
Male;
Middle Aged;
Tsunamis
- From:Environmental Health and Preventive Medicine
2018;23(1):37-37
- CountryJapan
- Language:English
-
Abstract:
BACKGROUND:An increase in cardiovascular diseases has been reported following major disasters. Previous work has shown that ultrasonographic findings from ultrasound cardiography examination (UCG) increased until the 44th month after the tsunami caused by the Great East Japan Earthquake. The present study conducted UCG among victims in the tsunami disaster area and investigated the frequency of disaster-related cardiovascular diseases and changes over time until the 55th month after the disaster.
METHODS:The subjects were residents of temporary housing complexes and neighboring housing in Watari-gun, Miyagi Prefecture, Japan. There were 207 subjects in the 18th month, 125 in the 30th month, 121 in the 44th month, and 106 in the 55th month after the disaster. Data were collected through UCG and self-report questionnaire.
RESULTS:Significant changes were observed among subjects with clinical findings from the UCG, which increased over the study period-from 42.0 to 60.8, 72.7, and 73.6% beginning in the 18th month after the disaster (p < 0.0001).
CONCLUSIONS:It is possible that the UCG can become a useful examination to visualize the potential impact of a major disaster on the cardiac function of victims. Victims with clinical findings continued increasing not only during the acute phase after a disaster but also in the long term. We therefore need to keep this in mind, and note that it is important to establish a support system to control cardiovascular diseases from the early stage of disaster.
TRIAL REGISTRATION:UMIN; ID000029802. R000034050 . 2 November 2017.