A5004655242- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Mechanical Circulatory Support Devices
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Intensive Care Unit Cognitive Disorders
- Respiratory Support and Mechanisms
- Traumatic Brain Injury and Neurovascular Disturbances
- Nosocomial Infections in ICU
- Cardiac Structural Anomalies and Repair
- Abdominal Trauma and Injuries
- Pelvic and Acetabular Injuries
- Diabetes Management and Research
- Thermal Regulation in Medicine
- Disaster Response and Management
- Non-Invasive Vital Sign Monitoring
- Diabetes and associated disorders
- Dietary Effects on Health
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Traumatic Brain Injury Research
- Metabolism and Genetic Disorders
- Heart Rate Variability and Autonomic Control
- Nutritional Studies and Diet
- Obesity, Physical Activity, Diet
- Meta-analysis and systematic reviews
Kyoto University
2018-2025
Midorigaoka Hospital
2025
Okinawa Prefectural Chubu Hospital
2022-2024
Kyoto Prefectural University of Medicine
2020
Kyoto University of Education
2020
ORCID
2020
Obihiro National Hospital
2019
Mie University
2007
<h3>Importance</h3> Extracorporeal cardiopulmonary resuscitation (ECPR) is expected to improve the neurological outcomes of patients with refractory cardiac arrest; however, it invasive, expensive, and requires substantial human resources. The ability predict would assist in patient selection for ECPR. <h3>Objective</h3> To develop validate a prediction model out-of-hospital arrest shockable rhythm treated <h3>Design, Setting, Participants</h3> This prognostic study analyzed data from...
<title>Abstract</title> Background Cardiac arrest leads to an abrupt cessation of blood flow, resulting in severe metabolic acidosis. Base excess (BE) is a widely used marker However, its prognostic value cardiac patients remains unclear, as previous studies have not adjusted for the time from testing. This study aimed assess association between BE levels and neurological outcomes with out-of-hospital (OHCA) by adjusting onset tests. Methods Osaka, Japan, enrolled consecutive OHCA...
We aimed to identify the association of pH value in blood gas assessment with neurological outcome among out-of-hospital cardiac arrest (OHCA) patients treated by extracorporeal cardiopulmonary resuscitation (ECPR).We retrospectively analyzed database a multicenter prospective observational study on OHCA Osaka prefecture, Japan (CRITICAL study), from July 1, 2012 December 31, 2016. included adult ECPR. Patients external causes such as trauma were excluded. conducted logistic regression...
Abstract We aimed to investigate the association between serum lactate levels during cardiopulmonary resuscitation (CPR) and survival in patients with out-of-hospital cardiac arrest (OHCA). From database of a multicenter registry on OHCA patients, we included adult nontraumatic transported hospital ongoing CPR. Based CPR, were divided into four quartiles: Q1 (≤ 10.6 mEq/L), Q2 (10.6–14.1 Q3 (14.1–18.0 Q4 (> 18.0 mEq/L). The primary outcome was 1-month survival. Among 5226 eligible group...
Abstract Background Extracorporeal cardiopulmonary resuscitation (ECPR) has been proposed as a rescue therapy for patients with refractory cardiac arrest. This study aimed to evaluate the association between ECPR and clinical outcomes among out-of-hospital arrest (OHCA) using risk-set matching time-dependent propensity score. Methods was secondary analysis of JAAM-OHCA registry data, nationwide multicenter prospective OHCA, from June 2014 December 2019, that included adults (≥ 18 years)...
Background Few prediction models for individuals with early‐stage out‐of‐hospital cardiac arrest (OHCA) have undergone external validation. This study aimed to externally validate updated OHCA outcomes using a large nationwide dataset. Methods and Results We performed secondary analysis of the JAAM‐OHCA (Comprehensive Registry In‐Hospital Intensive Care Out‐of‐Hospital Cardiac Arrest Survival Japanese Association Acute Medicine Arrest) registry. Previously developed patients who achieved...
Background:The hypothesis of this study is that latent class analysis could identify the subphenotypes out-of-hospital cardiac arrest (OHCA) patients associated with outcomes and allow us to explore heterogeneity in effects extracorporeal cardiopulmonary resuscitation (ECPR).
Abstract Background Singapore and Osaka in Japan have comparable population sizes prehospital management; however, the frequency of ECPR differs greatly for out-of-hospital cardiac arrest (OHCA) patients with initial shockable rhythm. Given this disparity, we hypothesized that outcomes among OHCA rhythm were different from those Osaka. The aim study was to evaluate compared expected derived data using machine learning-based prediction models. Methods This a secondary analysis two databases:...
The effect of post-cardiac arrest care in children with out-of-hospital cardiac (OHCA) has not been adequately established, and the long-term outcome after pediatric OHCA sufficiently investigated. We describe here detailed in-hospital characteristics, actual management, survival, including neurological status, 90 days occurrence transported to critical medical centers (CCMCs).
Introduction The aim of this trial was to investigate whether a digital device that provides real-time visualized brushing instructions would contribute the removal dental plaque over usual instructions. Methods We conducted single-center, parallel-group, stratified permuted block randomized control with 1:1 allocation ratio. Eligibility criteria included people aged ≥ 18 years, and exclude who met following criteria: severely crowded teeth; using interdental cleaning implement; having...
We aimed to identify subphenotypes among patients with out-of-hospital cardiac arrest (OHCA) initial non-shockable rhythm by applying machine learning latent class analysis and examining the associations between neurological outcomes.This study was a retrospective within multi-institutional prospective observational cohort of OHCA in Osaka, Japan (the CRITICAL study). The data adult medical causes presenting 2012 2016 were included models, which identified subphenotypes, who presented 2017...
Abstract Objective The study objective was to investigate whether changes in metabolic phenotype affect the risk of cardiovascular events. Methods All 117,589 participants were included this retrospective cohort study. phenotypes assessed at two points (the second evaluation set 2 years after first evaluation), and incidence rate events observed for 11 years. main outcome 3‐point major adverse cardiac (MACE), which comprises death, nonfatal coronary artery disease, stroke incidence. Results...