A5060073306- Geriatric Care and Nursing Homes
- Health disparities and outcomes
- Palliative Care and End-of-Life Issues
- Intergenerational Family Dynamics and Caregiving
- COVID-19 Clinical Research Studies
- Chronic Disease Management Strategies
- COVID-19 and healthcare impacts
- Food Safety and Hygiene
- Innovative Teaching and Learning Methods
- COVID-19 and Mental Health
- Machine Learning in Healthcare
- Health Promotion and Cardiovascular Prevention
- Long-Term Effects of COVID-19
- Heart Failure Treatment and Management
- Frailty in Older Adults
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Education and Technology Integration
- Lipoproteins and Cardiovascular Health
- Artificial Intelligence in Healthcare and Education
- Opioid Use Disorder Treatment
- Mobile Learning in Education
- Family and Patient Care in Intensive Care Units
- Anesthesia and Pain Management
- Cardiac Health and Mental Health
- Retirement, Disability, and Employment
National Center for Global Health and Medicine
2024-2025
University of Tsukuba
2019-2025
Center for Global Health
2025
University of Tsukuba Hospital
2019
The breast cancer screening rate declined worldwide during the COVID-19 pandemic. This cross-sectional study examined changes in participation rates Japan before and pandemic identified subgroups with a larger decline. We used data from 2019 survey evaluating 2017-2018 (pre-pandemic) 2022 2020-2021 (during pandemic) Comprehensive Survey of Living Conditions to describe by settings among women aged 40-74 years. calculated overall subgroup without adjustment for other variables (i.e., age,...
BackgroundStudies have shown that informal caregiving is associated with an increased risk of cardiovascular diseases. However, there limited evidence on the mechanisms involved. To fill this knowledge gap, we investigated association changes in health-related behaviors.MethodsWe analyzed a nationally representative sample aged 50-59 years as 2005 using fifteen waves Longitudinal Survey Middle-Aged and Older Adults, conducted between 2005-2019. We change status behaviors, including (1) heavy...
The coronavirus disease 2019 (COVID-19) pandemic may have led to an increase in home deaths due hospital bed shortage and visitation restrictions. This study aimed examine changes the proportion of before after COVID-19 identify associated factors.
Background: With increasing age globally, more people may become vulnerable to food choking. We investigated the nationwide epidemiology of choking deaths in Japan.
Nafamostat mesylate may be effective against coronavirus disease 2019 (COVID-19). However, it is not known whether its use associated with reduced in-hospital mortality in clinical practice. We conducted a retrospective observational study to evaluate the effect of nafamostat patients COVID-19 using Medical Data Vision Co. Ltd. hospital-based database Japan. compared who were (n = 121) and 15,738) administered within 2 days admission between January December 2020. 1:4 propensity score...
The provision of in-home and community end-of-life care has emerged as an important policy issue for aging populations around the world. Despite most patients expressing wish to die at home (as opposed in hospital), substantial geographic variation persists prevalence death end life.To assess association municipal characteristics with place among care-dependent older people Japan.In this cross-sectional study using multilevel logistic regression, analyses were performed national claims data...
Abstract Background Japan has promoted end-of-life care at home and in long-term facilities, the total proportion of in-hospital deaths decreased recently. However, difference trends by cause death remains unclear. We investigated variation among older adults with from 2007 to 2017, place care. Methods Using national insurance registry, claims data, records, we identified people aged 65 years or who died between 2017 used services month before death. a joinpoint regression model, evaluated...
Abstract Background Suicide rates in Japan have increased during the COVID-19 pandemic, and foreign residents may be more vulnerable to mental stress such crises. Therefore, we aimed compare trends suicide pandemic between Japanese citizens. Methods Vital statistics of data from January 1, 2016 December 31, 2021 were used calculate quarterly sex-specific for An event-study analysis was conducted evaluate whether compared pre-pandemic estimates; citizens using...
Dyslipidemia increases the risk of cardiovascular and cerebrovascular diseases. Visiting a physician for follow-up is essential when dyslipidemia detected during health checkups. We investigated factors associated with non-attendance at visit dyslipidemia.
BACKGROUND
The coagulation activation leads to thrombotic complications such as venous thromboembolism (VTE) in patients with coronavirus disease-2019 (COVID-19). Prophylactic anticoagulation therapy has been recommended for hospitalized COVID-19 clinical guidelines. This retrospective cohort study aimed examine the association between pre-admission treatment and three outcomes: in-hospital death, VTE, major bleeding among Japan.Using a large-scale claims database built by Medical Data Vision Co....
ObjectivesWe aimed to describe patient characteristics, healthcare utilization, and in-hospital mortality among patients with COVID-19 in Japan across waves.MethodsUsing a large-scale hospital-based database, we identified hospitalized for the first (January–June 2020), second (June–October third (October 2020–February 2021), fourth (March–June fifth (June–December 2021) waves. We summarized during each wave performed multivariable logistic regression analyses mortality.ResultsFrom waves,...
Aim The study assessed the association between boosting workforce supply by types of long‐term care services and in‐home deaths among older people at municipality level. Methods A fixed‐effect panel data analysis was conducted using administrative for every 3 years from 2008 to 2014. outcome proportion home deaths, excluding those due external factors, such as suicide or accident. explanatory variables were full‐time equivalent numbers workers engaged in services, day short‐stay facilities...
Abstract Background The coronavirus disease 2019 (COVID‐19) pandemic has markedly affected end‐of‐life care, notably increasing home deaths among cancer patients in Japan. This study investigated the characteristics of who died at during and associated factors before pandemic. Methods Vital statistics from January 2015 to December 2022 were analyzed evaluate trends aged 0 113 years, pre‐pandemic (January March 2020) (April 2020 2022). Home assessed by demographics, including age, sex,...
<title>Abstract</title> Background: Thoracic surgery is known to lead postoperative opioid dependence in countries with high consumption; however, there are limited reports from moderate low consumption, such as Japan. This study aimed investigate the prevalence and risk factors for persistent use after thoracic Methods: We conducted a retrospective cohort using linked medical claims data of individuals covered by National Health Insurance Ibaraki Prefecture, The participants were patients...
Abstract Background Coronary artery angiography (CAG) and percutaneous coronary intervention (PCI) are superior to non-invasive approaches in reducing mortality patients with ST-segment elevation myocardial infarction (STEMI). However, their efficacy remains uncertain non-ST-elevation acute syndromes (NSTE-ACS) limited low-resource settings. This study aimed compare in-hospital 5-year rates between a first event of STEMI NSTE-ACS who underwent CAG PCI those similar severity did not undergo...
Abstract Background The association between heatwave and heat-related outcomes in people with mental health conditions without psychotropics was unclear. Methods We identified severe illness (SMI) depression, respectively, using Japanese claim data of Ibaraki prefecture during 1/1/2014–31/12/2021. conducted self-controlled case series to estimate the incidence rate ratio (IRR) illness, myocardial infarction delirium, 5-day pre-heatwave, heatwave, post-heatwave periods v. all other (baseline)...
Objectives: The older population requiring long-term care (LTC) exhibits heterogeneity in physical and cognitive functions; however, an established classification is lacking. We aimed to identify distinct subgroups of adults with LTC needs using unsupervised machine learning examine differences their prognoses. Design: Retrospective cohort study. Setting participants: Using survey data for care-need certification (linked medical insurance claims) City A, Japan, we identified...
Despite the significant utilization of long-term care (LTC) services at end life, evidence on trajectory LTC expenditure in later life is scarce. This study aims to identify distinct trajectories last 5 years and examine whether these differ according cause death.A nationwide retrospective longitudinal cohort based linked data National Claims Japan's Vital Statistic.Participants comprised decedents aged 70 or older who died 2017.We assessed monthly among participants applied group-based...
It is expected but unknown whether machine-learning models can outperform regression models, such as a logistic (LR) model, especially when the number and types of predictor variables increase in electronic health records (EHRs). We aimed to compare predictive performance gradient-boosted decision tree (GBDT), random forest (RF), deep neural network (DNN), LR with least absolute shrinkage selection operator (LR-LASSO) for unplanned readmission. used EHRs patients discharged alive from 38...
<ns3:p><ns3:bold>Background:</ns3:bold> As the number of older persons increases globally, so does ageism, or being discriminated against because their age. The overlap between ageism and ableism, which is discrimination based on impairments disability may put having difficulties with basic (ADL) instrumental activities daily living (IADL) at a higher risk discrimination. Discrimination leads to poorer quality life. However, remains understudied, particularly in UK.</ns3:p><ns3:p>...