Naoki Higashibeppu
A5042909797- Clinical Nutrition and Gastroenterology
- Nutrition and Health in Aging
- Electrolyte and hormonal disorders
- Intensive Care Unit Cognitive Disorders
- Sepsis Diagnosis and Treatment
- Dysphagia Assessment and Management
- Diet and metabolism studies
- Nosocomial Infections in ICU
- Clinical practice guidelines implementation
- Child Nutrition and Feeding Issues
- Stoma care and complications
- Renal function and acid-base balance
- Cardiac, Anesthesia and Surgical Outcomes
- Pleural and Pulmonary Diseases
- Organ Transplantation Techniques and Outcomes
- Anesthesia and Sedative Agents
- Nausea and vomiting management
- Frailty in Older Adults
- Obstructive Sleep Apnea Research
- Anesthesia and Pain Management
- Cancer survivorship and care
- Genetic and Kidney Cyst Diseases
- Medical Imaging and Pathology Studies
- Restraint-Related Deaths
- COVID-19 Clinical Research Studies
Kobe City Medical Center General Hospital
2008-2025
European Society for Clinical Nutrition and Metabolism
2023
Gunma University
2023
Osaka Red Cross Hospital
2009
Kyoto University Hospital
2003
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016), a Japanese-specific set clinical practice guidelines sepsis septic shock created jointly by the Society Intensive Care Medicine Association Acute Medicine, was first released in February 2017 published Journal JSICM, [2017; Volume 24 (supplement 2)] https://doi.org/10.3918/jsicm.24S0001 28, 1)] http://onlinelibrary.wiley.com/doi/10.1002/jja2.2017.28.issue-S1/issuetoc . This abridged...
The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2020 (J-SSCG 2020), a Japanese-specific set clinical practice guidelines sepsis septic shock created as revised from J-SSCG 2016 jointly by the Society Intensive Care Medicine Association Acute Medicine, was first released in September published February 2021. An English-language version these based on contents original Japanese-language version. purpose this guideline is to assist medical staff making...
Background and Purpose The Japanese Clinical Practice Guidelines for Management of Sepsis Septic Shock 2016 (J‐ SSCG 2016), a Japanese‐specific set clinical practice guidelines sepsis septic shock created jointly by the Society Intensive Care Medicine Association Acute Medicine, was first released in February 2017 Japanese. An English‐language version these based on contents original Japanese‐language version. Methods Members were selected organized into 19 committee members 52 working group...
<h2>Summary</h2><h3>Background & aims</h3> Guidance on managing the nutritional requirements of critically ill patients in intensive care unit (ICU) has been issued by several international bodies. While these guidelines are consulted ICUs across Asia–Pacific and Middle East regions, there is little guidance available that tailored to unique healthcare environments demographics regions. Furthermore, lack consistent data from randomized controlled clinical trials, reliance expert consensus,...
Patients with critical illness may present disease-related malnutrition upon intensive care unit (ICU) admission. They are at risk of development and progression over the disease trajectory because inflammation, dysregulated metabolism, challenges feeding. The Global Leadership Initiative on Malnutrition (GLIM) convened a panel 36 clinical nutrition experts to develop consensus-based guidance statements addressing diagnosis during illness, using modified Delphi approach requirement ≥75%...
Abstract Background Patients with critical illness may present disease‐related malnutrition upon intensive care unit (ICU) admission. They are at risk of development and progression over the disease trajectory because inflammation, dysregulated metabolism, challenges feeding. Methods The Global Leadership Initiative on Malnutrition (GLIM) convened a panel 36 clinical nutrition experts to develop consensus‐based guidance statements addressing diagnosis during using modified Delphi approach...
Abstract Background : Little is known about the impact of feeding adequacy by NUTrition Risk in Critically Ill (NUTRIC) groups critically ill patients with body mass index (BMI) <20. Our purpose was to assess whether protein/energy intake impacts mortality BMI <20 Western/Eastern intensive care units (ICUs) and high/low NUTRIC groups. Methods Data from International Nutrition Survey 2013–2014 were dichotomized into ICU settings; or ≥20; high (≥5)/low (<5) Association 60‐day compared...
Dysphagia is associated with nutritional deficits and increased risk of aspiration pneumonia. The aim the present study was to evaluate impact nutrition therapy for patients dysphagia at an acute care hospital. We also tried clarify factors which improve swallowing function in these patients. Seventy were included study. Multidisciplinary support team evaluated status. Most fed by parenteral or enteral time first round. Of 70 patients, 36 became able eat orally. improvement higher BMI both...
【目的】International Nutrition Survey(INS)は,カナダ・クイーンズ大学のHeylandが中心となり行われている,世界のICUを対象とした栄養療法に関する調査である。本邦の9施設が参加した2011年INSの結果をもとに本邦ICUの栄養療法の現状を把握し,問題点を明らかにした。【方法】対象は人工呼吸を受けた成人患者,調査項目は栄養の投与量,内容,開始時期などであった。本邦の結果を他のアジアおよび世界の結果と比較した。【結果】本邦は,エネルギー充足率,蛋白質充足率,栄養投与率などほとんどすべての面でアジアや世界の平均を下回り,経腸栄養開始時期も遅かった。【考察】本研究は,本邦ICUにおける栄養療法の問題点を示唆しただけでなく,参加施設が栄養療法を把握するための良い機会となった。次回のINSには,より多くのICUの参加を募り,本邦の栄養療法改善の契機としたい。
Exacerbation of liver enzymes after the initiation feeding in malnourished patients is caused by refeeding syndrome or persistent starvation. There are no definite clinical markers for distinguishing between two conditions. We herein report a 63-year-old woman with starvation-induced enzyme elevation. Her body weight was inversely associated levels refeeding, which different course from syndrome. Normalization ensued as caloric intake increased and gain progressed. Daily changes can be useful marker
【目的】嚥下機能評価において近年は舌圧値が注目されているが,嚥下機能の予後との関連について明確な位置づけはない.今回我々は急性期病院における脳卒中症例を除く嚥下障害患者を対象に,舌圧値による嚥下予後の予測可能性,疾患群及び入院日数の影響なども含め予備的に検討した.【対象と方法】当院に入院された嚥下障害患者102名中,「誤嚥性肺炎群」「神経疾患群」「心臓血管術後群」の3群の舌圧値,入院日数,FOIS改善度を回帰分析にて調整し,舌圧値と嚥下予後について検討した.【結果】各疾患群の中央値(四分位範囲)は,「誤嚥性肺炎群」11名,舌圧値24.4(6.4-26.9),入院日数14(11-15),FOIS改善度0(0-0).「神経疾患群」11名,舌圧値15.3(12.6-18.4),入院日数19(11-16),FOIS改善度0(-1-0).「心臓血管術後群」17名,舌圧値23.4(20.9-28.7),入院日数28.5(20-46.3),FOIS改善度2(1-2).回帰分析の結果,疾患群間において舌圧値,入院日数,FOIS改善度で有意差を認めた.また全症例において舌圧値が高値であることとFO...