A5003513264- COVID-19 and healthcare impacts
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Climate Change and Health Impacts
- COVID-19 Clinical Research Studies
- Disaster Response and Management
- COVID-19 and Mental Health
- Health disparities and outcomes
- Primary Care and Health Outcomes
- Geriatric Care and Nursing Homes
- Respiratory viral infections research
- Acute Ischemic Stroke Management
- Venous Thromboembolism Diagnosis and Management
- Healthcare Policy and Management
- Patient Satisfaction in Healthcare
- Trauma and Emergency Care Studies
- Pneumonia and Respiratory Infections
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Intergenerational Family Dynamics and Caregiving
- Clinical practice guidelines implementation
- Healthcare Decision-Making and Restraints
- Antibiotic Use and Resistance
- Health Systems, Economic Evaluations, Quality of Life
- Antibiotics Pharmacokinetics and Efficacy
- Palliative Care and End-of-Life Issues
Kyoto University
2019-2025
Abstract Despite the remarkable health achievements of Japan’s universal coverage since 1961, along with numerous social programs to ensure financial protection, a growing proportion older population reportedly experiences hardship for essential care. The socio-behavioral and economic situation households in need effective policy interventions remain unknown. To identify reasons behind persons’ interventions, we performed questionnaire survey workers all hospitals, local government offices...
In response to the coronavirus diseases 2019 (COVID-19) pandemic, Japanese government declared a state of emergency on April 7, 2020. Six days earlier, Japan Surgical Society had recommended postponing elective surgical procedures. Along with growing public fear COVID-19, hospital visits in decreased. Using claims data from Quality Indicator/Improvement Project (QIP) database, this study aimed clarify impact first wave considered be March May 2020, case volume and claimed charges acute care...
A serious shortage of cefazolin (CEZ) occurred in Japan 2019. We compared the impact CEZ on selection parenteral antibiotics at affected and non-affected hospitals.The data were extracted from a nationwide Japanese administrative database included all hospitalized cases between April 2016 December 2020. defined 'hospitals with shortage' as those hospitals statistically significant decrease use during supply disruption period to same months previous year; other without shortage'. determined...
Background Patients with hip fractures tend to have a poor prognosis. Although guideline-compliant practices are known improve patient outcomes, there is lack of evidence regarding the use intervention guideline adherence in fracture patients. The objective our study was evaluate by internists providing care patients fractures, using protocol developed based on various guidelines.
Abstract During the coronavirus disease 2019 (COVID-19) pandemic, there have been health concerns related to alcohol use and misuse. We aimed examine population-level change in cases of alcohol-related liver pancreatitis that required admission during COVID-19 epidemic by interrupted time series (ITS) analysis using claims data. defined period from April 2020, when Japanese government declared a state emergency, as beginning epidemic. This ITS included 3,026,389 overall admissions 10,242 for...
Abstract Aims The Coronavirus Disease 2019 (COVID‐19) pandemic has had unprecedented effects on health care utilization for acute cardiovascular diseases. Although hospitalizations coronary syndrome decreased during the COVID‐19 pandemic, there is a paucity of data trends and management heart failure (HF) cases. Furthermore, concerns have been raised that angiotensin‐converting enzyme inhibitors (ACEIs) angiotensin receptor blockers (ARBs) may increase susceptibility to COVID‐19. This study...
Aim: The coronavirus disease 2019 (COVID-19) pandemic has left negative spillover effects on the entire health care system. Previous studies have suggested significant declines in cases of acute coronary syndrome (ACS) and primary percutaneous intervention (PCI) during COVID-19 pandemic.
The purpose of this study was to investigate the effects preoperative oral management (POM) by dentists on incidence postoperative pulmonary complications (PPCs), length hospital stay, medical costs, and days antibiotics administration following both open thoracoscopic esophagectomy.Dental plaque is an established risk factor for pneumonia, which could be reduced POM. However, few clinical guidelines cancer treatment, including those esophageal cancer, recommend POM as routine perioperative...
To investigate the effects of regular periodontal management for people with type 2 diabetes on total healthcare expenditure, hospitalization and introduction insulin.We collected data individuals who were prescribed medications during fiscal year 2015 from claims database a prefecture in Japan. We fitted generalized linear models that had sex, age, comorbidities status previous two years as predictors.A 16,583 enrolled. The annual expenditure third was 4% less (adjusted multiplier 0.96, 95%...
The number of people with dementia increases in an aging society; therefore, promoting policies for throughout the community is crucial to creating a dementia-friendly society. Understanding status older adults each region Japan will be helpful indicator. We calculated Dementia-free Life Expectancy and aimed examine regional disparities their associated factors.We Dementia secondary medical area based on Degree Independence Daily Living Demented Elderly, using data extracted from Japanese...
The coronavirus disease (COVID-19) pandemic has caused unprecedented challenges for the medical staff worldwide, especially those in hospitals where COVID-19-positive patients are hospitalized. announcement of COVID-19 hospital restrictions by Japanese government led to several limitations care, including an increased use physical restraints, which could affect care elderly dementia patients. However, few studies have empirically validated impact restraint during pandemic. We aimed evaluate...
Background Discharge planning enhances the safe and timely transfer of inpatients between facilities. Predicting discharge destination with aspiration pneumonia is important for planning. We aimed to develop validate prediction models elderly patients pneumonia. Methods Using a nationwide inpatient database, we identified cases aged ≥65 years who had been admitted hospital from their home or nursing April 2020 March 2021. divided into derivation validation cohorts according location...
Although social interaction and support during the "new normal" due to coronavirus disease 2019 (COVID-19) may be related presenteeism, effect between these factors has not been clear for Japanese workers. The aim of this study was describe presenteeism workers with reference following lifestyle changes COVID-19 assess whether affected their presenteeism.
Abstract Background Compliance with clinical practice guidelines (CPGs) remains insufficient around the world, despite frequent updates and continuing efforts to disseminate implement these through a variety of strategies. We describe current status young resident physician practices towards CPGs investigate multiple factors associated active use CPGs, including physician’s knowledge, attitudes, behaviours, CPG-related education received, hospital’s IT infrastructures. The aim is identify...
Declines in cardiovascular diseases during the first surge of coronavirus disease 2019 (COVID-19) have been reported. With repeating surges COVID-19, we aim to investigate medium-term impact COVID-19 pandemic on practice percutaneous coronary interventions (PCIs).
Background The pandemic of the coronavirus disease 2019 (COVID-19) has affected health care systems globally. aim our study is to assess impact COVID-19 on number hospital admissions for ischemic stroke by severity in Japan. Methods We analysed administrative (Diagnosis Procedure Combination—DPC) data cases inpatients aged 18 years and older who were diagnosed with admitted during period April 1 2018 June 27 2020. Levels change weekly inpatient diagnosis after declaration state emergency...
Although randomized clinical trials (RCTs) demonstrated short-term benefits of endovascular therapy (EVT) for acute ischemic stroke (AIS) with a large region, little is known about the long-term cost-effectiveness or its difference by extent areas. We aimed to assess EVT AIS involving region from perspective Japanese health insurance payers, and analyze it using Alberta Stroke Program Early CT Score (ASPECTS).The Recovery Endovascular Salvage Cerebral Ultra-acute Embolism-Japan Large...