- Cardiac Arrest and Resuscitation
- Trauma and Emergency Care Studies
- Emergency and Acute Care Studies
- Injury Epidemiology and Prevention
- Mechanical Circulatory Support Devices
- Traumatic Brain Injury Research
- Trauma Management and Diagnosis
- Abdominal Trauma and Injuries
- Cardiovascular Effects of Exercise
- Disaster Response and Management
- Respiratory Support and Mechanisms
- Electromagnetic Fields and Biological Effects
- Sleep and related disorders
- Intensive Care Unit Cognitive Disorders
- Healthcare Technology and Patient Monitoring
- Influenza Virus Research Studies
- Smoking Behavior and Cessation
- COVID-19 and healthcare impacts
- Heart Failure Treatment and Management
- Respiratory viral infections research
- Clinical practice guidelines implementation
- Chronic Disease Management Strategies
- Mobile Health and mHealth Applications
- Traffic and Road Safety
- Cardiac Structural Anomalies and Repair
Otsuma Women's University
2018-2025
Tokyo Women's Medical University
2011-2024
GTx (United States)
2024
Osaka University
2015-2023
Kyoto University
2009-2023
Kansai Medical University
2023
Kyoto Prefectural University of Medicine
2023
Kishiwada Tokushukai Hospital
2023
Osaka Red Cross Hospital
2023
Centre for Nursing Innovation
2023
Early defibrillation plays a key role in improving survival patients with out-of-hospital cardiac arrests due to ventricular fibrillation (ventricular-fibrillation arrests), and the use of publicly accessible automated external defibrillators (AEDs) can help reduce time for such patients. However, effect dissemination public-access AEDs ventricular-fibrillation arrest at population level has not been extensively investigated.From nationwide, prospective, population-based registry Japan, we...
In addition to some electronic cigarettes (e-cigarettes), new heat-not-burn tobacco products Ploom and iQOS have recently begun be sold by companies. These are regulated differently in Japan, depending on whether the contents liquid or leaf. Our objective was estimate percentages of awareness use e-cigarettes among Japanese population, including minors.An internet survey (randomly sampled research agency panellists) with a propensity score adjustment for "being respondent an survey" using...
Background— The best cardiopulmonary resuscitation (CPR) technique for survival after out-of-hospital cardiac arrests (OHCAs) has been intensively discussed in the recent few years. However, most analyses focused on comparison at individual level. How well dissemination of bystander-initiated chest compression–only CPR (CCCPR) increases OHCAs population level remains unclear. We therefore evaluated impact nationwide CCCPR OHCA. Methods and Results— A nationwide, prospective,...
Objectives To evaluate epidemiological characteristics of out-of-hospital cardiac arrests (OHCAs) by detailed non-cardiac cause and factors associated with the outcomes after OHCAs origin. Design A prospective, population-based observational study. Setting The Utstein Osaka Project. Participants 14 164 adult patients aged ≥20 years old due to origin who were resuscitated emergency-medical-service personnel or bystanders, then transported medical institutions from January 2005 December 2011....
To determine survival associated with advanced airway management (AAM) compared no AAM for adults out-of-hospital cardiac arrest.Cohort study between January 2014 and December 2016.Nationwide, population based registry in Japan (All-Japan Utstein Registry).Consecutive adult patients arrest, separated into two sub-cohorts by their first documented electrocardiographic rhythm: shockable (ventricular fibrillation or pulseless ventricular tachycardia) non-shockable (pulseless electrical activity...
The Longevity Improvement & Fair Evidence (LIFE) Study, which was launched in 2019, is a multi-region community-based database project that aims to generate evidence toward extending healthy life expectancy and reducing health disparities Japan. Herein, we describe the LIFE Study's design baseline participant profile.Municipalities participating Study provide data from government-administered insurance enrollees public assistance recipients. These participants cover all disease types age...
ABSTRACT Objectives Anticholinergic drugs can cause cognitive impairment. The risk of dementia associated with anticholinergics compared to beta‐3 agonists (mirabegron and vibegron) has not been extensively investigated in the super‐aging society Japan. This study evaluated association between older adults overactive bladder Methods had 1,493,202 participants from Longevity Improvement & Fair Evidence Study, which includes claim data Japan 2014 2022. included 13,448 anticholinergic drug...
Novel coronavirus infection (COVID-19) was confirmed in Wuhan, China December 2019, and the COVID-19 pandemic has spread around world. However, no clinical studies on impact of emergency medical service (EMS) systems have been carried out.This a retrospective study with period from 1 January 2020 to 14 April 2020. We included patients transported by ambulance for acute diseases traffic accidents Osaka city, Japan. The main outcome this difficulty hospital acceptance. calculated rate...
We aimed to assess the association between cardiopulmonary resuscitation (CPR duration) and outcomes after OHCA.This secondary analysis of a prospective, multicenter, observational study included adult non-traumatic OHCA patients aged ≥ 18 years June 2014 December 2017. CPR duration was defined as time from professional initiation return spontaneous circulation or termination resuscitation. The primary outcome 1-month survival, with favorable neurological by cerebral performance category 1...
Objectives Brain acetylcholine is decreased even in patients with cognitively preserved Parkinson’s disease (PD). We investigated whether early and long-term use of donepezil prevents psychosis non-demented PD patients. Methods A double-blinded, placebo-controlled trial was conducted. total 145 were randomly assigned to receive 5 mg/day (n=72) or placebo (n=73) for 96 weeks. Medications not restricted, but antipsychotic drugs permitted throughout the study. The primary outcome measure...
The coronavirus disease (COVID-19) pandemic may have negatively affected bystander interventions, emergency medical service (EMS) personnel activities, and patient outcomes after out-of-hospital cardiac arrest (OHCA). This study assessed EMS during the COVID-19 era compared them with those non-COVID-19 in Osaka City, Japan, where public-access automated external defibrillators (AEDs) are well established.We conducted this population-based cohort that included all cases non-traumatic OHCA...
Importance While epinephrine and advanced airway management (AAM) (supraglottic insertion endotracheal intubation) are commonly used for out-of-hospital cardiac arrest (OHCA), the optimal sequence of these interventions remains unclear. Objective To evaluate association administration AAM with patient outcomes after OHCA. Design, Setting, Participants This cohort study analyzed nationwide, population-based OHCA registry in Japan included adults (aged ≥18 years) whom emergency medical...
To investigate the association between difficulty in hospital acceptance at scene by emergency medical service (EMS) personnel and prehospital demographic factors reasons for EMS calls.A retrospective, observational study.Osaka City, Japan.A total of 100 649 patients transported to institutions from January 2013 December 2013.The definition was making ≥5 phone calls until a decision transport determined. Multivariable analysis used assess relationship calls.Multivariable showed elderly,...