Filtered By:
Countries: Japan Health

This page shows you your search results in order of relevance.

Order by Relevance | Date

Total 72863 results found since Jan 2013.

Pediatric Fulminant Myocarditis in Japan: A Retrospective Nationwide Database Study of Hospital Volume, Management Practices, and Mortality
OBJECTIVES: Pediatric fulminant myocarditis is a subset of pediatric acute myocarditis associated with critical illness. We aimed to compare mortality and other outcomes such as length of hospital stay between pediatric fulminant myocarditis and nonfulminant myocarditis. For the subgroup of patients with fulminant myocarditis, we also aimed to describe the current management practices and evaluate the impact of clinically relevant factors, including hospital case volume, on mortality. DESIGN: Retrospective observational study using the Diagnosis Procedure Combination database from April 2012 to March 2018. SE...
Source: Pediatric Critical Care Medicine - July 1, 2021 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

Characterization and Outcome of Two Pediatric Intensive Care Units with Different Resources.
Conclusion: The inadequate structure and the burden of more severely ill children at the Egyptian unit appear to be the most important causes behind the higher mortality at this unit. Increasing the number of qualified staff and providing cost-effective equipment may help in improving the mortality outcome and the quality of care. PMID: 32257435 [PubMed - as supplied by publisher]
Source: Critical Care Research and Practice - April 8, 2020 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Clinical practice competencies for standard critical care nursing: consensus statement based on a systematic review and Delphi survey
Conclusions This study found a set of SCCN competencies after a multistep, modified Delphi study. The results of this study are robust, and the competency framework can be used in multiple areas to improve clinical practice, including the assessment, training and certification of standard critical care nurses.
Source: BMJ Open - January 25, 2023 Category: General Medicine Authors: Sakuramoto, H., Kuribara, T., Ouchi, A., Haruna, J., Unoki, T., on behalf of the Committees of Nursing Education and Critical Care Nursing and Working group for Critical Care Nurse Survey Working Group and the AdHoc Committee of Intensive Care Registered Tags: Open access, Intensive care Source Type: research

The Validity and Reliability of the Japanese Version of the Cornell Assessment of Pediatric Delirium
Conclusions: The Japanese version of the Cornell Assessment of Pediatric Delirium is a valid and reliable tool for use in Japanese PICUs. This will allow for detection of delirium in real-time and may lead to better identification of the population and risk factors for appropriate management and therapeutic and preventative interventions.
Source: Pediatric Critical Care Medicine - May 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Detection of Pediatric Pulmonary Arterial Hypertension by School Electrocardiography Mass Screening.
CONCLUSIONS: These findings suggest that the ECG-based screening detects a unique subpopulation of pediatric I/H-PAH patients that is associated with already established pulmonary hypertension but without obvious right heart failure and warrant investigating the prognostic significance of this system. PMID: 30428270 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - November 14, 2018 Category: Respiratory Medicine Authors: Sawada H, Mitani Y, Nakayama T, Fukushima H, Kogaki S, Igarashi T, Ichida F, Ono Y, Nakanishi T, Doi S, Ishikawa S, Matsushima M, Yamada O, Saji T Tags: Am J Respir Crit Care Med Source Type: research

The Occurrence and Risk Factors of Inappropriately Deep Tip Position of Microcuff Pediatric Endotracheal Tube During PICU Stay: A Retrospective Cohort Pilot Study*
Objectives: Cuffed endotracheal tubes are being used increasingly for pediatric patients on mechanical ventilation. Appropriate placement of the tube tip for Microcuff (Kimberley-Clark, Roswell, GA) pediatric endotracheal tube is guided by the intubation depth mark on the device. However, inappropriately deep tip position is sometimes observed during PICU stay. The purpose of this study was to assess the occurrence and risk factors of inappropriately deep tip position of Microcuff pediatric endotracheal tube during PICU stay. Design: A retrospective cohort study. Setting: The PICU at the National Center for Child H...
Source: Pediatric Critical Care Medicine - November 1, 2019 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Age-Specific Dose Regimens of Dexmedetomidine for Pediatric Patients in Intensive Care Following Elective Surgery: A Phase 3, Multicenter, Open-Label Clinical Trial in Japan
This study included 61 patients at 13 tertiary hospitals in Japan. PATIENTS: Pediatric patients (≥ 45 wk corrected gestational age to
Source: Pediatric Critical Care Medicine - November 1, 2021 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Safety of Tranexamic Acid During Pediatric Trauma: A Nationwide Database Study*
Conclusions: Tranexamic acid use is associated with a significantly increased risk of seizures. However, no difference exists among any other outcomes between the tranexamic acid and nontranexamic acid groups.
Source: Pediatric Critical Care Medicine - December 1, 2018 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

International Survey on Determinants of Antibiotic Duration and Discontinuation in Pediatric Critically Ill Patients
Conclusions: Antibiotic-related decisions are complex and may be influenced by cultural and contextual factors. Evidence-based criteria are necessary to guide antibiotic duration and ensure the rational use of antibiotics in PICUs.
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Characteristics of Patients With Congenital Heart Disease Requiring ICU Admission From Japanese Emergency Departments*
Conclusions: Classification of the reasons for emergency department admission by congenital heart disease type and surgical stage may guide clinicians in the selection of appropriate treatments in such settings.
Source: Pediatric Critical Care Medicine - December 1, 2020 Category: Pediatrics Tags: Online Cardiac Intensive Care Source Type: research

Physical Restraints in Critically Ill Children: A Multicenter Longitudinal Point Prevalence Study*
CONCLUSIONS: The prevalence of physical restraints in critically ill or injured children was high, and significant variation was observed among PICUs. Our study findings suggested that patient age, unit size, and practice policy of physical restraint could be associated with more frequent use of physical restraints.
Source: Critical Care Medicine - October 25, 2021 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Relevance of Kampo in emergency and critical care medicine
ABSTRACTWe demonstrate that traditional Japanese medicine, Kampo treatments, are effective in emergency and critical care. There are two ways to use Kampo medicine; using mechanism ‐based Kampo as Western medicine and applying Kampo theory, especially the theory of qi, bloodTM1, and fluidTM1. For example, shakuyakukanzoto rapidly controls myalgia and is used to treat tetanus ‐induced convulsions. Goreisan is used for fluidTM1 disturbance as well as the treatment of vertigo and acute gastroenteritis. Hematoma is considered a form of oketsu or static bloodTM1; therefore, formulations that are useful for treating static b...
Source: Traditional and Kampo Medicine - July 16, 2020 Category: Complementary Medicine Authors: Hajime Nakae, Yasuhito Irie Tags: REVIEW Source Type: research

ICU Versus High-Dependency Care Unit for Patients With Acute Myocardial Infarction: A Nationwide Propensity Score-Matched Cohort Study
CONCLUSIONS: Critical care in the ICU compared with that in the HDU was not associated with reduced inhospital mortality among the entire cohort of patients with acute myocardial infarction but was associated with reduced inhospital mortality among the subsets of patients with Killip class IV, intubation, or mechanical circulatory support.
Source: Critical Care Medicine - May 27, 2022 Category: Emergency Medicine Tags: Clinical Investigations Source Type: research

Life-Sustaining Treatment Status at the Time of Death in a Japanese Pediatric Intensive Care Unit.
CONCLUSIONS: Although limiting LST was a common practice in end-of-life care in a Japanese PICU, a severe limitation of LST such as withdrawal from the ventilator was hardly practiced, and a considerable LST was still provided at the time of death. PMID: 29179574 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - January 1, 2017 Category: Palliative Care Authors: Suzuki F, Takeuchi M, Tachibana K, Isaka K, Inata Y, Kinouchi K Tags: Am J Hosp Palliat Care Source Type: research

Development of the Nurses ’ Care Coordination Competency Scale for mechanically ventilated patients in critical care settings in Japan: Part 1 Development of a measuring instrument
To develop a draft scale measuring nurses ’ care coordination competency for care of mechanically ventilated patients in critical care settings.
Source: Intensive and Critical Care Nursing - September 13, 2017 Category: Nursing Authors: Chie Takiguchi, Yumiko Yatomi, Tomoko Inoue Tags: Original article Source Type: research