Publications by authors named "A Kawauchi"
Introduction: Nutritional therapy is an important component of intensive care. We investigated the associations of nutritional therapy in the acute phase of severe COVID-19 with the long-term outcomes of post-intensive care syndrome (PICS) and post-COVID-19 conditions.
Methods: A questionnaire on the health status after COVID-19 was sent to patients 1 year after infection and PICS was evaluated.
Article Synopsis
- Previous studies suggest that women have better outcomes than men when undergoing extracorporeal cardiopulmonary resuscitation (ECPR) for out-of-hospital cardiac arrest (OHCA), but detailed research on this is limited.
- This study analyzed data from the SAVE-J II registry, examining the sex differences and outcomes in ECPR patients, focusing on neurological recovery at hospital discharge.
- Findings showed that while there were more male patients, women had a higher adjusted odds ratio for favorable neurological outcomes (1.60), indicating better recovery compared to men, especially given the differences in cardiac rhythms presented at the time of treatment. *
Article Synopsis
- * A study in Japan on November 1 and December 1, 2023, found that 69% of 187 eligible ICU patients faced oral intake restrictions, with only about half screened for swallowing disorders.
- * Notably, few received necessary rehabilitation, and most ICUs lack trained speech therapists or established protocols, highlighting a need for better clinical practices in dysphagia management.
Article Synopsis
- A study in Kochi Prefecture, Japan, observed a decrease in emergency transportations for acute alcohol intoxication during the early COVID-19 pandemic and aimed to track changes over the next four years.
- The analysis of 107,013 emergency cases showed a consistent decline in such transportations from 2019 (1.8%) to 2023 (1.3%), with significant reductions noted each year compared to 2019.
- These findings suggest that even as social activities resumed post-pandemic, the number of alcohol-related emergencies remained lower than pre-pandemic levels.
Article Synopsis
- The study investigated how changes in disease severity within the first 48 hours of ICU admission affect physical function more than the severity at admission itself.
- Researchers analyzed data from 199 adult ICU patients across seven hospitals in Japan, using the Barthel Index to assess physical independence at discharge.
- Results showed that a rise in the Sequential Organ Failure Assessment (SOFA) score during the first 48 hours was strongly linked to lower physical function scores at discharge, while the initial SOFA score at admission was not significantly related.