Publications by authors named "D Kudo"

: The prognosis of acute decompensated heart failure (ADHF) and heart failure (HF) with atrial fibrillation (AF) has been dismal. This study was performed to investigate the clinical outcomes of catheter ablation (CA) performed in patients with concurrent ADHF and AF. : We retrospectively analyzed ADHF patients with AF who were admitted to our institution from 2007 to 2017.

View Article and Find Full Text PDF

Background: Intermediate care units (IMCUs) provide care for patients who need more intensive treatment than general wards but less than intensive care units (ICUs). Although the concept of an IMCU requires co-location with an ICU, some hospitals have IMCUs but no ICUs, which potentially worsens patient outcomes. This study aimed to examine the annual trends and care processes, and compare the outcomes of patients admitted to IMCUs in hospitals with and without ICUs using a nationwide inpatient database in Japan.

View Article and Find Full Text PDF
Article Synopsis
  • A study analyzed the rates of dural injury and postoperative cerebrospinal fluid leakage in 4014 spinal surgeries performed between January 2012 and February 2020, finding a 4.3% incidence of dural injury.
  • Among the injured, 12.5% experienced cerebrospinal fluid leakage, with varying rates depending on the type of spinal operation: thoracic (7.8%), cervical (3.2%), and lumbar (4.3%).
  • Although the cause of dural injury was often unclear, the use of sutures and polyglycolic acid mesh with fibrin glue proved effective, and no patients needed reoperation, despite some experiencing cerebrospinal fluid leakage.
View Article and Find Full Text PDF
Article Synopsis
  • A study aimed to evaluate the adherence to a balanced transfusion strategy in severely injured patients in Japan, which is believed to lower mortality rates during resuscitation.
  • The researchers analyzed data from the RESTRIC trial, categorizing patients into two massive transfusion groups based on the volume of red blood cell (RBC) transfusions they received.
  • Results showed that while the ratio of fresh frozen plasma (FFP) to RBC transfusions was consistently balanced, the platelet concentrate (PC) to RBC ratio was not fully balanced, especially in the early phases of treatment.
View Article and Find Full Text PDF