Publications by authors named "S Otaka"
Article Synopsis
- A study in Japan analyzed regional differences in the neurological outcomes of out-of-hospital cardiac arrest (OHCA) patients who received emergency care from 2011 to 2017, utilizing data from the All-Japan Utstein Registry.
- Of the 880,043 OHCA patients, 721,455 were included in the analysis, revealing a survival rate with favorable neurological outcomes of 2.45%, varying from 1.64% to 3.37% across regions.
- The East and Northeast regions showed significantly lower rates of favorable outcomes compared to the Midwest, indicating that while regional differences persist, the gap has narrowed over time, warranting further investigation into the underlying causes.
Diabetes Res Clin Pract
June 2024
Article Synopsis
- The study analyzed infection characteristics and the usefulness of inflammatory markers in patients with diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) across 21 hospitals in Japan.
- It included 771 adult patients, finding that 70 had positive blood cultures, with higher mortality rates in those with bacteremia (14% vs. 3.3%).
- C-reactive protein (CRP) was identified as a more reliable diagnostic marker for bacteremia than procalcitonin (PCT) in hyperglycemic emergencies.
Intern Emerg Med
June 2024
Article Synopsis
- - A study was conducted in Japan to investigate the effects of chloride loading on hospitalized patients with diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic syndrome (HHS) who experienced acute kidney injury (AKI).
- - The researchers grouped patients based on the amount of chloride they received in the first 48 hours and looked at two main outcomes: recovery from AKI and major adverse kidney events (like mortality and prolonged renal failure) within 30 days.
- - Results showed no significant difference in recovery rates or adverse kidney events between those receiving high or low chloride, suggesting that chloride loading does not affect recovery from AKI in these hyperglycemic emergency cases.
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Acta Diabetol
January 2024
Article Synopsis
- Diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar syndrome (HHS) are serious diabetes complications that need more research on their clinical profiles.
- A study analyzed the medical records of 771 hospitalized adults in Japan from 2012 to 2016 to compare outcomes among different severity levels of DKA and HHS.
- Findings revealed that common triggers included poor medication adherence and infections, with ICU admission rates at 44.4% and mortality rates of 2.8% for DKA and 7.1% for HHS, indicating no significant difference in mortality among DKA severity levels.
