Publications by authors named "Takako Kainoh"
Article Synopsis
- Abdominal compartment syndrome (ACS) is a serious complication that can occur after blunt abdominal trauma, requiring quick diagnosis and surgery for the best outcomes.
- A study using data from the Japan Trauma Data Bank found that among 294,274 patients, 150 (1.3%) developed ACS, with those affected showing more severe injuries, including higher rates of abdominal organ damage, vascular and pancreatic injuries, and increased mortality rates (51.1% vs. 26.0% in controls).
- The analysis identified two key risk factors for ACS: a greater number of injured abdominal organs and specific pancreatic injuries, both of which independently increase the likelihood of developing the syndrome.
Article Synopsis
- Post-trauma patients face a significant risk of pulmonary embolism (PE), but specific risk factors remain under-researched.
- This study analyzed data from the Japan Trauma Data Bank between 2004 and 2017, involving 719 patients with PE and 3,595 without, focusing on factors influencing PE development after trauma.
- Key risk factors identified include spinal injuries, long bone open fractures, central vein catheter placement, and undergoing any surgery, highlighting the need for early preventative measures for at-risk patients.
Article Synopsis
- - The study examined how infections affect the survival rates of trauma patients based on the severity of their injuries, using a large dataset from 2004 to 2017.
- - Out of nearly 151,000 patients, 6.8% developed infections, which significantly increased their chances of dying in the hospital compared to those without infections.
- - The research found that the impact of infections on death rates varied with injury severity, showing the highest mortality difference in mild and moderate trauma cases, while showing similar death rates in severe cases regardless of infection status.
Aim: During chest compressions (CCs), the hand position at the lower half of the sternum is not strictly maintained, unlike depth or rate. This study was conducted to determine whether medical staff could adequately push at a marked location on the lower half of the sternum, identify where the inappropriate hand position was shifted to, and correct the inappropriate hand position.
Methods: This simulation-based, prospective single-center study enrolled 44 medical personnel.
Article Synopsis
- Fat embolism syndrome (FES) is a rare condition that occurs when fat globules enter the lungs' microcirculation, leading to various symptoms, particularly after trauma.
- A study analyzed the Japan Trauma Data Bank from 2004 to 2017 to identify risk factors for FES in patients with long bone and open fractures, comparing those with FES to matched controls without FES.
- Results indicated that long bone and open fractures are linked to a higher risk of FES, while delayed surgery increased the risk independently; however, primary bone reduction and fixation did not show a significant association with FES.
Article Synopsis
- This study investigates the differences in surgical complications and failure-to-rescue (FTR) rates between high- and low-mortality trauma hospitals in Japan.
- It analyzes data from over 184,000 trauma patients treated between 2004 and 2017, focusing on how these factors impact patient outcomes and overall mortality rates.
- Findings reveal that high-mortality hospitals have higher complication rates, increased in-hospital mortality, and greater FTR compared to low-mortality hospitals, despite treating patients with relatively lower injury severity scores.