Publications by authors named "Y Mizobata"
Article Synopsis
- The study aimed to evaluate how well contrast-enhanced computed tomography (CECT) predicts outcomes for patients with severe acute pancreatitis (SAP) by using the computed tomography severity index (CTSI).
- A retrospective analysis of 1,097 SAP patients from 44 institutions in Japan found that while necrosis in pancreatic tissue increased mortality risks, the overall inflammation did not significantly impact mortality rates.
- The results showed that the CTSI had a moderate ability (AUC 0.65) to predict mortality, with significant correlations between higher levels of pancreatic necrosis and increased odds of death.
Non-linear association between the time required to reaching temperature targets and the neurological outcome in patients undergoing targeted temperature management after out-of-hospital cardiac arrest: Observational multicentre cohort study.
Resusc Plus
June 2024
Article Synopsis
- The study aimed to investigate how long it takes to reach temperature targets during targeted temperature management for patients who experienced out-of-hospital cardiac arrest and how this affects their neurological outcomes one month later.
- Researchers analyzed data from 473 patients transported to hospitals in Osaka, Japan, focusing on their neurological status assessed by the Cerebral Performance Category scale one month after the incident.
- Results showed that achieving target temperatures faster was linked to better neurological outcomes, with the fourth quintile (175.2-352.1 minutes) having the highest percentage of favorable outcomes compared to the other time frames.
Background: Poor communication contributes to adverse events (AEs). In our hospital, following an experience of a fatal incident in 2014, we developed an educational programme aimed at improving communication for better teamwork that led to a reduction in AEs.
Methods: We developed and implemented an intervention bundle comprising external investigation committee reviews, the establishment of a working group (WG), standards and emergency response guidelines, as well as educational programmes and tools.
Objectives: Severe pelvic fracture concomitant with massive bleeding is potentially lethal, and intervention for hemorrhage control still depends on institutional supplies. With the recent installation of a CT and C-arm combined resuscitation room system (CTCARM) for treatment of trauma patients in our institution, the strategic process and options for hemorrhage control after pelvic fracture have changed. We retrospectively reviewed the procedures we performed and their outcomes.
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- The Japanese Red Cross Society recently extended the preservation period for red blood cell products, leading to concerns about hyperkalemia during massive transfusions.
- Two cases of critical hyperkalemia were reported: one in a 24-year-old stabbing victim and another in a 44-year-old car accident victim, both experiencing significant spikes in potassium levels shortly after starting massive transfusion protocols (MTP).
- While other factors may contribute to elevated potassium levels, the extended preservation period of red blood cells is considered a likely cause for the rapid increases observed during MTP in these patients.