2019 Hospital Indicators

　This hospital is a specialized hospital that provides advanced treatment for cerebrovascular disease, spinal cord disease, etc., mainly stroke. Cerebrovascular disease and spinal cord disease are thought to be more common in the elderly, and our hospital accounts for 57.6% of the total in those in their 70s and over.

　In spinal cord Surgery, the most common patients are hospitalized for spinal canal stenosis. The spine has a tube called the spine tube, which is a path of nerves, and over a long period of time the spine is deformed and the spine tube becomes narrower.
　Spinal stenosis may require surgery such as decompression or spinal fixation in cases where conservative therapy such as exercise therapy, oral medications, and neuroblocks cannot be improved.
　Spinal deformation, such as scoliosis, has a lower average age due to inpatients after spinal canal stenosis, especially young people (46.20). Diagnosis and treatment of spinal scoliosis requires specialized knowledge, skills and experience.
　In recent years, when the health hazards caused by radiation exposure have become a major concern, it is important to reduce unnecessary X-ray imaging at scoli health check-up.
　In our hospital, we have introduced a sterEOS imaging system, an X-ray imaging system that can evaluate the shape and arrangement of spine, waist, and hip joints, and this device reduces the radiation dose to 1/10 of conventional X-ray imaging. You can shoot the entire spine by lowering it to 1/20 to 1/170 of CT imaging.　In addition, our hospital provides medical treatment by specialists to strengthen the medical treatment function of scoliosis.
　The musculoskeletal organs targeted by the knee joint disease center are organs composed of bones, joints, nerves, and muscles, causing accommodative changes in each tissue as they age, causing various diseases. Pain in the knees and lower back can interfere not only with walking but also with daily life, increasing the possibility of visceral and mental disorders.
　Among the musculoskeletal diseases, knee diseases, especially "osteoarthritis", are more frequent, and it is said that 25 million people are currently affected, of which 8 million are painful. You. In Japan, which has entered a super-aging society, the number of patients is expected to increase further in the future, and we are treating "knee joint diseases" from the viewpoint of policy medical care such as prevention of nursing care and extension of healthy life expectancy.

　The neurosurgery area (neurosurgery in-hospital advocacy, intracerebral nerve vascular treatment department, intravascular treatment center) mainly targets surgery to prevent hemorrhagic diseases and cerebral infarction.
　We perform accurate diagnosis using medical devices such as MRI, CT, and 3D cerebrovascular imaging equipment (3D-DSA), and perform surgical treatment by adding neurological function evaluation by Internal medicine and Rehabilitation as necessary.
　In addition, our hospital has been actively engaged in intravascular treatment in which thin tubes called catheters are reached from blood vessels and treated to lesions. In recent years, it has been rapidly spread as a burdenless treatment that does not open up the body, and in response to the expansion of its adaptation and growing needs, the intravascular treatment center was opened in 2019. We treat unruptured cerebral aneurysm and acute cerebral infarction.

　The Internal medicine cares for central nervous system (brain, spinal cord), peripheral nerves, and muscle diseases such as headache, dizziness and fluffiness, numbness, semi-arrival paralysis, and impaired consciousness.
　For stroke, a typical disease, we have set up a stroke intensive care unit to provide medical treatment 24 hours a day, 365 days a year, and also support the treatment of hyperacute thrombolysis therapy.
　In addition, we actively provide dizziness treatment, including front yard dysfunction. We have introduced an electric oscillator, a video oscillator with a head-level sensor, a rotary stimulation chair, an air Karo Rick device, and a repetitive transcranial magnetic stimulation device (rTMS), which has proven track record in scientific analysis and treatment of dizziness equilibrium disorders.
　In addition, we provide a lot of medical treatment for neuroincurable disease, such as epilepsy and Parkinson's disease.
　Our hospital has a community-based comprehensive care ward and a convalescent rehabilitation ward, and it is possible to provide an environment that provides appropriate medical care according to the treatment stage from the acute stage to the subacute stage to the convalescent stage. As a result, the average number of hospital stays is longer.

　This hospital is a specialized hospital that treats cerebrovascular disease, spinal cord disease, etc., so the number of first-time five major cancers by UICC staging and recurrence was less than 10.

　Community-acquired pneumonia refers to pneumonia that has occurred while living a daily social life.
　The number of patients in each severity was less than 10.
　

　The total number of patients with cerebral infarction (ICD10 I63$) in FY2019 was 497, accounting for 22.4% of all discharge patients.
　Our hospital has set up a stroke intensive care unit, has a system that can provide medical treatment 24 hours a day, 365 days a year, and also supports the treatment of hyperacute thrombolysis therapy.
　ICD10 is an abbreviation for "International Statistical Classification of Diseases and Related Health Problems" and is a classification created by the World Health Organization (WHO) to systematically record, analyze, interpret, and compare data on deaths and diseases aggregated at different times from different countries and regions.

　In spinal cord Surgery, the majority of patients undergo spinal fixation.
　In hand-operative treatment, instrumentation using gold genus is based on the technique of bioclean room (100 particulates of 0.5 microns or more per 28L) with the aim of minimizing the risk of intraoperative and postoperative infection. It also combines an X-ray fluoroscopy diagnostic device (Ziehm Vision FD) capable of building state-of-the-art 3D images with a navigation system to provide highly accurate instrumentation.
　In hand surgery for spinal deformation such as spinal cord disease and scoliosis, in-operative monitoring with spinal cord induced potential uses an electric stimulation to the head and spinal cord to confirm that electricity is transmitted normally to the nerve muscles of the lower limbs. Hand-operated safely.
　The knee joint disease center provides hand-operative therapy for artificial knee joint replacement (full replacement or single-granule one-sided replacement depending on the condition). Artificial knee joint replacement is intended for older people or patients with severe deformation, and uses computer support equipment to perform high-precision hand surgery for correction of lower limb alignment and installation of each compotent of artificial joint. I am.

　The three surgical treatments in the neurosurgery field include opening surgery (clipping on the root of the cerebral aneurysm) and intravascular surgery (put a catheter from the blood vessels).
　Invascular surgery performed at the intravascular treatment department and intravascular treatment center, in order to prevent the rupture of cerebral aneurysms (bulges formed in the arteries in the brain), a soft thread-like gold genus made of platinum called a coil is inserted into an arterial aneuryssis.
　For acute cerebral infarction, a thin vinyl tube called a catheter is inserted into a blood vessel and a blood clot is used to collect blood clots using a wire with a mesh tip called a "stent retriever" or to suck a blood clot with a device called a pennanbra.

　
　

　In the case of acute cerebral infarction, Internal medicine puts a thin vinyl tube called a catheter into the blood tube and uses a wire with a mesh tip called a "stent retriever" to remove blood clots using a device called a penumbra.
　Stomastomy is a method of constructing a gastrostomy using a stomach endoscope to improve the overall condition by giving nutrients from the stomach to patients who cannot take oral intake due to sequelae such as stroke. . In our hospital, patients who are unable to take oral ingestion are examined carefully, and then consulted with the patient and his / her family to perform gastrostomy.

　In our hospital, the number of complications such as DIC (disseminated blood coagulation syndrome), sepsis, other fungal disease, and hand surgery and treatment in FY2019 was less than 10.