2020 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 in our hospital, more than 70s account for 61.2% of the total.

　In Orthopaedic 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 (45.15). 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.
　Exercise organs related to the lower limbs are organs composed of bones, joints, nerves, and muscles, which cause 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 them, the frequency of knee disease, especially "osteoarthritis", is high, and in Japan, which has entered a super-aging society, the number of patients is expected to increase further in the future, and the policy of preventing nursing care and extending healthy life expectancy We treat "knee joint disease" from the viewpoint of medical care.

　Neurosurgery mainly focuses on 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. We treat unruptured cerebral aneurysm and acute cerebral infarction as a less burdensome treatment that does not open up the body.
　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.

　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.

　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 FY2020 was 469, accounting for 22.2% 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 Orthopaedic 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.
　For knee joint disease, hand-operative therapy of artificial knee joint replacement (full replacement or single-granule one-sided replacement depending on the condition) is performed. 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.

　Neurosurgery involves opening surgery (clipping the root of the cerebral aneurysm) and intravascular surgery (put a catheter from the blood vessels).
　In vascular surgery, in order to prevent the rupture of the cerebral aneurysm (bulges formed in the arteries in the brain), a soft thread-like genus made of platinum called a coil is inserted into the arterial aneurysm. It is called a stent that spreads a vascular stenosis (a condition in which the carotid artery narrows become narrows due to arteriosclerosis due to arteriosclerosis).
　For acute cerebral infarction, a catheter is inserted into a blood vessel, and a stent-retainer is used to remove blood clots, or a suction catheter is used to remove bloodclots.

　
　

　Neurology Internal medicine also provides various types of intravascular treatments in cooperation with neurosurgery.
　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 the second year of Reiwa was less than 10.