2016 Hospital Indicators

　This hospital is a specialized hospital that provides advanced treatment for cerebrovascular disease, mainly stroke, and spinal cord disease. Cerebrovascular disease and spinal cord disease are thought to be more common in the elderly, and our hospital accounts for 54.6% 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.
　After surgery, rehabilitation may be continued in the convalescent rehabilitation ward or community-based comprehensive care ward, so the average number of hospital stays is longer.
　The average age of spinal scoliosis contained in spine deformation is lower inpatient after the spinal canal stenosis, especially in young people.
　Diagnosis and treatment of spinal scoliosis requires specialized knowledge, skills, and experience. In addition, the health hazards caused by radiation exposure have become a major concern in recent years, especially children are more susceptible to radiation than adults, so it is important to reduce unnecessary X-ray imaging in health check-up.
　This hospital has introduced the sterEOS Imaging System, an X-ray imaging system that can evaluate the shape and arrangement of spine, waist, and hip joints for the first time in the prefecture. It has been reduced to less than 1/10 and to 1/800 of CTscan, and recently it has become possible to shoot the entire spine in about 6 days of natural exposure.
　In addition, our hospital provides outpatient care by specialists in order to strengthen the medical treatment function of scoliosis.

　In neurosurgery, I am in charge of surgical treatment in the treatment of cerebrovascular disorders.
　The target of surgical treatment is mainly brain blood circulation reconstruction to prevent hemorrhagic diseases and cerebral infarction.
　After surgery, rehabilitation is continued in the convalescent rehabilitation ward, so the average number of hospital stays is longer.
　In this hospital, we treat with other departments without sticking to surgery according to each case. In addition to cerebrovascular disease, functional diseases such as trigeminal neuralgia and facial convulsions, benign tumors, etc. are also treated.

　The Department of Neurovascular Medicine is a Medical consultation fee in which a small tube called a catheter is guided to blood vessels related to the brain, and then a variety of therapeutic devices such as coils and stents are directly connected to the disease.
　It covers cerebral aneurysm (rupture, unrupture) that causes subarachnoid hemorrhage, cerebral artery fistula that causes cerebral hemorrhage, artery stenosis, acute cerebral artery, and vein obstruction that causes cerebral infarction.

　Neurology Internal medicine is a department that provides medical care for diseases of the brain, spinal cord, peripheral nerves and muscles.
　For stroke, a typical disease, we have set up a stroke intensive care unit and have a system that can provide medical treatment 24 hours a day, 365 days a year, and also support the treatment of hyperacute thrombolysis therapy. We also actively provide dizziness treatment, including front yard dysfunction. As in our hospital, brain specialists serve as dizziness experts at the same time, making full use of state-of-the-art medical equipment to diagnose and treat dizziness scientifically are rare nationwide.
　We are also conducting research on the flickerness of the elderly and dizziness after a stroke, and are highly regarded internationally.
　Our hospital has a community-based comprehensive care ward and a convalescent rehabilitation ward, and it is possible to provide appropriate medical care in a consistent environment according to the treatment stage from the acute stage to the subacute stage to the convalescent stage. Therefore, the average length of hospital stay 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 during daily social life.
　The number of patients with adult community-acquired pneumonia (over 20 years old) in our hospital is "moderate". Pneumonia is more severe as the age increases, and the average length of hospital stay is longer.

　In fiscal 2016, a total of 695 patients with ICD 10 injuries and illnesses were accounted for 27.4% of the total.
　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.
　In addition, it has a community-based comprehensive care ward and a convalescent rehabilitation ward, and it is possible to provide appropriate medical care in a consistent environment according to the treatment stage from the acute stage to the subacute stage to the convalescent stage. The average number of hospital stays is longer.
　ICD10 is an abbreviation of "International Statistical Classification of Diseases and Related Health Problems of Diseases and Related Health Problems", which systematically records, analyzes, interprets, and compares data on deaths and diseases aggregated at different times from different countries and regions. It is a classification created by the World Health Organization (WHO) to perform.

In spinal cord Surgery, the majority of patients undergo spinal fixation.
　In surgical treatment, instrumentation using metal, etc. is based on surgery for bioclean rooms (air cleanliness class 100: less than 100 fine particles of 0.5 microns or more per approximately 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 surgery for spinal deformation such as spinal cord disease and scoliosis, in-operative monitoring with spinal cord-induced potential, a method of electrical stimulation to the head and spinal cord to confirm that electricity is properly transmitted to the nerve muscles of the lower limbs. Perform the operation safely.
　In vertebral formation (BKP: Balloon Kipoplasty) for spine fractures with osteoporosis, which has been increasing in recent years, surgery is performed safely using a permeable device (biprene) that can be photographed simultaneously from two directions.

　The target of surgical treatment of neurosurgery is mainly hemorrhagic disease. In addition to treatment after the onset of stroke, we also treat cause removal for prevention, and we select the optimal treatment method, with the highest priority on protecting the brain according to the patient's condition.
　After surgery, rehabilitation is continued in the convalescent rehabilitation ward, so the average number of hospital stays is longer.

　In the Department of Neurovascular Medicine, in order to prevent the rupture of cerebral aneurysms (bulges formed in the arteries in the brain) that cause subarachnoid hemorrhage, a soft thread-like metal called a coil called a coil is inserted into the arterial mass embolism, and the carotid artery stenosis (carotid artery that is narrows become narrow due to become narrow due to arterios due to arterios due to arteriostenosis).
　For acute cerebral infarction, a thin vinyl tube called a catheter is inserted into a blood vessel, and a blood clot is used to remove blood clots using a wire with a mesh tip called a "stent retriever" or to suck blood clots using a device called a pennanbra.

　Stomastomy is a small operation that uses a stomach endoscope to create a gastrostomy with the aim of improving the overall condition by giving nutrients from the stomach to patients who cannot be taken orally due to sequelae such as stroke. is.
　In our hospital, we carefully examine cases for patients who cannot be taken orally, and then consult with the patient and his family to perform gastrostomy.

　Even in FY2016, the number of DICs (seminated intravascular coagulation syndrome), sepsis, other fungal diseases, and complications after surgery and surgery were all less than 10 cases.