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2019 hospital index

Last update date September 25, 2020

The discharge number of patients according to age-grade

The discharge number of patients according to age-grade
Age division 0 ... 10 ... 20 ... 30 ... 40 ... 50 ... 60 ... 70 ... 80 ... 90 ...
The number of patients 1 36 32 46 117 284 426 642 534 102

 Our hospital is special hospital providing high treatment for cerebro-vascular disease or the backbone spinal cord disease mainly on stroke. It is thought that cerebro-vascular disease and the backbone spinal cord disease have much onset of elderly person, and 70s or more occupy 57.6% of the whole at our hospital.

The number of patients according to diagnosis group classification (to the number of patients high rank fifth place according to Medical consultation fee)

Orthopaedic surgery (in the in-hospital profession department backbone spinal cord Surgery and knee joint disease center)

DPC cord

DPC name

The number of patients

Average
Hospitalization
(own hospital)

Average
Hospitalization
(nationwide)

Changing hospital rate

The average age

Pass for patient

070343xx01x0xx

Vertebral canal stenosis (we include spondylosis.) Hips pelvis, unstable skill in chinquapin backbone fixation, laminectomy, skill in vertebral arch formation (we include case of between multi-chinquapin or multi-vertebral arch.) There is no 2 such as operation, measures in front vertebral body fixation

107 25.43 20.93 0.00 69.71

070343xx99x1xx

Vertebral canal stenosis (we include spondylosis.) There is 21 such as operation, measures that there are no hips pelvis, unstable chinquapin operation in

61

3.02 2.73 0.00 69.48

070180xx97xxxx

There is the backbone heteromorphic operation

50 29.94 22.78 0.00 46.20

070230xx01xxxx

Gonarthrosis (we include deformability.) Artificial joint reimplantation

45 33.36 23.56 2.22 75.93

070350xx97xxxx

There are intervertebral disk denaturation, hernia or other operations

38 16.03 15.61 0.00 53.34

 In the backbone spinal cord Surgery, patients hospitalized with vertebral canal stenosis increase most. Spinal column has pipe called vertebral canal which is way of nerve, and spinal column is transformed in long time, and vertebral canal becomes small.
 Operations such as skill or skill to decompress in backbone fixation may be necessary with vertebral canal stenosis is case that improvement is not provided by conservative therapy such as kinesitherapy, oral medicine, nerve block.
 As the backbone transformation such as scolioses has many a lot of inpatients particularly young groups next to vertebral canal stenosis, the average age becomes low (46.20). Specialized knowledge, technique, experience is necessary for diagnosis for scoliosis and treatment.
 In addition, it is important that even scoliosis health check-up reduces unnecessary X-rays imaging in these days becoming subject of concern that health hazard by radioactive exposure is serious.
 At our hospital, we introduce the backbone, waist, radiography device "sterEOS imaging system" which can evaluate form, sequence of hip joint and we let radiation dose fall to lower than 1/10 of conventional radiography, 1/20-1/170 of CT shooting in this device and can photograph all spinal columns. Furthermore, we give medical treatment by specialist to strengthen medical treatment function of scoliosis at our hospital.
 It is organ comprised of bone, joint, nerve, muscle, and exercise device that knee joint disease center intends for brings degenerative change with aging at each organization, and various diseases develop. By pain of knee and waist, we affect everyday life as well as walk, and possibility to develop the internal organs disease and mental disease increases.
 Frequency of disease of knee particularly "degenerative gonarthrosis" is high in exercise device degenerative disease, and 25 million are contracting a disease now, and it is said that 8 million people of those are patients with pain. In this country which met super aging society, increase of patient is further expected in future, from the long-term care prevention, viewpoint of medical care of policy called extension of healthy life expectancy of "knee joint disease" treat.

Neurosurgery (3 department adding up of neurosurgery of in-hospital profession department, treatment department in cranial nerve blood vessel and treatment center in blood vessel)
DPC cord DPC name The number of patients Average
Hospitalization
(own hospital)
Average
Hospitalization
(nationwide)
Changing hospital rate The average age Pass for patient
160100xx97x00x No vice-sickness and wound that there is no 2 such as the skull, operation, measures that there are intracranial damage or other operations in in 39 9.23 9.67 2.56

77.10

 
010040x099000x No vice-sickness and wound that there is no 2 such as operation, measures that there is no 1 such as atraumatic intracranial hematoma (other than atraumatic endocranium bloody bowel discharge tumor) (less than JCS10) operationless operation, measures in in 22 53.68 18.81 22.73 63.77  
010030xx9910xx There are 1 non-explosion cerebral aneurysm operationless operation, measures, and there is no 2 such as operation, measures 21 2.52 3.01 4.76 59.71  
010060x2990401 In front of onset Rankin Scale 0 which there is 24, and there is no vice-sickness and wound in such as operation, measures that there is no 1 in such as operation, measures that there is no cerebral infarction (less than within stroke onset third day and JCS10) operation in, 1 or 2 21 37.81 16.13 0.00 66.33  
160100xx99x00x No skull, intracranial damage operationless vice-sickness and wound that there is no operation, 2 such as measures in 21 6.67 7.34 4.76 72.05  

 Is important by operation for bleeding disorders and the cerebral infarction prevention in neurosurgical domain (neurosurgery in in-hospital profession, treatment department in cranial nerve blood vessel, treatment center in blood vessel); intend.
 We make accurate diagnosis using medical equipment such as MRI, CT, three-dimensional cerebrovascular imager (3D-DSA) and we add neurological function evaluation by cranial nerve Internal medicine and Rehabilitation as needed and decide operation adaptation and are engaged in surgical management.
 In addition, we work on treatment in blood vessel to let thin pipe called catheter arrive at lesion from blood vessel, and to treat positively conventionally at our hospital. In late years it spread as treatment with a few burdens that we did not open up body rapidly and established treatment center in blood vessel in response to the adaptive expansion and increase of needs in 2019. Cerebral infarction is treated for non-explosion cerebral aneurysm, the immediate nature period.

Neurology (in the in-hospital profession department cranial nerve Internal medicine)
DPC cord DPC name The number of patients Average
Hospitalization
(own hospital)
Average
Hospitalization
(nationwide)
Changing hospital rate The average age Pass for patient
010060x2990401

In front of onset Rankin Scale 0 which there is 24, and there is no vice-sickness and wound in such as operation, measures that there is no 1 in such as operation, measures that there is no cerebral infarction (less than within stroke onset third day and JCS10) operation in, 1 or 2

87 29.53 16.13 0.00 68.43  
030400xx99xxxx There is no front garden dysfunction operation 72 2.79 5.01 0.00 70.38  
010230xx99x00x No vice-sickness and wound that there is no 2 such as operation, measures that there is no epilepsy operation in in 59 10.85 7.10 8.47 62.61  
010040x099000x No vice-sickness and wound that there is no 2 such as operation, measures that there is no 1 such as atraumatic intracranial hematoma (other than atraumatic endocranium bloody bowel discharge tumor) (less than JCS10) operationless operation, measures in in 56 55.16 18.81 14.29 68.43  
010160xx99x00x

No vice-sickness and wound that there is no 2 such as operation, measures that there is no Parkinson's disease operation in in

41 28.44 17.72 4.88 75.98  

 In cranial nerve Internal medicine, we treat headache, dizziness, drift, numbness, paralysis of one side (the single paralysis), central nerve (brain, spinal cord), peripheral nerves such as disturbance of consciousness, disease of muscle.
 For stroke that is representative disease, we establish stroke intensive care unit and fix the system which can treat 365⽇ for 24 hours and cope with treatment of ⾎ stopper dissolution therapy for the super immediate nature period.
 In addition, there is ⾏ by medical treatment of dizziness including front garden dysfunction positively. We introduce electric nystagmus meter, video nystagmus meter with head rank sensor, rotary stimulation chair, air Karo Rick device, repeated transcranial magnetic stimulation device (rTMS) and give the results in scientific analysis and treatment of dizziness equilibrium disorder.
 In addition, we perform a lot of medical treatment of nerve incurable disease such as epilepsy or Parkinson's disease.
 As our hospital has local inclusion care ward and convalescence rehabilitation ward, and it becomes possible to provide appropriate medical care that accepted for stage of treatment until - convalescence for ... sub-immediate nature period for the immediate nature period in environment that ⼀ kan did, the number of average hospitalization ⽇ is ⻑ meninatteimasu.

According to UICC staging of 5 biggest cancer of first and the recurrence number of patients

According to UICC staging of 5 biggest cancer of first and the recurrence number of patients
  First Recurrence Staging
Standard
The number of the versions
Stage I Stage II Stage III Stage IV Ignorance
Stomach cancer - - - - - - - -
Colon cancer - - - - - - - -
Breast cancer - - - - - - - -
Lung cancer - - - - - - - -
Liver cancer - - - - - - - -

 In our hospital, as for according to UICC staging of 5 major cancers of first and the recurrence number of patients, ten all was within for treated special hospital for cerebro-vascular disease or the backbone spinal cord disease.

The number of patients according to disease severity of adult community-acquired pneumonia

The number of patients according to disease severity of adult community-acquired pneumonia
  The number of patients Average
Hospitalization
The average age
Slight illness - - -
Medium grade symptom - - -
Serious case - - -
Super serious case - - -
Ignorance - - -

 Community-acquired pneumonia means pneumonia that contracted a disease while we live everyday social life.
 The number of patients of each disease severity was all less than 10⼈.
 

The number of patients of cerebral infarction

The number of patients of cerebral infarction
From the onset day The number of patients Mean hospitalization The average age Changing hospital rate
Less than three days 438 38.97 73.63 8.85
Others 59 39.31 74.14 1.41

 Patients with cerebral infarction (ICD10 I63$) of 2019 occupy 22.4% of all the discharged patients in 497⼈ in total.
 Our graduate school establishes stroke intensive care unit and fixes the system which can treat 365⽇ for 24 hours and copes with treatment of ⾎ stopper dissolution therapy for the super immediate nature period.
 ICD10 is abbreviation of "international statistics classification ︓International Statistical Classification of Diseases and Related Health Problems of the issue of illness and allied health", and systematic record, analysis, interpretation of data of the death and illness that were added up from different country and area when it is different and ⽐ are classifications that ⾏ utame, World Health Organization (WHO) made comparing.

The number of patients according to the main pivot operation according to Medical consultation fee (to the number of patients high rank fifth place according to Medical consultation fee)

Orthopaedic surgery (in the in-hospital profession department backbone spinal cord Surgery and knee joint disease center)
K cord Name The number of patients Average
Preoperation day number
Average
It is the days after the operation
Changing hospital rate The average age Pass for patient
K1423 Skill in backbone fixation, laminectomy, skill in vertebral arch formation (backward vertebral body fixation) 162 3.72 27.90 0.00 69.11  
K0821 Artificial joint substituted operation (shoulder, crotch, knee) 45 1.47 30.89 2.22 75.93  
K1422 Skill in backbone fixation, laminectomy, skill in vertebral arch formation (the rear or rear side fixation) 32 4.16 42.78 0.00 72.16  
K142-21 Scoliotic operation (skill in fixation) 23 2.65 9.17 0.00 18.00  
K1342 Intervertebral disk enucleation (backward enucleation)

21

2.19 9.86 0.00 44.57  

 In the backbone spinal cord Surgery, patient receiving skill in backbone fixation occupies most.
 In the skill in ⼿ treatment, I am on the basis of skill in ⼿ of bioclean room (with fine grain ⼦ in air cleanliness degree class 100︓ about 28 L 0.5 microns or more 100 or less) for the purpose of insuturumenteshon where shi ⽤ does the ⾦ genus making risk of infection most ⼩ gen after the operation during operation. In addition, we put radioscopy detection equipment (Ziehm Vision FD) and navigation system that we can build of the latest three-dimensional image together, and ⾏ is in ⾼ i insuturumenteshon of precision.
 By skill in ⼿ of spinal column transformation such as spinal cord disease and scoliosis, ⽤ is to head and spinal cord called monitoring by the ⽅ method to confirm whether we do electrical stimulation, and electricity reaches nerve sinew of lower limbs normally during operation by spinal cord evoked potential, and ⾏ is by skill in ⼿ safely.
 In knee joint disease center, ⾏ is by skill in ⼿ therapy of skill in ⼈⼯ knee joint substitution (operation all skill in substitution and single condyle ⽚ side substituted depending on the condition of a patient). ⼈⼯ total knee replacement intends for person at ⾼ age or patient with severe transformation and, about correction of lower limbs alignment and setting of each kompotonento of ⼈⼯ joint, ⽤ is in computer ⽀ enkiki and carries out skill in ⾼ i ⼿ of precision.

Neurosurgery (3 department adding up of neurosurgery of in-hospital profession department, treatment department in cranial nerve blood vessel and treatment center in blood vessel)
K cord Name The number of patients Average
Preoperation day number
Average
It is the days after the operation
Changing hospital rate The average age Pass for patient
K164-2 Chronic endocranium bloody bowel discharge tumor perforation cleaning operation 43 1.28 9.21 0.00 77.51  
K1781 Operation (one) in cerebral blood vessel 18 2.28 22.39 5.56 70.89  
K178-4 Skill in percutaneous cerebral thrombosis collection 16 1.06 43.75 18.75 71.06  
K6092 Artery clot lining membrane enucleation (inner carotid) 12 7.17 10.75 0.00 71.50  

K1771

Cerebral aneurysm neck clipping (one) 11 11.09 92.36 18.18 66.73  

 Surgical management of 3 department of neurosurgical domain performs craniotomy operation (we use clip at the root of cerebral aneurysm) and operation (we put catheter from blood vessel) in blood vessel.
 We put pipe made in the ⾦ genus which halftone plate-formed can expand called stent for "cerebral aneurysm embolization with coil" to fill with or carotid artery stenosis (state that the carotid artery becomes narrow by arteriosclerosis) in aneurysms by the soft threadlike ⾦ genus made in platinum called coil to prevent explosion of cerebral aneurysm (swelling which there was in main channel in brain) with it is operation in blood vessel to perform in treatment department in cranial nerve blood vessel, treatment center in blood vessel, and ⾏ is by "stenting" to open blood vessel.
 We play so ⼊ to blood vessel with plastic thin pipe called catheter for cerebral infarction for the immediate nature period, and we snatch clot with wire that it is, and ⾏ is in mesh by "clot collection therapy" absorbing clot with appliance called "penumbra" the tip called "stent retriever".

 
 

Neurology (in the in-hospital profession department cranial nerve Internal medicine)
K cord Name The number of patients Average
Preoperation day number
Average
It is the days after the operation
Changing hospital rate The average age Pass for patient
K178-4 Skill in percutaneous cerebral thrombosis collection 29 0.03 53.03 20.69 77.83  

K664


Gastrostomy (including percutaneous endoscope lower gastrostomy, laparoscopic gastrostomy)

17 28.18 41.53 35.29 71.94  
K609-2 Percutaneous carotid stenting - - - - -  

K178-2

Percutaneous brain angioplasty - - - - -  

K597-3


Skill in setting type electrocardiogram recorder transplant

- - - - -  


 In cranial nerve Internal medicine, so ⼊ does plastic thin pipe called catheter to ⾎ pipe for cerebral infarction in cooperation with treatment center in blood vessel for the immediate nature period, and we snatch ⾎ stopper with wire that it is, and ⾏ is in mesh by "clot collection therapy" absorbing clot with appliance called "penumbra" the tip called "stent retriever".
 Gastrostomy is skill in ⼿ constructing i* using endoscope of stomach for the purpose of stomach giving patient who passes for aftereffects such as strokes, and cannot do ⼝ intake nutritional supplement, and improving all ⾝ states. At our hospital, we pass, and ⾏ is to patient that ⼝ intake is impossible by gastrostomy after patient book ⼈, consultation with ⽅ of family after having well considered in case.

In addition, (the incidence of DIC, sepsis, other mycosis and operation, postoperative complications)

In addition, (the incidence of DIC, sepsis, other mycosis and operation, postoperative complications)
DPC Sickness and wound name Hospitalization opportunity Number of cases Incidence
130100 Disseminated intravascular coagulation syndrome Equivalence - -
Different - -
180010 Sepsis Equivalence - -
Different - -
180035 Other fungal infectious diseases Equivalence - -
Different - -
180040 Complications such as operation, measures Equivalence - -
Different - -

 At our hospital, as for the number of ⽣ of complications such as DIC (disseminated ⾎ jurisdiction solidification syndrome), sepsis of 2019, other mycosis and ⼿ skill, measures, all ten were within.

Update history

Publication new on September 28, 2020

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The stroke, nerve backbone center Management Department Medical Affairs Division

Telephone: 045-753-2500

Telephone: 045-753-2500

Fax: 045-753-2859

E-Mail address [email protected]

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