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2016 hospital index

Last update date June 1, 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 3 53 42 70 157 283 546 748 550 89

 Our hospital is special hospital providing high treatment for cerebro-vascular disease mainly on stroke or the backbone spinal cord disease. It is thought that cerebro-vascular disease and the backbone spinal cord disease have much onset of elderly person, and 70s or more occupy 54.6% 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)

The backbone spinal cord Surgery

DPC cord

DPC name

The number of patients

Average
Hospitalization
(own hospital)

Average
Hospitalization
(nationwide)

Changing hospital rate

The average age

Pass for patient

070343xx99x1xx

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

86

3.02

3.07

0.00

71.90


070180xx97xx0x

There is, and there is no backbone heteromorphic operation in vice-sickness and wound

41

20.24

20.55

2.44

25.34


070341xx99xx0x

Vertebral canal stenosis (we include spondylosis.) No vice-sickness and wound that there is no neck operation in

39

7.36

7.20

0.00

66.23


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

37

28.76

22.55

0.00

71.35


070343xx97x0xx

Vertebral canal stenosis (we include spondylosis.) There is no 2 such as operation, measures that there are hips pelvis, unstable chinquapin or other operations in

33

18.39

17.99

0.00

70.24


 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 case not to be provided of improvement by conservative therapy such as kinesitherapy, oral medicine, nerve block in backbone fixation may be necessary for vertebral canal stenosis.
 Mean hospitalization becomes longish to have possibilities to continue rehabilitation after the operation in rehabilitation ward and local inclusion care ward for convalescence.
 As scoliosis included in the backbone transformation has many a lot of inpatients particularly young groups next to vertebral canal stenosis, the average age becomes low.
 Specialized knowledge and technique, experience are necessary for diagnosis for scoliosis and treatment. In addition, it is important that even scoliosis health check-up reduces unnecessary X-rays imaging as radiosensitivity is higher than adult as for in these days becoming subject of concern that health hazard by radioactive exposure is serious particularly the children.
 At our hospital, we introduce the backbone, waist, radiography device "sterEOS imaging system" which can evaluate form, sequence of hip joint for the first time in the prefecture and reduce radiation dose to conventional X-ray lower than 1/10, 1/800 of CTscan in this device and make possible shooting of all spinal columns with for recently for about six days of nature radiation exposure.
 Furthermore, we give foreign medical treatment by specialist to strengthen medical treatment function of scoliosis at our hospital.

Neurosurgery
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 38 16.47 9.87 2.63 75.50  
160100xx99x00x No skull, intracranial damage operationless vice-sickness and wound that there is no operation, 2 such as measures in 15 12.87 7.52 0.00 68.80  
010050xx02x00x There is no vice-sickness and wound that there is no 2 such as operation, measures in in atraumatic endocranium bloody bowel discharge tumor chronicity endocranium bloody bowel discharge tumor perforation cleaning operations 10 10.90 11.83 20.00 72.90  
010020x101x1xx There is 2 such as operation, measures in subarachnoid hemorrhage, explosion cerebral aneurysm (more than JCS10) cerebral aneurysm inflow blood vessel clipping (thing to make craniotomy, and to perform) - - - - -  
010230xx99x00x No vice-sickness and wound that there is no 2 such as operation, measures that there is no epilepsy operation in in - - - - -  

 In neurosurgery, we are in charge of surgical management in treatment of cerebrovascular disorder.
 Object of treating surgically is bleeding disorders and the brain blood circulation rebuilding for the cerebral infarction prevention mainly.
 Mean hospitalization becomes longish because we continue rehabilitation after the operation in rehabilitation ward for convalescence.
 It is our hospital and, to each case, treats with other courses without persisting in operation. In addition, it is said that not only cerebro-vascular disease but also functional disease, benign tumors such as trigeminal neuralgia, face convulsions are targeted for treatment.

Treatment department in cranial nerve 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
010030xx9910xx There are 1 non-explosion cerebral aneurysm operationless operation, measures, and there is no 2 such as operation, measures 15 4.27 3.20 0.00 61.13  
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 14 13.29 16.54 0.00 62.79  
010030xx03x00x No vice-sickness and wound that there is no 2 such as operation operation, measures in non-explosion cerebral aneurysm cerebral blood vessel in - - - - -  
010060x2992401 There is 12, and there are 24 operation, measures that there is no cerebral infarction (less than within stroke onset third day and JCS10) operation in for operation, measures; in front of onset Rankin Scale 0, 1 that there is no vice-sickness and wound in or 2 - - - - -  
010040x099x00x No vice-sickness and wound that there is no 2 such as atraumatic intracranial hematoma (other than atraumatic endocranium bloody bowel discharge tumor) (less than JCS10) operationless operation, measures in - - - - -  

 Treatment department in cranial nerve blood vessel derives thin pipe called catheter to blood vessel related to brain and is Medical consultation fee to let modality that coil stents are various arrive at lesion directly from there, and to perform.
 We intend for nodoseimyaku* causing cerebral aneurysm (explosion, non-explosion) and cerebral hemorrhage causing subarachnoid hemorrhage, artery stenosis to cause cerebral infarction (the cranial inside and outside), acute cerebral artery, vein obstruction.

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 2 125 19.75 16.54 2.40 67.40  
030400xx99xxxx There is no front garden dysfunction operation 99 3.82 5.24 0.00 69.69  
010230xx99x00x No vice-sickness and wound that there is no 2 such as operation, measures that there is no epilepsy operation in in 65 7.03 7.12 1.54 55.85  
010040x099x00x No vice-sickness and wound that there is no 2 such as atraumatic intracranial hematoma (other than atraumatic endocranium bloody bowel discharge tumor) (less than JCS10) operationless operation, measures in 63 43.22 19.35 15.87 65.48  
010061xxxxx0xx There is no 2 such as transient cerebral ischemic attack operation, measures 45 4.56 6.38 0.00 67.96  

 Cranial nerve Internal medicine is brain, spinal cord, peripheral nerve, medical course giving medical care of muscle of illness.
 For stroke that is representative disease, we establish stroke intensive care unit and fix the system which can give medical care 24 hours a day, every day and cope with treatment of thromboclasis therapy for the super immediate nature period. In addition, we give medical treatment of dizziness including front garden dysfunction positively. Specialist in brain makes full use of the highest medical equipment as specialist in dizziness at the same time and, like our hospital, diagnoses dizziness scientifically, and facility treating is rare nationwide.
 We push forward drift of elderly person and study for a feeling of dizziness after stroke and are evaluated globally.
 As our hospital has local inclusion care ward and convalescence rehabilitation ward, and it becomes possible to provide appropriate medical care that we accepted for stage of treatment until - convalescence for ... sub-immediate nature period for the immediate nature period in consistent environment, average hospitalization lengthens.

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 11 11.45 71.27
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 adult community-acquired pneumonia (20 years or older) of our hospital comes to have many "medium grade symptoms". Pneumonia comes to have high disease severity so as to become old, and mean hospitalization becomes long, too.

The number of patients according to ICD10 of cerebral infarction

The number of patients according to ICD10 of cerebral infarction
ICD10 Sickness and wound name From the onset day The number of patients Mean hospitalization The average age Changing hospital rate
G45$ Transient cerebral ischemic attack and allied syndrome Less than three days 49 4.80 69.33 0.00
Others - - - -
G46$ Blood vessel (the nature) syndrome of brain in cerebro-vascular disease - - - - -
I63$ Cerebral infarction Less than three days 563 33.12 72.98 7.75
Others 69 41.65 71.75 2.53
I65$ It did not lead to arterial confinement substantially out of the brain and stenosis, cerebral infarction Less than three days - - - -
Others 14 8.71 72.64 0.00
I66$ It did not lead to confinement of cerebral artery and stenosis, cerebral infarction - - - - -
I675 General malaise <Willis arterial circle obstruction> - - - - -
I679 Cerebro-vascular disease, detailed ignorance - - - - -

 Patient of the ICD10 sickness and wound name of 2016 mentioned above occupies 27.4% of whole in 695 people in total.
 Our graduate school establishes stroke intensive care unit and fixes the system which can give medical care 24 hours a day, every day and copes with treatment of thromboclasis therapy for the super immediate nature period.
 In addition, average hospitalization lengthens as we have local inclusion care ward and convalescence rehabilitation ward, and it becomes possible to provide appropriate medical care that we accepted for stage of treatment until - convalescence for ... sub-immediate nature period for the immediate nature period in consistent environment.
 "We collect the statistics internationally and classify of the issue of illness and allied health, and ICD10 is classification that World Health Organization (WHO) made we interpret systematic record, analysis of data of the death and illness added up and to compare when it is different from approximately different country and area of International Statistical Classification of Diseases and Related Health Problems".

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)

The backbone spinal cord Surgery
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) 85 5.29 32.13 0.00 71.75  
K1426 Skill in backbone fixation, laminectomy, skill in vertebral arch formation (the vertebral arch formation) 78 2.71 26.51 1.28 70.73  
K142-21 Scoliotic operation (skill in fixation) 33 2.76 21.15 3.03 23.33  
K1422 Skill in backbone fixation, laminectomy, skill in vertebral arch formation (the rear or rear side fixation) 32 8.66 44.19 6.25 66.44  
K1342 Intervertebral disk enucleation (backward enucleation) 18 1.67 14.78 0.00 49.78  

Patient receiving skill in backbone fixation occupies most in the backbone spinal cord Surgery.
 In the operation treatment, there is insuturumenteshon using metal on the basis of operation of bioclean room (with or less of fine particles that it is 0.5 microns or more in about 28 L 100 the air cleanliness degree class 100) for the purpose of minimizing risk of infection 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 perform high insuturumenteshon of precision.
 By operation of spinal column transformation such as spinal cord disease and scoliosis, we operate on head and spinal cord called monitoring during operation by spinal cord evoked potential using method to confirm whether we do electrical stimulation, and electricity reaches nerve sinew of lower limbs normally safely.
 In late years, by skill in vertebral body formation for the backbone vertebral body bone fracture accompanied by osteoporosis of tendency to increase (BKP: barunkaifopurasuti), we operate using seeing through apparatus (baipuren) that shooting is possible at the same time from two directions safely.

Neurosurgery
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 50 2.70 14.94 8.00 74.98  
K1771 Cerebral aneurysm neck clipping (one) 31 2.10 77.26 29.03 61.29  
K160-2 Intracranial microvessel decompression - - - - -  
K1643 Intracranial hematoma exclusion method (craniotomy) (the brain) - - - - -  
K1742 Hydrocephalus operation (shanto operation) - - - - -  

 Object of treating surgically of neurosurgery is bleeding disorder mainly. In addition, we perform not only treatment after the stroke onset but also treatment of the cause removal for the prevention and have top priority in protecting brain depending on state of patient and choose the most suitable therapeutic method.
 Mean hospitalization becomes longish because we continue rehabilitation after the operation in rehabilitation ward for convalescence.

Cranial nerve angioplasty department
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
K1781 Operation (one) in cerebral blood vessel 23 1.13 23.26 4.35 62.83  
K609-2 Percutaneous carotid stenting 13 4.46 35.08 0.00 73.23  
K178-4 Skill in percutaneous cerebral thrombosis collection 10 0.00 70.70 10.00 69.60  
K178-2 Percutaneous brain angioplasty - - - - -  
K597-3 Skill in setting type electrocardiogram recorder transplant - - - - -  

 We put metal pipe which-formed, halftone plate called stent can expand for "cerebral aneurysm embolization with coil" to fill with platinum soft threadlike metal made called coil in one of aneurysms or carotid artery stenosis (state that the carotid artery becomes narrow by arteriosclerosis) to prevent explosion of cerebral aneurysm (swelling which there was in main channel in brain) causing subarachnoid hemorrhage in treatment department in cranial nerve blood vessel and perform a lot "stenting" to open blood vessel.
 We insert plastic thin pipe called catheter in blood vessel for cerebral infarction for the immediate nature period, and the tip called "stent retriever" snatches clot with wire that it is in mesh and performs a lot "clot collection therapy" absorbing clot with appliance called "penumbra".

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
K664 Gastrostomy (including percutaneous endoscope lower gastrostomy, laparoscopic gastrostomy) 22 35.36 47.23 50.00 75.64  
- - - - - - -  
- - - - - - -  
- - - - - - -  
- - - - - - -  

 Gastrostomy is minor surgery to construct i* using endoscope of stomach for the purpose of stomach giving patients with strokes whom we cannot ingest for aftereffects nutritional supplement, and improving whole body state.
 After patient, consultation with family, we perform gastrostomy after having examined case to patient whom we cannot ingest well at our hospital.

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 - -

 As for the number of the outbreak of postoperative complications, DIC (disseminated intravascular coagulation syndrome), sepsis, other mycosis and operation were within ten all at our hospital in 2016.

Update history

Publication new on September 29, 2017

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