Injury Severity Score, Resource Use, and Outcome for Trauma Patients Within a Japanese Administrative Database

Kuwabara, Kazuaki; Matsuda, Shinya; Imanaka, Yuichi; Fushimi, Kiyohide; Hashimoto, Hideki; Ishikawa, Koichi; Horiguchi, Hiromasa; Hayashida, Kenshi; Fujimori, Kenji; Ikeda, Shunya; Yasunaga, Hideo

doi:10.1097/ta.0b013e3181a60275

Cited by 34 publications

(38 citation statements)

References 15 publications

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“…[8][9][10] Briefly, the database is a case-mix inpatient administrative claims database in Japan that has been ongoing since 2002. The database contains: (1) The main diagnoses, comorbidities at admission, and complications after admission, coded according to the International Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) codes; (2) the surgical procedures accompanied by original Japanese K-codes; (3) the discharge status; and (4) the use of medical resources, such as drugs.…”

Section: The Dpc Databasementioning

confidence: 99%

In-Hospital Outcomes and Cost Assessment Between Bipolar Versus Monopolar Transurethral Resection of the Prostate

Sugihara

Yasunaga

Horiguchi

et al. 2012

Journal of Endourology

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Purpose: We compared the in-hospital outcomes between bipolar and monopolar transurethral resection of the prostate (B-TURP and M-TURP, respectively) on a real-world practice using a large database. Patients and Methods: Patients who underwent TURP were extracted from the Diagnosis Procedure Combination database, which is a case-mix administrative claims database in Japan. TURP procedures were classified into M-TURP and B-TURP groups according to intraoperative use or nonuse of D-sorbitol solution, respectively, which is the only nonelectrolyte bladder irrigation fluid for M-TURP available in Japan. To exclude causality among autologous and homologous transfusion events, we confined eligible hospitals to those in which no autologous blood preparation was undertaken for TURP and whose annual surgical caseloads were 15 cases or more. Multivariate analyses were conducted for homologous transfusion, postoperative complications, operative time, postoperative length of stay, and total costs. Results: There were 5155 M-TURP and 1531 B-TURP patients identified. The results for M-TURP vs B-TURP (effect sizes were evaluated with reference to M-TURP) were 2.3% vs 1.3% for transfusion (odds ratio [OR] = 0.54; P = 0.013), 3.3% vs 1.7% for postoperative complications (OR = 0.46; P < 0.01), 98 vs 116 minutes for operative time (20.5% increase; P < 0.001), 8.65 vs 8.45 days for postoperative stay (3.6% reduction; P = 0.003), and $6103 vs $6062 for cost (1.7% reduction; P = 0.018). Conclusion: B-TURP had significantly lower rates of transfusion and postoperative complications, but a longer operative time. The impacts of B-TURP on shortening the hospital stay and lowering the costs were of little clinical significance.

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Section: The Dpc Databasementioning

confidence: 99%

In-Hospital Outcomes and Cost Assessment Between Bipolar Versus Monopolar Transurethral Resection of the Prostate

Sugihara

Yasunaga

Horiguchi

et al. 2012

Journal of Endourology

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“…Data are compiled during July 1-December 31 every year by the DPC Research Group, which is funded by the Ministry of Health, Labor and Welfare, Japan. 11 The database includes location of hospitals; patients' age and sex; diagnoses recorded with the International Classification of Diseases, 10th Revision codes; procedures; drugs and devices used; and lengths of stay and inhospital mortality rates.…”

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confidence: 99%

Venomous Snake Bites in Japan

Yasunaga¹,

Horiguchi²,

Kuwabara³

et al. 2011

The American Journal of Tropical Medicine and Hygiene

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Abstract. Few reliable data are available on the incidence of snake bites in developing and developed nations. Insufficient epidemiologic data have hindered the recognition of snake bite as an important public health issue. We verified statistics of snake bites (mamushi and habu bites) in Japan by using a currently available, nationally representative, hospital-based database. We identified 1,670 inpatients with snake bites from 404 hospitals during July 1-December 31 in 2007 and 2008. More than 60% were males, the average age was 60.1 years, and the in-hospital mortality rate was 0.2%.

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“…The financial support for pre-hospital, hospital, and rehabilitation services is distributed annually to U.S. trauma centers according to their designated level of care, location, and volume of patients (18,21) , based on ISS >12 for adult patients or ISS >8 for children (18) . The adoption of the 2005 version will result in decreased ISS values and consequently lower financial funds for these institutions.…”

Section: Resultsmentioning

confidence: 99%

Measuring trauma severity using the 1998 and 2005 revisions of the Abbreviated Injury Scale

Lopes

Whitaker

2014

Rev. esc. enferm. USP

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Objetivo: Comparar a gravidade das lesões e do trauma mensurada pelas versões da Abbreviated Injury Scale 1998 e 2005 e verificar a mortalidade nos escores Injury Severity Score e New Injury Severity Score nas duas versões.Método: Estudo transversal e retrospectivo analisou lesões de pacientes de trauma, de três hospitais universitários do município de São Paulo, Brasil. Cada lesão foi codificada com Abbreviated Injury Scale 1998 e 2005. Os testes estatísticos aplicados foram Wilcoxon, McNemar-Bowker, Kappa e teste Z.Resultados: A comparação das duas versões resultou em discordância significante de escores em algumas regiões corpóreas. Com a versão 2005 os níveis de gravidade da lesão e do trauma foram significantemente reduzidos e a mortalidade foi mais elevada em escores mais baixos. Conclusão: Houve redução da gravidade da lesão e do trauma e alteração no percentual de mortalidade com o uso da Abbreviated Injury Scale 2005.

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Injury Severity Score, Resource Use, and Outcome for Trauma Patients Within a Japanese Administrative Database

Abstract: Specific ISS and injured organs may be used to estimate resource use or mortality for monitoring quality of trauma care. To integrate a more efficient system of trauma care, variations in resource input among hospitals should be investigated.

Cited by 34 publications

References 15 publications

In-Hospital Outcomes and Cost Assessment Between Bipolar Versus Monopolar Transurethral Resection of the Prostate

In-Hospital Outcomes and Cost Assessment Between Bipolar Versus Monopolar Transurethral Resection of the Prostate

Venomous Snake Bites in Japan

Measuring trauma severity using the 1998 and 2005 revisions of the Abbreviated Injury Scale

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