| Author | Morimatsu, Hiroshi| |
|---|---|
| Published Date | 2007-03-23 |
| Publication Title | |
| Content Type | Thesis or Dissertation |
| JaLCDOI | 10.18926/AMO/54808 |
|---|---|
| FullText URL | 70_6_455.pdf |
| Author | Tanino, Masaaki| Kobayashi, Motomu| Sasaki, Toshihiro| Takata, Ken| Takeda, Yoshimasa| Mizobuchi, Satoshi| Morita, Kiyoshi| Nagai, Taku| Morimatsu, Hiroshi| |
| Abstract | Postoperative cognitive dysfunction (POCD) occurs in nearly one-third of patients after non-cardiac surgery. Many animal behavior studies have investigated the effect of general anesthesia on cognitive function. However, there have been no studies examining the effects on working memory specifically, with a focus on the retention of working memory. We demonstrate here that isoflurane anesthesia induces deficits in the retention of spatial working memory in rats, as revealed by an increase in isoflurane-induced across-phase errors in the delayed spatial win-shift (SWSh) task with a 30-min delay in an 8-arm radial arm maze on post-anesthesia days (PADs) 1,2,4, and 10. A post-hoc analysis revealed a significant increase in across-phase errors on PAD 1 and recovery on PAD 10 in the isoflurane group. In contrast, within-phase errors independent of the retention of working memory were unaffected by isoflurane. These results demonstrate that isoflurane anesthesia transiently impairs the retention of spatial working memory in rats. |
| Keywords | postoperative cognitive dysfunction isoflurane spatial working memory retention delayed spatial win-shift task |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-12 |
| Volume | volume70 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 455 |
| End Page | 460 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2016 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 28003670 |
| JaLCDOI | 10.18926/AMO/60370 |
|---|---|
| FullText URL | 74_4_319.pdf |
| Author | Isoyama, Satoshi| Kimura, Satoshi| Morimatsu, Hiroshi| |
| Abstract | Little is known about the role of a strong ions in humans with respiratory abnormalities. In this study, we investigated the associations between partial carbon dioxide pressure (pCO2) and each of sodium ion (Na+) concentrations, chloride ion (Cl−) concentrations and their difference (SIDNa-Cl). Blood gas data were obtained from patients in a teaching hospital intensive care unit between August 2013 and January 2017. The association between pCO2 and SIDNa-Cl was defined as the primary outcome. The associations between pCO2 and [Cl−], [Na+] and other strong ions were secondary outcomes. pCO2 was stratified into 10 mmHg-wide bands and treated as a categorical variable for comparison. As a result, we reviewed 115,936 blood gas data points from 3,840 different ICU stays. There were significant differences in SIDNa-Cl, [Cl−], and [Na+] among all categorized pCO2 bands. The respective pCO2 SIDNa-Cl, [Cl−], and [Na+] correlation coefficients were 0.48, −0.31, and 0.08. SIDNa-Cl increased and [Cl−] decreased with pCO2, with little relationship between pCO2 and [Na+] across subsets. In conclusion, we found relatively strong correlations between pCO2 and SIDNa-Cl in the multiple blood gas datasets examined. Correlations between pCO2 and chloride concentrations, but not sodium concentrations, were further found to be moderate in these ICU data. |
| Keywords | acid-base phenomena Stewart approach strong ion difference chlorine ion partial carbon dioxide pressure |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2020-08 |
| Volume | volume74 |
| Issue | issue4 |
| Publisher | Okayama University Medical School |
| Start Page | 319 |
| End Page | 325 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 32843763 |
| Web of Science KeyUT | 000562508700007 |
| NAID | 120006880209 |
| JaLCDOI | 10.18926/AMO/54814 |
|---|---|
| FullText URL | 70_6_497.pdf |
| Author | Hikasa, Yukiko| Hayashi, Masao| Suzuki, Satoshi| Morimatsu, Hiroshi| |
| Abstract | A 32-year-old woman, pregnant with twins, presented with a chief complaint of general fatigue. Her general condition had rapidly deteriorated since her last visit to the primary obstetrician; the patient was then referred to our hospital because of suspected fetal death. She underwent emergency cesarean section because fetal death had indeed occurred, and she was then admitted to the intensive care unit (ICU). On ICU admission, she was found to be in shock. Laboratory analysis revealed extreme hemoconcentration and a low albumin level, and initially, septic shock with obstetric complications was suspected. However, because she did not respond to conventional therapy but instead, rapidly developed severe generalized edema, systemic capillary leak syndrome (SCLS) was diagnosed. The patient remained in shock for several days until undergoing plasma exchange (PE), despite some earlier empirical treatments. She eventually recovered from profound shock status and was discharged from the ICU without sequelae. Among potentially effective treatments, PE seemed to be the most reasonable choice for the treatment of her SCLS. |
| Keywords | systemic capillary leak syndrome plasma exchange pregnancy |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-12 |
| Volume | volume70 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 497 |
| End Page | 501 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2016 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 28003676 |
| JaLCDOI | 10.18926/AMO/57721 |
|---|---|
| FullText URL | 73_6_543.pdf |
| Author | Kubo, Asuka| Shimizu, Kazuyoshi| Kuroda, Kosuke| Kanazawa, Tomoyuki| Kobayashi, Motomu| Morimatsu, Hiroshi| |
| Abstract | We here report that a 71-year-old Japanese woman with a history of anaphylaxis induced by muscle relaxants had local anesthetic systemic toxicity (LAST) following an abdominal surgery under general anesthesia with combined spinal-epidural anesthesia without muscle relaxants. The total dosages of local anesthetics reached 0.67 mg/kg of ropivacaine and 11.5 mg/kg of lidocaine over 12.5 h to obtain sufficient muscle relaxation for surgery. Regional anesthesia is useful in cases in which muscle relaxants are to be avoided during a surgery. However, especially for a patient with risk factors and prolonged surgery, precautions should be taken to prevent LAST. |
| Keywords | muscle relaxant-induced anaphylaxis local anesthetic systemic toxicity epidural anesthesia abdominal surgery |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2019-12 |
| Volume | volume73 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 543 |
| End Page | 546 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2019 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 31871339 |
| Web of Science KeyUT | 000503431400012 |
| JaLCDOI | 10.18926/AMO/57948 |
|---|---|
| FullText URL | 74_1_17.pdf |
| Author | Ishii, Kenzo| Morimatsu, Hiroshi| Ono, Kazumi| Miyasho, Koji| |
| Abstract | We performed a retrospective cohort study of 911 high-energy trauma patients who underwent chest CT scans at least twice after admission. We hypothesized that in high-energy trauma patients, a high-inspired oxygen concentration delivered after admission results in dorsal atelectasis. The study’s primary outcome was dorsal atelectasis formation diagnosed based on CT images. We defined dorsal atelectasis as the presence of atelectasis at ≥ 10 mm thick on CT images. We defined high-inspired oxygen concentration as >60% oxygen delivered between two CT scans. Four hundred sixty-five patients (51.0%) developed atelectasis according to the second CT scan, and 338 (37.1%) received a high-inspired oxygen concentration. A univariate analysis showed that the rate of the high-inspired oxygen concentration in the atelectasis group was significantly higher than that in the non-atelectasis group (43.4% vs. 30.1%, p<0.001). However, a logistic regression analysis showed that there was no significant relationship between the oxygen concentration and the formation of dorsal atelectasis (OR: 1.197, 95%CI: 0.852-1.683, p=0.30). Age, the Injury Severity Score, BMI, and smoking were found to be risk factors of dorsal atelectasis formation in high-energy trauma patients. There was no relationship between the oxygen concentration and atelectasis formation in our series of high-energy trauma patients. |
| Keywords | trauma patient dorsal atelectasis oxygen concentration |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2020-02 |
| Volume | volume74 |
| Issue | issue1 |
| Publisher | Okayama University Medical School |
| Start Page | 17 |
| End Page | 26 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 32099244 |
| Web of Science KeyUT | 000516606200003 |
| NAID | 120006795615 |
| JaLCDOI | 10.18926/AMO/54809 |
|---|---|
| FullText URL | 70_6_461.pdf |
| Author | Shiozaki, Kyoko| Morimatsu, Hiroshi| Matsusaki, Takashi| Iwasaki, Tatsuo| |
| Abstract | Many patients suffer from postoperative serious adverse events (SAEs). Here we sought to determine the incidence of SAEs, assess the accuracy of currently used scoring systems in predicting postoperative SAEs, and determine whether a combination of scoring systems would better predict postoperative SAEs. We prospectively evaluated patients who underwent major surgery. We calculated 4 scores: American Society of Anesthesiologists physical status (ASA-PS) score, the Charlson Score, the POSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity) score, and the Surgical Apgar Score (SAS). We assessed the occurrence of SAEs. We assessed the association between each score and SAEs. We combined these scoring systems to find the best combination to predict the occurrence of SAEs. Among 284 patients, 43 suffered SAEs. All scoring systems could predict SAEs. However, their predictive power was not high (the area under the receiver operating characteristic curves [AUROC] 0.6-0.7). A combination of the ASA-PS score and the SAS was the most predictive of postoperative SAEs (AUROC 0.714). The incidence of postoperative SAEs was 15.1 . The combination of the ASA-PS score and the SAS may be a useful tool for predicting postoperative serious adverse events after major surgery. |
| Keywords | serious adverse events preoperative assessment intraoperative assessment ASA-PS surgical Apgar score |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2016-12 |
| Volume | volume70 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 461 |
| End Page | 467 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2016 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 28003671 |
| Author | Matsumi, Junya| Morimatsu, Hiroshi| Matsusaki, Takashi| Kaku, Ryuji| Shimizu, Hiroko| Takahashi, Toru| Yagi, Takahito| Matsumi, Masaki| Morita, Kiyoshi| |
|---|---|
| Published Date | 2012-02 |
| Publication Title | International Journal of Molecular Medicine |
| Volume | volume29 |
| Issue | issue2 |
| Content Type | Journal Article |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Hiroi, Kazumasa| Matsusaki, Takashi| Kaku, Ryuji| Umeda, Yuzo| Yagi, Takahito| Morimatsu, Hiroshi| |
| Published Date | 2019-10-31 |
| Publication Title | Transplantation Proceedings |
| Volume | volume51 |
| Issue | issue8 |
| Publisher | Elsevier |
| Start Page | 2750 |
| End Page | 2754 |
| ISSN | 00411345 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2019 The Authors. Published by Elsevier Inc. |
| File Version | publisher |
| PubMed ID | 31563245 |
| DOI | 10.1016/j.transproceed.2019.01.199 |
| Web of Science KeyUT | 000490063000048 |
| Related Url | isVersionOf https://doi.org/10.1016/j.transproceed.2019.01.199 |
| FullText URL | JACR5_1_53.pdf |
|---|---|
| Author | Hayashi, Fumiaki| Nishimoto, Rei| Shimizu, Kazuyoshi| Kanazawa, Tomoyuki| Iwasaki, Tatsuo| Morimatsu, Hiroshi| |
| Keywords | Cerebral ischemia Near-infrared spectroscopy Pediatric Minimally invasive cardiac surgery Pericardium traction |
| Published Date | 2019-08-17 |
| Publication Title | JA Clinical Reports |
| Volume | volume5 |
| Issue | issue51 |
| Publisher | Springer |
| Start Page | 53 |
| ISSN | 2363-9024 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| File Version | publisher |
| DOI | 10.1186/s40981-019-0273-7 |
| Web of Science KeyUT | 000481753700001 |
| Related Url | isVersionOf https://doi.org/10.1186/s40981-019-0273-7 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Matsumoto, Naohisa| Matsusaki, Takashi| Hiroi, Kazumasa| Kaku, Ryuji| Yoshida, Ryuichi| Umeda, Yuzo| Yagi, Takahito| Morimatsu, Hiroshi| |
| Note | 11th Congress of the Andalusian-Society-of-Organ-and-Tissue-Transplantation (SATOT)| |
| Published Date | 2020-03-31 |
| Publication Title | Transplantation Proceedings |
| Volume | volume52 |
| Issue | issue2 |
| Publisher | Elsevier |
| Start Page | 630 |
| End Page | 633 |
| ISSN | 00411345 |
| NCID | AA00868957 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2020 The Authors. Published by Elsevier Inc. |
| File Version | publisher |
| PubMed ID | 32029317 |
| DOI | 10.1016/j.transproceed.2019.11.032 |
| Web of Science KeyUT | 000518473000059 |
| Related Url | isVersionOf https://doi.org/10.1016/j.transproceed.2019.11.032 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Matsumoto, Naohisa| Nishimoto, Rei| Matsuoka, Yoshikazu| Takeda, Yoshimasa| Morimatsu, Hiroshi| |
| Keywords | Anesthetic management Myotonia congenita Nondystrophic myotonia Paramyotonia congenita Periodic paralysis Potassium-aggravated myotonia Skeletal muscle channelopathy Sodium-channel myotonia |
| Published Date | 2019-11-25 |
| Publication Title | JA Clinical Reports |
| Volume | volume5 |
| Issue | issue1 |
| Publisher | Springer |
| Start Page | 77 |
| ISSN | 2363-9024 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s). 2019 |
| File Version | publisher |
| PubMed ID | 32026975 |
| DOI | 10.1186/s40981-019-0300-8 |
| Web of Science KeyUT | 000534692000001 |
| Related Url | isVersionOf https://doi.org/10.1186/s40981-019-0300-8 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Taninishi, Hideki| Matsusaki, Takashi| Morimatsu, Hiroshi| |
| Published Date | 2020-02-28 |
| Publication Title | Scientific Reports |
| Volume | volume10 |
| Issue | issue1 |
| Publisher | Nature |
| Start Page | 282 |
| ISSN | 2045-2322 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s) 2020 |
| File Version | publisher |
| PubMed ID | 32111916 |
| DOI | 10.1038/s41598-020-60687-y |
| Web of Science KeyUT | 000563058200004 |
| Related Url | isVersionOf https://doi.org/10.1038/s41598-020-60687-y |
| JaLCDOI | 10.18926/AMO/53027 |
|---|---|
| FullText URL | 68_6_375.pdf |
| Author | Yamanaka, Reiko| Soga, Yoshihiko| Moriya, Yoshie| Okui, Akemi| Takeuchi, Tetsuo| Sato, Kenji| Morimatsu, Hiroshi| Morita, Manabu| |
| Abstract | We encountered a 74-year-old male patient with tongue laceration after convulsive seizures under intensive care. The tongue showed severe swelling, and the right ventral surface had been lacerated by his isolated and pointed right lower canine. Our university hospital has established a perioperative management center, and is promoting interprofessional collaboration, including dentists, in perioperative management. Dentists collaborating in the perioperative management center took dental impressions, with the support of anesthesiologists who opened the patientʼs jaw under propofol sedation, to produce a mouth protector. By raising the patientʼs bite, the completed mouth protector prevented the isolated tooth from contacting the tongue and protected the lacerated wound. Use of the mouth protector prevented the lacerated tongue from coming into contact with the pointed tooth, and the tongue healed gradually. These findings underscore that interprofessional collaboration including dentists can improve the quality of medical care. |
| Keywords | mouth protector tongue laceration |
| Amo Type | Case Report |
| Publication Title | Acta Medica Okayama |
| Published Date | 2014-12 |
| Volume | volume68 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 375 |
| End Page | 378 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2014 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 25519032 |
| Web of Science KeyUT | 000346882200008 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Matsuda, Naoyuki| Nishida, Osamu| Taniguchi, Takumi| Okajima, Masaki| Morimatsu, Hiroshi| Ogura, Hiroshi| Yamada, Yoshitsugu| Nagano, Tetsuji| Ichikawa, Akira| Kakihana, Yasuyuki| J-Land 3S Study Group| |
| Keywords | Ultra-short-acting β1-selective antagonist Heart rate Mortality Adverse events Septic shock |
| Published Date | 2020-11 |
| Publication Title | EClinicalMedicine |
| Volume | volume28 |
| Publisher | Elsevier |
| Start Page | 100571 |
| ISSN | 2589-5370 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © 2020 The Authors. |
| File Version | publisher |
| PubMed ID | 33294804 |
| DOI | 10.1016/j.eclinm.2020.100571 |
| Related Url | isVersionOf https://doi.org/10.1016/j.eclinm.2020.100571 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Tani, Makiko| Matsuoka, Yoshikazu| Sugihara, Mayu| Fujii, Ayaka| Kanazawa, Tomoyuki| Morimatsu, Hiroshi| |
| Keywords | Esophagogastric junction carcinoma Intra-mediastinal valvuloplastic esophagogastrostomy Hemodynamic instability Tension pneumothorax Anesthetic management |
| Published Date | 2021-02-10 |
| Publication Title | JA Clinical Reports |
| Volume | volume7 |
| Issue | issue1 |
| Publisher | Springer |
| Start Page | 16 |
| ISSN | 2363-9024 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s). 2021 |
| File Version | publisher |
| PubMed ID | 33566182 |
| DOI | 10.1186/s40981-021-00419-x |
| Web of Science KeyUT | 000617122800001 |
| Related Url | isVersionOf https://doi.org/10.1186/s40981-021-00419-x |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Oiwa, Masahiko| Kuroda, Kosuke| Kawanoue, Naoya| Morimatsu, Hiroshi| |
| Keywords | Biomarker Clavien-Dindo classification Histidine-rich glycoprotein Intensive care unit Perioperative management Postoperative complication Predictor |
| Published Date | 2022-07-20 |
| Publication Title | BMC Anesthesiology |
| Volume | volume22 |
| Issue | issue1 |
| Publisher | BMC |
| Start Page | 232 |
| ISSN | 1471-2253 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s) 2022. |
| File Version | publisher |
| PubMed ID | 35858852 |
| DOI | 10.1186/s12871-022-01774-7 |
| Web of Science KeyUT | 000828247900001 |
| Related Url | isVersionOf https://doi.org/10.1186/s12871-022-01774-7 |
| FullText URL | fulltext.pdf |
|---|---|
| Author | Kuroe, Yasutoshi| Mihara, Yuko| Okahara, Shuji| Ishii, Kenzo| Kanazawa, Tomoyuki| Morimatsu, Hiroshi| |
| Keywords | Integrated pulmonary index Respiratory compromise Post‐anesthesia care unit |
| Published Date | 2021-04-21 |
| Publication Title | BMC Anesthesiology |
| Volume | volume21 |
| Issue | issue1 |
| Publisher | BMC |
| Start Page | 123 |
| ISSN | 1471-2253 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| Copyright Holders | © The Author(s). 2021 |
| File Version | publisher |
| PubMed ID | 33882856 |
| NAID | 120007037372 |
| DOI | 10.1186/s12871-021-01338-1 |
| Web of Science KeyUT | 000643881600003 |
| Related Url | isVersionOf https://doi.org/10.1186/s12871-021-01338-1 |
| FullText URL | fulltext20210601-1.pdf |
|---|---|
| Author | Soga, Yoshihiko| Shirakawa, Yasuhiro| Fujiwara, Toshiyoshi| Ashiwa, Takako| Morimatsu, Hiroshi| |
| Keywords | perioperative management nutrition dental oral management |
| Note | This is a post-peer-review, pre-copyedit version of an article published in Current Oral Health Reports. The final authenticated version is available online at: http://dx.doi.org/10.1007/s40496-019-0217-3.| |
| Published Date | 2019-04-15 |
| Publication Title | Current Oral Health Reports |
| Volume | volume6 |
| Issue | issue2 |
| Publisher | Springer Science and Business Media LLC |
| Start Page | 70 |
| End Page | 75 |
| ISSN | 2196-3002 |
| Content Type | Journal Article |
| language | English |
| OAI-PMH Set | 岡山大学 |
| File Version | author |
| NAID | 120007042397 |
| DOI | 10.1007/s40496-019-0217-3 |
| Related Url | isVersionOf https://doi.org/10.1007/s40496-019-0217-3 |
| JaLCDOI | 10.18926/AMO/53023 |
|---|---|
| FullText URL | 68_6_339.pdf |
| Author | Nishie, Hiroyuki| Mizobuchi, Satoshi| Suzuki, Etsuji| Sato, Kenji| Toda, Yuichiro| Matsuoka, Junji| Morimatsu, Hiroshi| |
| Abstract | The main purpose of this study was to determine the relationships between Japanese individualsʼ interest in living wills and their preferred end-of-life care and death locations. Questionnaires were mailed to 1,000 individuals aged ｧ50 to measure these 2 factors. We examined the associations between the respondentsʼ characteristics and their preferred care and death locations by using multinomial logistic regression models. The response rate was 74%. Home was the most frequently preferred place for end-of-life care (64%), and a palliative care unit (PCU) was the most commonly preferred place to die (51%). Living will interest was associated with a preference for care (odds ratio [OR] 4.74, 95% confidence interval [CI] 1.95-12.1) and death (OR 2.75, 95% CI 1.70-4.47) in a PCU rather than a hospital, but it was not associated with the choice between receiving care or dying at home instead of a hospital. We must consider why Japanese people think home death is impracticable. The Japanese palliative care system should be expanded to meet patientsʼ end-of-life needs, and this includes not only facilitating home care but also increasing access to PCU care. |
| Keywords | advance healthcare directive living will end-of-life care palliative care unit place of death |
| Amo Type | Original Article |
| Publication Title | Acta Medica Okayama |
| Published Date | 2014-12 |
| Volume | volume68 |
| Issue | issue6 |
| Publisher | Okayama University Medical School |
| Start Page | 339 |
| End Page | 348 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| Content Type | Journal Article |
| language | English |
| Copyright Holders | CopyrightⒸ 2014 by Okayama University Medical School |
| File Version | publisher |
| Refereed | True |
| PubMed ID | 25519028 |
| Web of Science KeyUT | 000346882200004 |
| Related Url | http://ousar.lib.okayama-u.ac.jp/metadata/53134 |
