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12 results on '"Suzuki, Hokuto"'

1. Prognostic Factors for Discharge Directly Home in Patients With Thoracoscopic Surgery for Empyema: A Multicenter Retrospective Cohort Study

Author

Shirakawa, Chigusa, primary, Shiroshita, Akihiro, additional, Kimura, Yuya, additional, Anan, Keisuke, additional, Cong, Yue, additional, Tomii, Keisuke, additional, Igei, Hiroshi, additional, Suzuki, Jun, additional, Ohgiya, Masahiro, additional, Nitawaki, Tatsuya, additional, Sato, Kenya, additional, Suzuki, Hokuto, additional, Nakashima, Kiyoshi, additional, Takeshita, Masafumi, additional, Okuno, Takehiro, additional, Yamada, Atsushi, additional, and Kataoka, Yuki, additional

Published
2024
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2. Effectiveness of Immediate Video-Assisted Thoracoscopic Surgery for Empyema: A Multicentre, Retrospective Cohort Study.

Author

Shiroshita, Akihiro, Kimura, Yuya, Yamada, Atsushi, Shirakawa, Chigusa, Yue, Cong, Suzuki, Hokuto, Anan, Keisuke, Sato, Kenya, Nakashima, Kiyoshi, Takeshita, Masafumi, Okuno, Takehiro, Nitawaki, Tatsuya, Igei, Hiroshi, Suzuki, Jun, Tomii, Keisuke, Ohgiya, Masahiro, and Kataoka, Yuki

Subjects
RESEARCH, LENGTH of stay in hospitals, CONSERVATIVE treatment, CONFIDENCE intervals, RETROSPECTIVE studies, ACQUISITION of data, TREATMENT effectiveness, MEDICAL records, RESEARCH funding, PLEURA diseases, EMPYEMA, VIDEO-assisted thoracic surgery, LOGISTIC regression analysis, LONGITUDINAL method
Abstract

Background: Because of limitations in previous randomised controlled trials and observational studies, the effectiveness of immediate video-assisted thoracoscopic surgery (VATS) for patients with empyema in real-world settings remains unclear. Objective: This study aimed to evaluate whether immediate VATS improves clinical outcomes in patients with empyema. Methods: This multicentre retrospective cohort study included 744 patients with physician-diagnosed empyema from six hospitals between 2006 and 2021. The exposure was VATS performed within 3 days of empyema diagnosis, the primary outcome was 30-day mortality, and secondary outcomes were 90-day mortality, length of hospital stay, and time from diagnosis to discharge. We used propensity score weighting to account for potential confounders. For outcome analyses, we used logistic regression for mortality outcomes and gamma regression for the number of days. Results: Among the 744 patients, 53 (7.1%) underwent VATS within 3 days, and 691 (92.9%) initially received conservative treatment. After propensity score weighting, the differences in 30- and 90-day mortalities between the immediate VATS and initial conservative treatment groups were 1.18% (95% confidence interval [CI], −10.7 to 13.0%) and −0.08% (95% CI, −10.3 to 10.2%), respectively. The differences in length of hospital stay and time from diagnosis to discharge were −3.22 (95% CI, −6.19 to −0.25 days) and −5.04 days (95% CI, −8.19 to −1.90 days), respectively. Conclusions: Our real-world study showed that immediate VATS reduced the length of hospital stay and the time from diagnosis to discharge. Considering the small sample and differences in protocols between countries, further large-scale studies are warranted. [ABSTRACT FROM AUTHOR]

Published
2023
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3. Prognostic Value of Computed Tomography in Empyema: A Multicenter Retrospective Cohort Study

Author

Shiroshita, Akihiro, primary, Kimura, Yuya, additional, Yamada, Atsushi, additional, Shirakawa, Chigusa, additional, Yue, Cong, additional, Suzuki, Hokuto, additional, Anan, Keisuke, additional, Sato, Kenya, additional, Nakashima, Kiyoshi, additional, Takeshita, Masafumi, additional, Okuno, Takehiro, additional, Nitawaki, Tatsuya, additional, Suzuki, Hiroyuki, additional, Igei, Hiroshi, additional, Suzuki, Jun, additional, Tomii, Keisuke, additional, Ohgiya, Masahiro, additional, and Kataoka, Yuki, additional

Published
2023
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7. Association Between Empirical Anti-Pseudomonal Antibiotics for Recurrent Lower Respiratory Tract Infections and Mortality: A Retrospective Cohort Study

Author

Shiroshita,Akihiro, Yamamoto,Shungo, Anan,Keisuke, Suzuki,Hokuto, Takeshita,Masafumi, Kataoka,Yuki, Shiroshita,Akihiro, Yamamoto,Shungo, Anan,Keisuke, Suzuki,Hokuto, Takeshita,Masafumi, and Kataoka,Yuki

Abstract

Akihiro Shiroshita,1– 3 Shungo Yamamoto,4 Keisuke Anan,3,5 Hokuto Suzuki,1 Masafumi Takeshita,1 Yuki Kataoka3,6– 8 1Department of Respiratory Medicine, Ichinomiyanishi Hospital, Ichinomiya, Japan; 2Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA; 3Scientific Research Works Peer Support Group (SRWS-PSG), Osaka, Japan; 4Department of Infectious Disease, Kyoto City Hospital, Kyoto, Japan; 5Division of Respiratory Medicine, Saiseikai Kumamoto Hospital, Kumamoto, Japan; 6Department of Internal Medicine, Kyoto Min-Iren Asukai Hospital, Kyoto, 606-8226, Japan; 7Section of Clinical Epidemiology, Department of Community Medicine, Kyoto University Graduate School of Medicine, Kyoto, 606-8501, Japan; 8Department of Healthcare Epidemiology, Kyoto University Graduate School of Medicine/Public Health, Kyoto, 606-8501, JapanCorrespondence: Akihiro Shiroshita, Department of Respiratory Medicine, Ichinomiyanishi Hospital, 1 Kaimeihira, Ichinomiya, Aichi Prefecture, 494-0001, Japan, Tel +81-80-3807-4960, Fax +81-586-48-0055, Email akihirokun8@gmail.comPurpose: Whether the empirical use of anti-pseudomonal antibiotics actually improves patient outcomes is unclear. Hence, we aimed to determine whether empirical anti-pseudomonal antibiotics are better than anti-pseudomonal antibiotics in treating patients with recurrent lower respiratory tract infections (LRTIs).Patients and Methods: We extracted data from the Japanese nationwide database of the Real World Data Co., Ltd. Our target population was patients with LRTIs, defined as chronic obstructive pulmonary disease exacerbation and pneumonia. We included patients aged ≥ 40 years who were admitted for lower respiratory tract infections ≥ 2 times within 90 days. We excluded patients who had an event (death or transfer) within 24 h after admission. We ran a frailty model adjusted for the following confounding factors: number of recurrences, age, body mass index, activ

Published
2022

12. Evaluation of a Quantitative Serological Assay for Diagnosing Chronic Pulmonary Aspergillosis

Author

Fujiuchi, Satoru, primary, Fujita, Yuka, additional, Suzuki, Hokuto, additional, Doushita, Kazushi, additional, Kuroda, Hikaru, additional, Takahashi, Masaaki, additional, Yamazaki, Yasuhiro, additional, Tsuji, Tadakatsu, additional, Fujikane, Toshiaki, additional, Osanai, Shinobu, additional, Sasaki, Takaaki, additional, and Ohsaki, Yoshinobu, additional

Published
2016
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