Updated on 2025/04/26

写真a

 
Toguchi Riku
 
Affiliation
Nippon Medical School Hospital, Department of Cardiovascular Medicine, Assistant Professor
Title
Assistant Professor
External link

Papers

  • Ten-year trends in non-surgical patients requiring intensive care: Long-term prognostic differences by year of admission. International journal

    Shota Shigihara, Akihiro Shirakabe, Masato Matsushita, Suguru Nishigoori, Tomofumi Sawatani, Kenichi Tani, Kazutaka Kiuchi, Riku Toguchi, Shohei Kawakami, Yu Michiura, Mana Sawahata, Nobuaki Kobayashi, Kuniya Asai

    Journal of cardiology   84 ( 5 )   347 - 354   2024.11

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    Language：English   Publishing type：Research paper (scientific journal)  

    BACKGROUND: The aim of the present study is to elucidate prognostic impact of temporal trends of non-surgical patients requiring intensive care over a 10-year period. METHODS AND RESULTS: A total of 4276 non-surgical patients requiring intensive care from 2012 to 2021 were enrolled. Patients' backgrounds, in-hospital management, and prognoses were compared between five groups [2012-2013 (n = 825), 2014-2015 (n = 784), 2016-2017 (n = 864), 2018-2019 (n = 939), and 2020-2021 (n = 867)]. During the study period, mean age significantly increased from 69 years in 2012-2013 to 72 years in 2020-2021. Mean Acute Physiology and Chronic Health Evaluation scores significantly increased from 10 points in 2012-2013 to 12 points in 2020-2021. The median duration of intensive care unit stays increased from 3 to 4 days. Kaplan-Meier survival curve analysis showed that survival rates during 30- and 365-days were significantly lower in 2020-2021 than in 2012-2013, but it was not significantly different by a Cox proportional hazards regression model in 30 days. A Cox proportional hazards regression model revealed that the risks of 365-day all-cause death were significantly higher in patients enrolled in 2016-2017 (HR: 1.324, 95 % CI: 1.042-1.680, p = 0.021), in 2018-2019 (HR: 1.329, 95 % CI: 1.044-1.691, p = 0.021), and in 2020-2021 (HR: 1.409, 95 % CI: 1.115-1.779, p = 0.004). CONCLUSION: The condition of patients requiring intensive care is becoming more critical year by year, leading to poorer long-term prognoses despite improvements in treatment strategies. These findings emphasize the importance of additional care management after admission into non-surgical intensive care units, particularly for the aging society of Japan.

    DOI： 10.1016/j.jjcc.2024.06.003

    PubMed

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Misc.

  • 血清BNP値低値の集中治療室入室症例におけるNT-proBNP/BNP比測定の意義

    渡久地 陸, 白壁 章宏, 岡崎 大武, 松下 誠人, 鴫原 祥太, 西郡 卓, 澤谷 倫史, 木内 一貴, 谷 憲一, 川上 翔平, 道浦 悠, 神谷 尚吾, 淺井 邦也

    日本集中治療医学会雑誌   31 ( Suppl.1 )   S724 - S724   2024.9

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    Language：Japanese   Publisher：(一社)日本集中治療医学会  

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  • 急性心筋梗塞に伴う心原性ショックに対してImpella管理中にシャフトに血栓をきたし良好に血栓を回収し得た1例

    澤畠 摩那, 澁谷 淳介, 橘 貴大, 渡久地 陸, 石原 翔, 福士 圭, 中田 淳, 宮地 秀樹, 山本 剛, 浅井 邦也

    日本心血管インターベンション治療学会抄録集   31回   MP27 - 5   2023.8

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    Language：English   Publisher：(一社)日本心血管インターベンション治療学会  

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  • 大動脈弁二尖弁に大動脈炎を合併し重症大動脈弁逆流症を来した1例

    渡久地 陸, 轟 崇弘, 堤 正将, 宮國 知世, 合田 浩紀, 池田 健, 栗原 理, 小林 宣明, 高野 雅充, 宮内 靖史

    日本内科学会関東地方会   670回   29 - 29   2021.7

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    Language：Japanese   Publisher：日本内科学会-関東地方会  

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