Process and Structure of Adult Cardiovascular Surgery Care in Japan
10.4326/jjcvs.38.184
- VernacularTitle:日本の心臓外科医療の体制および臨床プロセスの現状：成人心臓外科施設調査報告
- Author:
Hiroaki Miyata
;
Noboru Motomura
;
Hiroyuki Tsukihara
;
Yoshihito Irie
;
Shinichi Takamoto
;
JACVSD Organization
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(3):184-192
- CountryJapan
- Language:Japanese
-
Abstract:
In Japan, few surveys have evaluated the structure and clinical process of cardiovascular surgery programs. We mailed a questionnaire to all 149 facilities participating in the Japan Adult Cardiovascular Database as of April 1st 2007. We received responses from 129 facilities (response rate 86.6%). For CABG surgery, many facilities regard “IMA use (95.3%) ” and “off-pump surgery” is the first choice as a facility and recommend “discharge antiplatelets (89.9%) ” and “discharge antilipid (47.3%) ”. On the other hand most facilities did not made any recommendation regarding “preoperative beta blockers (72.9%) ” and “discharge beta blockers (60.5%) ”. The usage rates of preoperative beta blockers and discharge beta blockers were very low in Japan though their usage rates were relatively high in the United States.
