Japanese Journal of Extra-Corporeal Technology
Online ISSN : 1884-5452
Print ISSN : 0912-2664
ISSN-L : 0912-2664
Volume 45, Issue 1
Displaying 1-4 of 4 articles from this issue
Original Articles
  • Makoto Hibiya, Tetsuya Kamei, Shoji Kubota, Kyoichi Kemmoku, Koji Taka ...
    2018 Volume 45 Issue 1 Pages 1-7
    Published: 2018
    Released on J-STAGE: April 04, 2018
    JOURNAL FREE ACCESS

    In response to activities of the International Consortium for Evidence-Based Perfusion, the Japanese Society of Extra-Corporeal Technology in Medicine started planning the preparation of scientific evidence-based guidelines for extracorporeal circulation in Japan in 2008, and after an about 6-year preparation period, registration of extracorporeal circulation cases was initiated in 2014. This project consists of cooperation between ’case registration’ by participant institutions in which each case is input following the definitions of registration items without error and ’case database’ in which registered cases are collected, managed, tabulated, and analyzed. The numbers of participant institutions and registered cases including those which participated in an open input test performed in 2013 reached 30 institutions and 7,443 cases by the end of 2016. Institutions participating in this project account for all Japan Adult Cardiovascular Surgery Database (JACVSD)-participant institutions. When registration of pediatric cases of extracorporeal circulation starts, a cohort study using the extracorporeal circulation case database will progress, and its achievement, scientific evidence, may lead to stability and improvement of clinical extracorporeal circulation techniques and development of the guidelines.

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  • Makoto Hibiya, Tetsuya Kamei, Shoji Kubota, Kyoichi Kemmoku, Koji Taka ...
    2018 Volume 45 Issue 1 Pages 8-14
    Published: 2018
    Released on J-STAGE: April 04, 2018
    JOURNAL FREE ACCESS

    In response to activities of the International Consortium for Evidence-Based Perfusion, the Japanese Society of Extra-Corporeal Technology in Medicine started planning the preparation of scientific evidence-based guidelines for extracorporeal circulation in Japan in 2008, and after an about 6-year preparation period, registration of extracorporeal circulation cases was initiated in 2014. This project consists of cooperation between ’case registration’ by participant institutions in which each case is input following the definitions of registration items without error and ’case database’ in which registered cases are collected, managed, tabulated, and analyzed. The numbers of participant institutions and registered cases including those which participated in an open input test performed in 2013 reached 30 institutions and 7,443 cases by the end of 2016. Institutions participating in this project account for all Japan Adult Cardiovascular Surgery Database (JACVSD)-participant institutions. When registration of pediatric cases of extracorporeal circulation starts, a cohort study using the extracorporeal circulation case database will progress, and its achievement, scientific evidence, may lead to stability and improvement of clinical extracorporeal circulation techniques and development of the guidelines.

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  • Tetsuya Kamei, Shoji Kubota, Chihiro Saito, Kiyoshi Yoshida, Makoto Hi ...
    2018 Volume 45 Issue 1 Pages 15-20
    Published: 2018
    Released on J-STAGE: April 04, 2018
    JOURNAL FREE ACCESS

    The Japanese Society of Extra-Corporeal Technology in Medicine (JaSECT) established the Japanese Perfusion Database and started its operation in 2013. This database collects pre-surgery physical findings of patients who have undergone perfusion during cardiovascular surgery, as well as perfusion conditions and outcomes. The purpose is to tabulate and analyze data on a nationwide scale. In this study, we analyzed 6,956 cases of adult (age 16 and up) cardiovascular surgery performed with perfusion. The data was collected over three years, from January 1, 2014 to December 31, 2016. In Japan, perfusion is most frequently performed with valve surgery, followed by aortic surgery and coronary artery bypass grafting (CABG). Differences according to type of surgery are discovered by analyzing the perfusion registry, which suggests that collecting this data is useful. It should be noted, however, that data analyzed for this study was obtained from only 30 institutions, so it did not represent the entire country. The results also show large variations for some data items. In the future, data accuracy is expected to increase as efforts are made to modify the input interface and more institutions participate in the registry to catalog more cases.

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  • -Aggregate data between 2014 and 2016-
    Tetsuya Kamei, Shoji Kubota, Chihiro Saito, Kiyoshi Yoshida, Makoto Hi ...
    2018 Volume 45 Issue 1 Pages 21-26
    Published: 2018
    Released on J-STAGE: April 04, 2018
    JOURNAL FREE ACCESS

    The Japanese Society of Extra-Corporeal Technology in Medicine (JaSECT) established the Japanese Perfusion Database and started its operation in 2013. This database collects pre-surgery physical findings of patients who have undergone perfusion during cardiovascular surgery, as well as perfusion conditions and outcomes. The purpose is to tabulate and analyze data on a nationwide scale. In this study, we analyzed 6,956 cases of adult (age 16 and up) cardiovascular surgery performed with perfusion. The data was collected over three years, from January 1, 2014 to December 31, 2016. In Japan, perfusion is most frequently performed with valve surgery, followed by aortic surgery and coronary artery bypass grafting (CABG). Differences according to type of surgery are discovered by analyzing the perfusion registry, which suggests that collecting this data is useful. It should be noted, however, that data analyzed for this study was obtained from only 30 institutions, so it did not represent the entire country. The results also show large variations for some data items. In the future, data accuracy is expected to increase as efforts are made to modify the input interface and more institutions participate in the registry to catalog more cases.

    Download PDF (505K)
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