29 Tsukuba Medical Center Hospital index

Advertisement regulations for hospitals, etc. under the Medical Care Act (Ministry of Health, Labor and Welfare)
  1. Number of discharged patients by age group
  2. Number of patients by diagnosis group classification, etc. (Top XNUMX patients by clinical department)
  3. Number of first-onset XNUMX major cancers by UICC staging and number of patients with recurrence
  4. Number of patients with adult community-acquired pneumonia by severity
  5. Number of patients with cerebral infarction, etc.
  6. Number of patients by major surgery by clinical department, etc. (Top XNUMX patients by clinical department)
  7. Others (incidence of DIC, sepsis, other mycoses, and surgical/postoperative complications)
Number of discharged patients by age groupDownload the file
Age category 0 ~ 10 ~ 20 ~ 30 ~ 40 ~ 50 ~ 60 ~ 70 ~ 80 ~ 90 ~
Number of patients 1632 340 239 345 717 930 2030 2336 1593 366
For the number of discharged patients by age group, the age of patients discharged from our hospital in 29 was tabulated in 10-year increments.
The 90-year-old class aggregates people aged 90 and over as one class.

◇Explanation
Our hospital is a regional medical support hospital, emergency medical center, Ibaraki regional cancer center (regional cancer treatment cooperation base hospital),
As a disaster base hospital, a clinical training hospital, and an acute hospital with various functions, we treat patients of a wide range of ages.
is.
Patients in their 70s are the most common, and 60% of the total are over 6 years old.
Our hospital is responsible for pediatric emergency medical care in the Tsukuba secondary medical area (Tsukuba City, Joso City).
Another feature of our hospital is that there are many patients under the age of 10 because the number of patients is increasing.
Number of patients by diagnosis group classification, etc. (Top XNUMX patients by clinical department)Download the file
Neurology
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
010060x2990401 Cerebral infarction (within 3 days after onset of stroke and less than JCS10) No surgery No surgery/treatment 0 No surgery/treatment 1 No secondary injury Pre-onset Rankin Scale 2, XNUMX or XNUMX 13 20.15 16.38 38.46 71.54
010080xx99x00x Inflammation associated with cerebrospinal infection No surgery No surgery/treatment XNUMX No secondary injury 10 10.90 9.99 0.00 44.60
010160xx99x10x Parkinson's disease No surgery Surgery, treatment, etc. XNUMX No secondary injuries - - 20.55 - -
010080xx99x01x Inflammation associated with cerebrospinal infection No surgery No surgery/treatment XNUMX Secondary injury - - 21.46 - -
010230xx99x00x Epilepsy No surgery No surgery, treatment, etc. XNUMX No secondary injuries - - 6.32 - -
◇Explanation
Neurology has the largest number of patients with cerebral infarction, and many patients use edaravone (cerebral protective agent).
Approximately 4% of patients are transferred to rehabilitation hospitals to continue treatment.
This is followed by a patient with encephalitis.
Pediatrics
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
040100xxxxx00x Asthma No surgery or treatment XNUMX No secondary injuries 231 5.89 6.32 0.43 2.62
040090xxxxxx0x Acute bronchitis, acute bronchiolitis, lower respiratory tract infection (other) No secondary injuries 183 5.62 5.94 0.00 0.98
0400801199x00x Pneumonia, etc. (1 to 15 years old) No surgery No surgery, treatment, etc. XNUMX No secondary injuries 110 5.90 5.7 0.91 3.19
080270xxxx0xxx Food allergy Surgery, treatment, etc. XNUMX None 101 1.27 2.54 0.00 8.56
150040xxxxx0xx Febrile convulsion Surgery, treatment, etc. XNUMX None 95 4.45 3.91 0.00 1.60
◇Explanation
In pediatrics, asthma patients are the most common, followed by acute bronchitis, acute bronchiolitis, and lower respiratory tract infections.
You.
The average length of hospital stay is short.
Emergency department
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
161070xxxxx00x Drug addiction (other addiction) No surgery, treatment, etc. XNUMX No secondary injuries 83 4.00 3.58 10.84 36.70
160100xx99x00x Cranial / intracranial injury No surgery No surgery, treatment, etc. XNUMX No secondary injuries 78 4.01 7.34 5.13 31.44
160100xx97x00x Cranial/intracranial injury Other surgeries No surgeries/treatments XNUMX No secondary injuries 51 8.55 9.68 15.69 49.12
060150xx99xx0x Appendicitis No surgery No injuries 40 6.95 7.01 0.00 42.48
060150xx03xxxx Appendicitis Appendectomy Without periappendicular abscess, etc. 34 5.47 5.56 0.00 36.18
◇Explanation
In the emergency department, the number of patients with drug addiction due to drug overdose is the largest, followed by cranial trauma due to trauma such as traffic injuries and falls.
・The number of patients with intracranial injuries is about 3 days shorter than the national average length of stay for patients who do not undergo surgery.
.
Orthopedics
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
160800xx01xxxx Proximal femoral hip fracture Artificial femoral head insertion Shoulder, hip, etc. 83 28.65 27.09 62.65 76.98
160760xx97xx0x Forearm fracture Surgery No secondary injuries 56 4.16 5.21 0.00 41.89
160740xx97xx0x Fracture/dislocation around elbow joint Surgery No secondary injuries 49 3.92 5.16 0.00 16.88
070350xx97xxxx Intervertebral disc degeneration, hernia, and other surgeries 29 16.48 16.53 13.79 54.17
070343xx01x0xx Spinal canal stenosis (including spondylosis) Lumbar pelvis, unstable vertebrae Spinal fusion, laminectomy, laminoplasty (including multi-intervertebral or multi-vertebral arch) Anterior vertebral body fusion, etc. Surgery/ No treatment, etc. XNUMX 26 18.58 21.70 0.00 65.69
◇Explanation
In orthopedic surgery, there are many patients who undergo surgery for bone fractures, and the most common fracture site is the femur, followed by forearm fractures.
Femoral fractures are common among elderly people, so if their physical condition stabilizes after surgery, they will be transferred to a rehabilitation hospital to continue treatment.
It's a lot of people who are going to be.
In addition to fractures, it is characterized by many spinal diseases such as intervertebral disc herniation and spinal canal stenosis.
Neurosurgery
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
010060x2990401 Cerebral infarction (within 3 days after onset of stroke and less than JCS10) No surgery No surgery/treatment 0 No surgery/treatment 1 No secondary injury Pre-onset Rankin Scale 2, XNUMX or XNUMX 79 18.15 16.38 31.65 72.04
160100xx97x00x Cranial/intracranial injury Other surgeries No surgeries/treatments XNUMX No secondary injuries 51 8.88 9.68 11.76 66.35
010030xx9910xx Unruptured cerebral aneurysm No surgery With surgery/treatment XNUMX Without surgery/treatment XNUMX 44 2.39 3.14 0.00 61.20
010040x099x00x Non-traumatic intracranial hematoma (other than non-traumatic subdural hematoma) (JCS less than 10) No surgery No surgery/treatment XNUMX No secondary injuries 38 22.08 19.10 42.11 71.16
010030xx03x00x Unruptured cerebral aneurysm Cerebrovascular endovascular surgery No operation/treatment XNUMX No secondary injury 32 5.44 9.95 0.00 62.97
◇Explanation
In neurosurgery, as in neurology, cerebral infarction patients are the most common, followed by cranial and intracranial injury patients.
increase.This is followed by an unruptured cerebral aneurysm, and because there are many hospitalized patients for cerebral angiography, the length of stay is shorter.
Respiratory surgery
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
040040xx97x0xx Malignant tumor of the lung With surgery Without surgery/treatment XNUMX 76 13.21 12.35 1.32 67.83
040200xx01x00x Pneumothorax Pulmonary resection, etc. No operation/treatment XNUMX No secondary injury 19 8.42 10.04 0.00 24.95
040040xx9910xx Malignant tumor of the lung No surgery With surgery/treatment XNUMX Without surgery/treatment XNUMX 13 2.00 3.59 0.00 67.92
040030xx01xxxx Benign tumor of respiratory system Lung resection Pulmonary resection with bronchoplasty, etc. - - 9.85 - -
040040xx97x10x Lung malignant tumor Surgery Surgery/Treatment XNUMX No secondary injuries - - 21.34 - -
◇Explanation
In pulmonary surgery, many patients undergo surgical treatment for lung cancer.Patients undergoing surgical treatment for pneumothorax,
More and more patients with lung cancer are undergoing non-surgical treatments.
Cardiovascular surgery
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
050163xx03x0xx Non-ruptured aortic aneurysm, iliac aneurysm, stent graft insertion, surgery, treatment, etc. XNUMX None 41 13.49 12.51 0.00 74.29
050080xx01010x Valvular disease (including combined valvular disease) Ross surgery (replacement of aortic root with autologous pulmonary valve tissue), etc. No operation/treatment XNUMX Surgery/treatment XNUMX No secondary injury 25 22.84 23.93 4.00 68.80
050050xx0151xx Angina pectoris, chronic ischemic heart disease Ventricular aneurysmectomy (including infarct resection) Single, etc. XNUMX surgeries/treatments XNUMX surgeries/treatments 11 21.18 27.53 0.00 62.18
050163xx02x0xx Non-ruptured aortic aneurysm, iliac artery aneurysm Aortic aneurysmectomy (including anastomosis or transplantation) Abdominal aorta (with reconstruction of branch vessels), etc. No operation, treatment, etc. XNUMX 10 21.20 17.76 0.00 63.10
050050xx01110x Angina pectoris, chronic ischemic heart disease Ventricular aneurysmectomy (including infarct resection) Single, etc. Surgery/treatment, etc. XNUMX, XNUMX Surgery/treatment, etc. XNUMX No secondary injury - - 28.11 - -
◇Explanation
Non-rupturing aortic disease is the most common in cardiovascular surgery.followed by valvular heart disease (aortic stenosis,
Most of the patients are patients with caprular valve regurgitation, etc.
Surgery is the main treatment, and we perform valve replacement and valvuloplasty using biological valves and mechanical valves.
In addition, there are many patients with thoracic/abdominal aortic aneurysm and aortic dissection.
I am having a tube replacement.
Urology
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
110200xx04xxxx BPH, etc. Transurethral laser prostatectomy 93 5.53 7.64 0.00 71.84
110070xx02020x Bladder tumor Bladder malignant tumor surgery Transurethral surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 80 5.05 7.64 0.00 74.40
11012xxx020x0x Upper urinary tract disease Transurethral urolithiasis, etc. No surgery/treatment XNUMX No secondary injuries 67 4.37 5.75 0.00 60.22
110070xx0200xx Bladder tumor Bladder malignant tumor surgery Transurethral surgery No surgery/treatment XNUMX No surgery/treatment XNUMX 42 5.93 7.31 2.38 75.55
110070xx99x20x Bladder tumor No operation XNUMX operations/treatments, etc. No secondary injuries 42 9.95 11.31 0.00 67.83
◇Explanation
In urology, laser treatment for benign prostatic hyperplasia is the most common, followed by bladder malignant tumor surgery (urinary surgery) for bladder cancer.
moral surgery).
The average length of hospital stay for treatment is shorter than the national average, and one of the characteristics of our hospital is that patients can be discharged early.
Obstetrics and gynecology
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
120060xx01xxxx Benign tumor of the uterus Total hysterectomy, etc. 50 8.04 9.91 0.00 42.86
120070xx02xxxx Benign tumor of the ovary Partial oophorectomy (including vaginal surgery) Laparoscopic surgery, etc. 35 7.20 6.37 0.00 44.86
120070xx01xxxx Benign tumor of the ovary Partial oophorectomy (including vaginal surgery) Laparotomy, etc. 23 7.91 10.27 0.00 44.96
12002xxx01x0xx Malignant tumor of the cervix and body Uterine malignant tumor surgery, etc. No surgery, treatment, etc. XNUMX 22 14.09 12.94 0.00 52.23
120100xx02xxxx Endometriosis Laparoscopic vaginal hysterectomy, etc. 18 7.33 6.80 0.00 35.22
◇Explanation
In obstetrics and gynecology, the majority of patients undergo surgery for benign tumors of the uterus (uterine fibroids).
Next, there are many patients who undergo partial ovarian resection for benign tumors of the ovary, and depending on the patient's condition, laparoscopy or laparotomy
I am having a surgery.
Respiratory medicine
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
040040xx99040x Lung malignant tumor No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 142 14.45 11.99 0.00 67.42
040040xx9910xx Malignant tumor of the lung No surgery With surgery/treatment XNUMX Without surgery/treatment XNUMX 135 2.92 3.59 0.00 69.04
040110xxxxx0xx Interstitial pneumonia No operation or treatment XNUMX 50 17.96 19.65 0.00 66.78
040040xx99000x Malignant tumor of the lung No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 41 18.71 14.60 2.44 72.29
040120xx99000x Chronic obstructive pulmonary disease No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 41 15.63 13.83 2.44 77.98
◇Explanation
In the Department of Respiratory Medicine, there are many patients with malignant tumors in the lungs, which include chemotherapy with anticancer drugs, bronchoscopy, and lung biopsy.
I am a patient for testing purposes.
Cardiology
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
050050xx99100x Angina Pectoris, Chronic Ischemic Heart Disease No Surgery Surgery/Treatment XNUMX No Surgery/Treatment XNUMX No Secondary Injuries 279 3.22 3.03 0.36 65.94
050050xx02000x Angina pectoris, chronic ischemic heart disease, percutaneous coronary angioplasty, etc. No operation/treatment XNUMX, XNUMX, XNUMX No operation/treatment XNUMX No secondary injury 277 4.90 4.62 1.08 67.50
050130xx99000x Heart failure No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 146 19.84 17.71 6.16 82.24
050050xx99200x Angina pectoris, chronic ischemic heart disease No operation Surgery/treatment XNUMX No operation/treatment XNUMX No secondary injury 134 3.19 3.19 0.00 68.34
050030xx97000x Acute myocardial infarction (including secondary complications), recurrent myocardial infarction Other surgeries No surgery/treatment XNUMX, XNUMX No surgery/treatment XNUMX No secondary injuries 120 11.72 12.72 0.83 65.08
◇Explanation
Cardiology department accepts various patients such as acute myocardial infarction, angina pectoris, and heart failure.A patient with angina
Cardiac catheterization and coronary intervention treatment (PCI) are the most common.
Department of Gastroenterological Endoscopy
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
060100xx03xxxx Benign diseases of the small intestine and large intestine (including benign tumors) Early malignant tumor Colon submucosal dissection 58 6.88 7.21 0.00 69.62
060020xx04x0xx Malignant tumor of the stomach Endoscopic stomach, duodenal polyp/mucosal resection No operation/treatment XNUMX 41 7.39 8.73 2.44 70.37
060035xx03xxxx Malignant tumors of the colon (including the appendix) Early malignant colonic submucosal dissection 27 7.07 7.37 0.00 70.93
060090xx02xxxx Benign gastric tumor Endoscopic stomach, duodenal polyp/mucosal resection Other polyp/mucosal resection, etc. 21 5.52 7.25 0.00 66.86
060130xx02000x Inflammation of the esophagus, stomach, duodenum, and other intestines (other benign diseases) Endoscopic gastrointestinal hemostasis, etc. No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 21 10.95 9.08 0.00 72.48
◇Explanation
In the Department of Gastroenterological Endoscopy, colon diseases are the most common, followed by malignant tumor diseases of the stomach.Contents include polypectomy and mucosa
Underlayer dissection, etc.
Digestive surgery
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
060020xx99x30x Malignant tumor of the stomach No surgery XNUMX surgeries/treatments No secondary injuries 74 4.68 6.83 0.00 58.11
060330xx02xxxx Gallbladder disease (gallbladder stones, etc.) Laparoscopic cholecystectomy, etc. 69 4.71 6.64 0.00 58.52
060035xx01000x Malignant tumor of colon (including appendix) Colectomy Total resection, subtotal resection, malignant tumor surgery, etc. No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injury 43 17.35 15.61 2.33 69.65
060020xx02x0xx Gastric malignant tumor Gastrectomy Surgery for malignant tumor, etc. No surgery/treatment, etc. XNUMX 18 14.17 17.27 0.00 65.22
060040xx02x00x Malignant tumor of the rectum (from the rectal sigmoid region to the anus) Malignant tumor of the anus Surgery, excision, etc. No surgery, treatment, etc. XNUMX No secondary injuries 17 18.29 17.49 0.00 64.12
◇Explanation
In gastroenterological surgery, the largest number of patients undergoing chemotherapy for malignant tumors of the stomach is followed by gallbladder disease and malignant tumors of the colon.
.
General medical department
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
110310xx99xx0x Kidney or urinary tract infection No surgery No injuries 58 13.43 12.34 3.45 76.28
180010x0xxx0xx Septicemia (1 year old or older) No surgery, treatment, etc. XNUMX 44 24.64 19.01 9.09 79.50
040081xx99x00x Aspiration pneumonia No surgery No surgery/treatment XNUMX No secondary injuries 39 23.49 20.83 12.82 81.62
100393xx99xxxx Other fluid/electrolyte/acid-base disorders No surgery 30 12.70 10.05 3.33 73.37
010230xx99x00x Epilepsy No surgery No surgery, treatment, etc. XNUMX No secondary injuries 22 4.36 6.32 9.09 66.82
◇Explanation
General Medicine has a high proportion of elderly patients, with the highest number of patients with urinary tract infections, followed by sepsis and aspiration pneumonia.
Breast
DPC code DPC name Number of patients average
Length of stay
(Own hospital)		 average
Length of stay
(Whole country)		 Transfer rate Average students age patient pass
090010xx03x0xx Breast malignant tumor Surgery for malignant breast tumor Partial mastectomy (without axillary dissection) No surgery, treatment, etc. XNUMX 44 4.64 6.37 0.00 60.02
090010xx02x0xx Breast malignant tumor Surgery for malignant breast tumor Simple mastectomy (total mastectomy), etc. No operation or treatment XNUMX 43 10.72 10.15 0.00 61.16
090010xx01x0xx Breast malignant tumor Surgery for malignant breast tumor Partial mastectomy (with axillary dissection (including endoscopic surgery)), etc. Surgery, treatment, etc. XNUMX None 27 12.37 11.45 0.00 56.44
040050xx99x3xx Chest wall tumor, pleural tumor No surgery XNUMX surgeries/treatments - - 20.53 - -
090010xx99x9xx Malignant tumor of the breast No surgery XNUMX with surgery/treatment - - 6.78 - -
◇Explanation
In mammary departments, the largest number of patients undergoing partial resection of breast cancer without lymph node dissection, followed by simple mastectomy.
Number of first-onset XNUMX major cancers by UICC staging and number of patients with recurrenceDownload the file
First shot recurrence Stage classification
Standard(*)		 Version number
Stage I Stage II Stage III Stage IV Unknown
Gastric cancer 61 23 37 51 18 11 1 7
Colorectal cancer 29 51 46 36 21 19 1 7
Breast cancer 50 27 - - 18 15 1 7
Lung cancer 58 37 93 213 105 58 1 7
Liver cancer - - - - - - 1 7
*1: UICC TNM Classification, 2: Cancer Treatment Regulations
The number of patients with first-onset UICC (stomach cancer, colorectal cancer, breast cancer, lung cancer, liver cancer), which is called the five major cancers, is
d) Tabulated by classification and by recurrence.

◇Explanation
Lung cancer is the most common of the first five major cancers, followed by gastric cancer and colorectal cancer.Lung cancer is the most common recurrence.
Number of patients with adult community-acquired pneumonia by severityDownload the file
Number of patients average
Length of stay		 Average students age
Mild 14 12.36 54.93
Moderate 107 15.87 76.50
Severe 42 23.38 80.45
very serious 26 34.04 84.58
Unknown - - -
We added up the number of patients with adult community-acquired pneumonia by severity.Severity is according to the adult community-acquired pneumonia clinical practice guideline
(A-DROP) was used for classification.

◇Explanation
Patients with moderate symptoms are the most common, and as they get older, they become more severe and require longer hospital stays.
Number of patients with cerebral infarction, etc.Download the file
from the date of onset Number of patients Average length of hospital stay Average students age Transfer rate
Within 3 Date 284 21.76 73.92 33.55
Others 29 17.07 63.69 1.92
The number of patients by type of stroke, average length of stay, average age, and hospital transfer rate were tabulated.

◇Explanation
The majority of stroke patients are hospitalized within 3 days after onset, accounting for about 90% of the total, and the average length of hospital stay is 21 days.
It is about
Many patients need rehabilitation after treatment, and about 33% are transferred to hospitals other than their homes.
Number of patients by major surgery by clinical department, etc. (Top XNUMX patients by clinical department)Download the file
Emergency department
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K7181 Appendectomy (without periappendicular abscess) 34 0.74 3.74 0.00 36.18
K7182 Appendectomy (with periappendicular abscess) 20 2.60 8.65 5.00 48.55
K1422 Spinal fusion, laminectomy, laminoplasty (posterior or posterolateral fusion) 14 3.36 37.57 85.71 56.79
K7161 Small bowel resection (resection other than malignant tumor surgery) 14 3.86 29.93 35.71 81.64
K672 Cholecystectomy - - - - -
◇Explanation
In the emergency department, the number of days before surgery is short because appendectomy is the most common and urgent procedure.
Orthopedics
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K0461 Fracture open surgery (scapula, upper arm, thigh) 85 2.46 19.20 43.53 65.62
K0462 Fracture open surgery (forearm, leg, hand navicular) 66 4.79 10.21 13.64 49.21
K0483 Intraosseous foreign body (including inserts) removal (forearm, lower leg) 36 0.75 2.36 0.00 40.89
K0463 Fracture open surgery (clavicle, patella, hand (except scaphoid), foot, finger (hand, foot), etc.) 33 2.18 5.24 3.03 45.82
K0821 Artificial joint replacement (shoulder, hip, knee) 32 2.38 18.69 12.50 68.44
◇Explanation
In orthopedic surgery, open fracture surgery is the most common.
Neurosurgery
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K164-2 Chronic subdural hematoma perforation cleaning 62 0.63 4.48 14.52 76.15
K1781 Cerebrovascular surgery (XNUMX location) 48 1.19 14.75 20.83 62.69
K178-4 Percutaneous cerebral thrombectomy 30 0.13 26.37 50.00 75.57
K1771 Cerebral aneurysm neck clipping (XNUMX location) 19 1.37 27.32 36.84 65.47
K6092 Arterial thromboendarterectomy (internal carotid artery) 12 9.42 11.50 25.00 72.75
◇Explanation
In neurosurgery, there are many operations for chronic subdural hematoma, followed by coil embolization for cerebral aneurysm and subarachnoid hemorrhage (cerebral blood
endovascular surgery).
Respiratory surgery
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K514-23 Thoracoscopic lung malignant tumor surgery (lobectomy or more than one lobe) 52 1.83 10.50 0.00 67.63
K5131 Thoracoscopic pulmonary resection (pulmonary cyst surgery (partial wedge resection)) 22 3.55 4.27 0.00 27.55
K514-21 Thoracoscopic lung malignant tumor surgery (partial resection) 19 1.68 9.11 0.00 70.00
K5132 Thoracoscopic pulmonary resection (other) 11 1.45 9.64 0.00 60.45
K514-22 Thoracoscopic Lung Malignant Tumor Surgery (Segmental Resection) - - - - -
◇Explanation
In respiratory surgery, lung malignant tumor surgery (lobe resection or more than one lobe) performed under thoracoscopic surgery is the most common.
Cardiovascular surgery
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K5612 Stent graft implantation (abdominal aorta) 40 2.40 10.13 0.00 74.08
K552-22 Coronary artery and aortic bypass grafting (without cardiopulmonary bypass) (XNUMX or more anastomoses) 24 4.04 13.25 0.00 62.67
K5551 Valve replacement (XNUMX valve) 19 7.74 27.47 15.79 69.00
K5606 Aortic aneurysmectomy (abdominal aorta (with branch vessel reconstruction)) 13 4.23 13.08 0.00 62.77
K5522 Coronary artery, aortic bypass grafting (XNUMX or more anastomoses) 11 6.09 30.18 18.18 68.09
◇Explanation
In cardiovascular surgery, stent grafting is the most frequently performed for abdominal aortic aneurysms, followed by coronary artery surgery without cardiopulmonary bypass.
・Aortic bypass grafting, artificial valves and mechanical valves for valvular heart disease (aortic stenosis, mitral regurgitation, etc.)
followed by valve replacement surgery.
Urology
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K8036i Bladder malignant tumor surgery (transurethral surgery) (using electrolyte solution) 121 1.61 2.98 0.83 74.64
K841-21 Transurethral laser prostatectomy (holmium laser) 94 1.24 3.28 0.00 71.81
K7811 Transurethral stone removal (laser) 71 1.44 2.13 0.00 60.14
K783-2 Transurethral ureteral stent placement 19 1.84 5.21 5.26 66.37
K773 Kidney (ureter) malignant tumor surgery 18 1.72 7.00 0.00 62.39
◇Explanation
In the department of urology, transurethral surgery is the most common for bladder malignant tumor surgery, and not only for cancer but also for benign prostatic hyperplasia and urolithiasis.
I am also strong in surgery.
Obstetrics and gynecology
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K867 Cervical (vaginal) resection 54 0.00 1.00 0.00 40.00
K877 total hysterectomy 47 1.15 6.15 0.00 45.87
K8882 Uterine appendage tumorectomy (bilateral) (laparoscopic) 38 1.03 5.16 0.00 43.97
K8881 Uterine appendage tumorectomy (bilateral) (laparotomy) 27 1.00 6.26 0.00 43.81
K879 Uterine malignant tumor surgery 20 1.75 16.80 0.00 55.25
◇Explanation
In obstetrics and gynecology, cervical (vaginal) resection is the most common, followed by total hysterectomy and uterine appendage lumpectomy.
Cardiology
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K5493 Percutaneous coronary stenting (other) 223 2.68 2.58 0.90 67.74
K616 Limb vasodilation/thrombectomy 123 1.83 3.01 6.50 70.54
K5491 Percutaneous coronary stent placement (acute myocardial infarction) 97 0.01 12.63 3.09 66.27
K555-22 Transcatheter aortic valve replacement (percutaneous aortic valve replacement) 68 6.47 11.85 4.41 84.88
K5492 Percutaneous coronary stenting (unstable angina) 52 0.79 7.92 7.69 66.42
◇Explanation
In cardiology, coronary intervention (PCI) other than acute myocardial infarction is the most frequent, followed by arteriosclerosis obliterans
Followed by extremity vasodilation and thrombectomy.
Department of Gastroenterological Endoscopy
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K7211 Endoscopic colorectal polyp/mucosal resection (Length less than XNUMX cm) 304 0.15 1.07 0.00 65.25
K721-4 Early malignant tumor colorectal submucosal dissection 96 0.69 5.21 0.00 69.51
K6532 Endoscopic gastric and duodenal polyp/mucosal resection (early malignant submucosa) 42 0.81 5.62 2.38 70.21
K7212 Endoscopic colorectal polyp/mucosal resection (longer diameter XNUMX cm or more) 22 0.14 1.18 0.00 57.14
K6534 Endoscopic gastric, duodenal polyp/mucosal resection (other) 20 0.45 4.00 0.00 66.40
◇Explanation
In the Department of Gastroenterological Endoscopy, endoscopic colon polyp and mucosal resection (longer diameter less than 2 cm) is the most frequent, and early malignant colon mucosa
We also perform a lot of sublayer dissection (ESD).
Digestive surgery
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K6335 inguinal hernia surgery 94 1.60 1.27 0.00 66.40
K672-2 Laparoscopic cholecystectomy 87 1.44 2.28 0.00 58.70
K7193 Colectomy (total resection, subtotal resection or malignant tumor surgery) 41 6.56 16.68 2.44 69.76
K6572 Total gastrectomy (malignant tumor surgery) 18 4.94 16.67 11.11 66.61
K719-3 Laparoscopic Colon Malignant Tumor Resection 18 4.39 11.39 0.00 69.39
◇Explanation
In gastroenterological surgery, there are many operations for inguinal hernia, followed by laparoscopic cholecystectomy.
Breast
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K4762 Breast malignant tumor surgery (partial mastectomy (without axillary dissection)) 44 1.16 2.48 0.00 60.02
K4763 Breast cancer surgery (mastectomy without axillary dissection) 35 1.11 8.23 0.00 62.29
K4765 Mammary gland malignant tumor surgery (without mastectomy and pectoral muscle resection) 15 1.00 10.73 0.00 56.60
K4764 Breast malignant tumor surgery (partial mastectomy (with axillary dissection)) - - - - -
K4761 Mammary gland malignant tumor surgery (simple mastectomy (total mastectomy)) - - - - -
◇Explanation
In mammary departments, partial mastectomy for breast cancer is the most frequent without lymph node dissection.followed by a mastectomy
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Others (incidence of DIC, sepsis, other mycoses, and surgical/postoperative complications)Download the file
DPC Injury name Opportunity for hospitalization Number of cases Incidence
130100 Disseminated intravascular coagulation Same - -
Different - -
180010 septicemia Same 38 0.36
Different 44 0.42
180035 Other fungal infections Same - -
Different - -
180040 Complications such as surgery and treatment Same 26 0.25
Different - -
The number and incidence of complications such as disseminated intravascular coagulation, sepsis, mycosis, and surgery/procedures were tabulated.
Data are tabulated according to whether the DPC disease name and the reason for hospitalization are the same or different.

◇Explanation
Sepsis is more common in patients with different causes of hospitalization than with the same disease, but the number of cases is thought to be small.
There are various injuries and diseases that cause hospitalization, but urinary tract infections are the most common.
As complications such as operation, treatment, most are the same as hospitalization opportunity.
Injuries and diseases include artificial blood vessel infection, post-pacemaker implantation infection, and surgical wound dissection.
Change log
2018/09/27
FY29 Tsukuba Medical Center Hospital hospital index release
2017/09/27
FY28 Tsukuba Medical Center Hospital hospital index release
2016/09/27
FY27 Tsukuba Medical Center Hospital hospital index release