30 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 1525 297 225 313 724 995 1976 2451 1487 435
For the number of discharged patients by age group, the age of patients discharged from our hospital in 30 was collected in 10-year increments.
I counted.
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 diagnosis
Acute-stage disease with various functions such as hospitals for medical care (collaborating base hospitals), disaster base hospitals, and clinical training hospitals
As a clinic, we treat patients of all ages.
Patients in their 70s are the most common, with 60% of the total being over 55 years old.
Our hospital is responsible for pediatric emergency medical care in the Tsukuba secondary medical area (Tsukuba City, Joso City).
Since the population of the child-rearing generation is increasing in Ba City, the number of patients under the age of 10 is large, which is also a feature of our hospital.
.
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 19.85 16.18 23.08 62.54
010060x2990411 Cerebral infarction (within 3 days after onset of stroke and less than JCS10) No surgery No surgery/treatment 0 No surgery/treatment 1 With 2 secondary injury Pre-onset Rankin Scale XNUMX, XNUMX or XNUMX - - 18.22 - -
010110xxxxx40x Immune-mediated/inflammatory neuropathy XNUMX operations/treatments, etc. No secondary injuries - - 16.16 - -
010040x099000x Non-traumatic intracranial hematoma (other than non-traumatic subdural hematoma) (JCS less than 10) No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injury - - 18.72 - -
010080xx99x001 Inflammation with cerebrospinal infection No surgery No surgery/treatment 15 No secondary injuries XNUMX years or older - - 12.09 - -
◇Explanation
In the department of neurology, patients with cerebral infarction are the most common, and patients who use edaravone (a neuroprotective agent)
Approximately 23% of patients are transferred to rehabilitation hospitals for continued treatment.
continuing.
This is followed by a patient with cerebral infarction with a secondary injury name.
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
080270xxxx1xxx Food allergy Surgery, treatment, etc. XNUMX available 285 1.01 2.14 0.00 3.33
040100xxxxx00x Asthma No surgery or treatment XNUMX No secondary injuries 228 6.32 6.62 0.44 2.67
0400801199x00x Pneumonia, etc. (1 to 15 years old) No surgery No surgery, treatment, etc. XNUMX No secondary injuries 147 6.56 5.71 2.04 3.54
040090xxxxxx0x Acute bronchitis, acute bronchiolitis, lower respiratory tract infection (other) No secondary injuries 142 6.05 6.19 0.70 1.03
080270xxxx0xxx Food allergy Surgery, treatment, etc. XNUMX None 137 1.12 2.47 0.00 5.26
◇Explanation
In pediatrics, food allergy patients are the most common, followed by asthma, pneumonia, and acute bronchitis.
has become a patient of
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 73 3.38 3.56 5.48 41.11
060150xx03xxxx Appendicitis Appendectomy Without periappendicular abscess, etc. 64 5.34 5.49 0.00 39.86
160100xx99x00x Cranial / intracranial injury No surgery No surgery, treatment, etc. XNUMX No secondary injuries 61 3.64 7.35 1.64 32.51
060210xx99000x Intestinal obstruction without hernia No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injury 48 9.46 8.95 4.17 69.02
060150xx99xx0x Appendicitis No surgery No injuries 44 5.43 6.78 0.00 37.45
◇Explanation
The emergency department has the most drug addiction patients due to drug overdose, followed by appendicitis.
Has become.
All patients who do not undergo surgery for cranial or intracranial injuries due to traffic injuries, falls, etc.
It is about 4 days shorter than the national average length of stay.
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 Fracture of hip joint/proximal femoral head Insertion of artificial femoral head Shoulder, hip, etc. 72 28.79 26.30 56.94 79.92
160760xx97xxxx Forearm fracture with surgery 58 3.84 5.68 0.00 48.10
160690xx99xx0x Thoracic vertebrae, lumbar vertebrae and lower fracture injuries (including thoracic and lumbar spinal cord injuries) No surgery No secondary injuries 46 27.98 19.61 32.61 74.35
160740xx01xx0x Fracture/dislocation around the elbow joint Open fracture surgery Scapular, upper arm, thigh, etc. No secondary injuries 39 5.21 5.55 2.56 21.26
160700xx97xx0x Fracture of clavicle/scapula Surgery No secondary injuries 34 4.94 6.07 0.00 38.91
◇Explanation
In orthopedic surgery, many patients undergo surgery for fractures, and the femur is the most common fracture site.
Mostly, followed by forearm fractures.Since there are many elderly people with femoral fractures, their physical condition is stable after surgery.
If so, many people are transferred to a rehabilitation hospital to continue treatment.
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 71 15.14 16.18 23.94 69.20
010040x099000x Non-traumatic intracranial hematoma (other than non-traumatic subdural hematoma) (JCS less than 10) No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injury 59 19.10 18.72 52.54 63.93
160100xx99x00x Cranial / intracranial injury No surgery No surgery, treatment, etc. XNUMX No secondary injuries 44 7.82 7.35 2.27 52.14
010060x2990201 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 31 15.55 16.16 22.58 72.58
160100xx97x00x Cranial/intracranial injury Other surgeries No surgeries/treatments XNUMX No secondary injuries 31 6.90 9.69 9.68 69.13
◇Explanation
In neurosurgery, as in neurology, patients with cerebral infarction are the most common, followed by non-traumatic cranial infarction.
Followed by patients who do not undergo surgery due to internal hematoma (cerebral hemorrhage), cranial or intracranial injury.
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 82 11.13 11.87 0.00 69.85
040200xx01x00x Pneumothorax Pulmonary resection, etc. No operation/treatment XNUMX No secondary injury 25 11.20 10.08 0.00 26.44
040040xx9910xx Malignant tumor of the lung No surgery With surgery/treatment XNUMX Without surgery/treatment XNUMX 18 2.39 3.43 0.00 71.56
040030xx01xxxx Benign tumor of respiratory system Lung resection Pulmonary resection with bronchoplasty, etc. - - 9.29 - -
040020xx97xxxx Benign tumor of the mediastinum with surgery - - 8.66 - -
◇Explanation
In pulmonary surgery, many patients undergo surgical treatment for lung cancer.followed by pneumothorax
The number of patients undergoing surgical treatment and patients undergoing non-surgical treatments and procedures for lung cancer is increasing.
is.
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
050180xx02xxxx Venous/lymphatic diseases Lower extremity varicose vein surgery, etc. 62 2.00 2.85 0.00 66.16
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 30 19.53 24.00 0.00 69.53
050163xx03x0xx Non-ruptured aortic aneurysm, iliac aneurysm, stent graft insertion, surgery, treatment, etc. XNUMX None 27 11.26 12.01 0.00 72.93
050161xx97x10x Dissecting aortic aneurysm Other surgeries XNUMX surgeries/treatments No secondary injuries 20 30.00 28.37 5.00 59.55
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 15 14.40 17.30 0.00 65.53
◇Explanation
In cardiovascular surgery, patients with lower extremity varicose veins are the most common, followed by valvular heart disease (aortic valve disease).
Stenosis, mitral valve regurgitation, etc.) account for the majority of patients.
Surgery is the main treatment, and valve replacement and valvuloplasty using biological valves and mechanical valves are performed.
is.
In addition, there are many patients with thoracic/abdominal aortic aneurysms and aortic dissection, and stent grafts
We carry out artificial blood vessel replacement by chest and laparotomy.

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
110080xx991x0x Malignant tumor of the prostate No surgery With surgery, treatment, etc. XNUMX No secondary injuries 183 2.08 2.53 0.00 71.33
110070xx02020x Bladder tumor Bladder malignant tumor surgery Transurethral surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 106 4.45 7.40 0.00 73.88
11012xxx020x0x Upper urinary tract disease Transurethral urinary tract stone removal surgery No surgery/treatment XNUMX No secondary injuries 87 4.76 5.62 1.15 60.17
110200xx02xxxx BPH, etc. Transurethral prostate surgery, etc. 80 5.96 8.65 0.00 71.61
110070xx0200xx Bladder tumor Bladder malignant tumor surgery Transurethral surgery No surgery/treatment XNUMX No surgery/treatment XNUMX 29 6.24 7.20 0.00 74.14
◇Explanation
In urology, prostate cancer is the most frequently examined, followed by bladder malignant tumors for bladder cancer.
Surgery (transurethral surgery).
The average length of hospital stay for treatment is shorter than the national average, and the feature 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. 63 8.41 9.87 0.00 42.57
12002xxx02x0xx Malignant tumor of the cervix/body Cervical (vaginal) resection, etc. No operation, treatment, etc. XNUMX 43 2.02 3.20 0.00 40.77
120070xx02xxxx Benign tumor of the ovary Partial oophorectomy (including vaginal surgery) Laparoscopic surgery, etc. 39 7.31 6.28 0.00 43.28
12002xxx01x0xx Malignant tumor of the cervix and body Uterine malignant tumor surgery, etc. No surgery, treatment, etc. XNUMX 18 12.39 12.58 0.00 58.22
120070xx01xxxx Benign tumor of the ovary Partial oophorectomy (including vaginal surgery) Laparotomy, etc. 18 8.28 10.16 0.00 49.94
◇Explanation
In obstetrics and gynecology, the majority of patients undergoing surgery due to benign tumors of the uterus (uterine fibroids)
There are many.
Next, there are many patients who undergo partial ovarian resection due to benign ovarian tumors, and depending on the patient's condition,
Depending on the situation, we perform laparoscopic and open 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
040040xx9910xx Malignant tumor of the lung No surgery With surgery/treatment XNUMX Without surgery/treatment XNUMX 121 2.60 3.43 0.83 70.50
040040xx99040x Lung malignant tumor No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 87 11.29 10.00 1.15 67.36
040110xxxxx0xx Interstitial pneumonia No operation or treatment XNUMX 72 23.31 19.06 0.00 69.67
040040xx99041x Lung malignant tumor No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX With secondary injury 60 18.42 17.28 0.00 72.25
040040xx9900xx Malignant tumor of the lung No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX 52 18.75 14.58 0.00 74.52
◇Explanation
In the Department of Respiratory Medicine, the largest number of patients with malignant tumors of the lung is
They have become patients for the purpose of therapy and examinations such as bronchoscopy and lung biopsies.
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 303 3.18 3.01 0.33 67.22
050050xx02000x Angina pectoris, chronic ischemic heart disease, percutaneous coronary angioplasty, etc. No operation/treatment XNUMX, XNUMX, XNUMX No operation/treatment XNUMX No secondary injury 248 4.75 4.47 0.00 66.38
050130xx99000x Heart failure No surgery No surgery/treatment XNUMX No surgery/treatment XNUMX No secondary injuries 144 20.86 17.66 7.64 81.39
050030xx97000x Acute myocardial infarction (including secondary complications), recurrent myocardial infarction Other surgeries No surgery/treatment XNUMX, XNUMX No surgery/treatment XNUMX No secondary injuries 132 13.45 12.52 1.52 68.52
050050xx99200x Angina pectoris, chronic ischemic heart disease No operation Surgery/treatment XNUMX No operation/treatment XNUMX No secondary injury 127 3.20 3.15 0.00 66.38
◇Explanation
Cardiology department accepts various patients such as acute myocardial infarction, angina pectoris, and heart failure.
increase.Patients with angina pectoris are the most common, and cardiac catheterization and coronary intervention treatment are common.
treatment (PCI) is central.
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
060100xx01xx0x Benign diseases of the small intestine and large intestine (including benign tumors) Endoscopic colon polyp/mucosal resection No secondary injuries 321 2.26 2.67 0.00 63.72
060020xx04x0xx Malignant tumor of the stomach Endoscopic stomach, duodenal polyp/mucosal resection No operation/treatment XNUMX 61 6.59 8.52 0.00 73.33
060100xx03xxxx Benign diseases of the small intestine and large intestine (including benign tumors) Early malignant tumor Colon submucosal dissection 36 6.86 7.15 0.00 71.75
060100xx01xx1x Benign diseases of the small intestine and large intestine (including benign tumors) Endoscopic colon polyp/mucosal resection Secondary injuries 30 2.43 3.94 0.00 71.73
060035xx03xxxx Malignant tumors of the colon (including the appendix) Early malignant tumors Colorectal submucosal dissection 29 6.45 7.09 3.45 68.69
◇Explanation
In the Department of Gastroenterological Endoscopy, colon diseases are the most common, followed by malignant tumor diseases of the stomach.content
Such as polypectomy and submucosal dissection.
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
060160x001xxxx Inguinal hernia (15 years old and over) Hernia surgery Inguinal hernia, etc. 83 4.08 4.96 1.20 68.94
060330xx02xxxx Gallbladder disease (gallbladder stones, etc.) Laparoscopic cholecystectomy, etc. 66 4.77 6.52 1.52 58.82
060020xx99x30x Malignant tumor of the stomach No surgery XNUMX surgeries/treatments No secondary injuries 48 3.94 6.70 0.00 65.85
060020xx02x00x Gastric malignant tumor Gastrectomy Surgery for malignant tumor, etc. No operation/treatment XNUMX No secondary injury 28 16.21 16.49 0.00 67.75
060035xx01000x Malignant tumor of colon (including appendix) Colectomy Total resection, subtotal resection, malignant tumor surgery, etc. No operation/treatment XNUMX No operation/treatment XNUMX No secondary injury 28 15.04 15.30 0.00 69.25
◇Explanation
In gastroenterological surgery, inguinal hernia is the most common patient, followed by gallbladder disease and gastric disease.
followed by malignant tumors.
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 55 14.04 12.58 3.64 72.22
040081xx99x00x Aspiration pneumonia No surgery No surgery/treatment XNUMX No secondary injuries 40 21.80 20.92 20.00 85.78
080010xxxx0xxx Pyoderma Surgery, treatment, etc. XNUMX No 26 13.65 12.51 7.69 73.54
100393xx99xxxx Other fluid/electrolyte/acid-base disorders No surgery 25 14.04 10.03 4.00 75.60
180010x0xxx0xx Septicemia (1 year old or older) No surgery, treatment, etc. XNUMX 25 15.64 19.01 12.00 79.20
◇Explanation
General medicine has a high percentage of elderly patients, with the highest number of patients with urinary tract infections, followed by aspiration pulmonary disease.
followed by flames.
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
090010xx01x0xx Breast malignant tumor Surgery for malignant breast tumor Mastectomy (without axillary dissection), etc. Surgery, treatment, etc. XNUMX None 67 10.96 10.59 0.00 57.03
090010xx02x0xx Breast malignant tumor Surgery for malignant breast tumor Partial mastectomy (without axillary dissection) No surgery, treatment, etc. XNUMX 44 4.43 6.23 0.00 59.41
090010xx04xxxx Malignant tumor of the breast Reconstructive surgery using a tissue expander (per series) Breast (reconstructive surgery), etc. - - 8.23 - -
090010xx99x01x Malignant tumor of the breast No surgery No surgery, treatment, etc. XNUMX Secondary injuries - - 13.15 - -
090020xx97xxxx Benign breast tumor With surgery - - 4.02 - -
◇Explanation
In mammary department, there are the most patients such as mastectomy (those without axillary dissection) for breast cancer,
Then followed by lumpectomy (without axillary dissection).
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 79 20 24 26 17 26 1 7,8
Colorectal cancer 38 41 40 24 28 30 1 7,8
Breast cancer 50 21 - - 20 11 1 7,8
Lung cancer 70 17 82 145 82 193 1 7,8
Liver cancer - - - - - - 1
*1: UICC TNM Classification, 2: Cancer Treatment Regulations
The number of patients with stomach cancer, colon cancer, breast cancer, lung cancer, and liver cancer, which are called the five major cancers,
Data were tabulated by UICC stage classification and by recurrence.

◇Explanation
Lung cancer is the most common of the first five major cancers, followed by colorectal cancer and gastric cancer.most common recurrence
also has lung cancer.
Number of patients with adult community-acquired pneumonia by severityDownload the file
Number of patients average
Length of stay		 Average students age
Mild 24 7.79 48.54
Moderate 124 13.97 78.09
Severe 62 21.66 85.92
very serious 13 40.38 82.31
Unknown - - -
We added up the number of patients with adult community-acquired pneumonia by severity.Severity is adult community-acquired pneumonia
Classified using (A-DROP) according to clinical practice guidelines.

◇Explanation
Patients with moderate disease are the most common, and as they age, they become more severe and the length of hospital stay increases.
It is.
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 264 22.52 73.98 32.20
Others 31 22.00 72.58 5.08
The number of patients by type of stroke, average length of stay, average age, and hospital transfer rate were tabulated.

◇Explanation
The majority of patients with cerebral infarction are hospitalized within 3 days after onset, accounting for about 90% of all patients.
The average length of hospital stay is 22 days.
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) 64 0.61 3.73 0.00 39.86
K7161 Small bowel resection (resection other than malignant tumor surgery) 11 2.27 17.73 0.00 71.73
K1422 Spinal fusion, laminectomy, laminoplasty (posterior or posterolateral fusion) - - - - -
K7191 Colectomy (small resection) - - - - -
K639 Acute generalized peritonitis surgery - - - - -
◇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) 71 2.38 21.69 40.85 71.42
K0462 Fracture open surgery (forearm, leg, hand navicular) 52 3.10 7.58 5.77 46.44
K0483 Intraosseous foreign body (including inserts) removal (forearm, lower leg) 42 0.55 1.24 0.00 43.43
K1342 Discectomy (posterior extraction) 35 2.37 9.17 0.00 49.69
K0463 Fracture open surgery (clavicle, patella, hand (except scaphoid), foot, finger (hand, foot), etc.) 30 2.27 3.63 3.33 43.10
◇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 45 1.24 6.22 8.89 78.53
K1781 Cerebrovascular surgery (XNUMX location) 30 4.23 16.13 26.67 64.43
K178-4 Percutaneous cerebral thrombectomy 24 0.17 26.42 45.83 77.96
K1771 Cerebral aneurysm neck clipping (XNUMX location) 21 0.95 25.76 47.62 59.10
K6092 Arterial thromboendarterectomy (internal carotid artery) 21 7.33 13.43 19.05 72.62
◇Explanation
In neurosurgery, there are many operations for chronic subdural hematoma, followed by cerebral aneurysm coil embolization and hematoma.
Plug retrieval therapy (cerebral endovascular surgery), craniotomy clipping surgery and carotid endarterectomy (direct surgery)
it continues.
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) 49 1.73 8.65 0.00 69.88
K5131 Thoracoscopic pulmonary resection (pulmonary cyst surgery (partial wedge resection)) 26 4.31 5.65 0.00 26.92
K514-21 Thoracoscopic lung malignant tumor surgery (partial resection) 23 1.96 7.91 0.00 71.04
K5132 Thoracoscopic pulmonary resection (other) 11 1.00 6.27 0.00 56.36
K488-4 Thoracoscopic exploratory resection 11 1.45 6.45 0.00 62.00
◇Explanation
Thoracic surgery for malignant tumors in the lung (lung lobectomy or more than 1 lobe)
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
K617-4 Lower extremity varicose vein endovascular ablation 62 0.73 0.27 0.00 66.16
K5551 Valve replacement (XNUMX valve) 22 2.59 17.59 4.55 71.45
K552-22 Coronary artery and aortic bypass grafting (without cardiopulmonary bypass) (XNUMX or more anastomoses) 19 2.53 15.47 0.00 63.47
K5612i Stent graft implantation (if other than XNUMX) (thoracic aorta) 17 1.88 9.82 0.00 68.94
K5606 Aortic aneurysmectomy (abdominal aorta (with branch vessel reconstruction)) 16 2.25 19.06 12.50 70.75
◇Explanation
In cardiovascular surgery, laser treatment for lower extremity varicose veins is the most common, followed by valvular heart disease (large
aortic valve stenosis, mitral valve regurgitation, etc.)
to come.
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) 146 1.45 2.77 0.00 73.63
K7811 Transurethral stone removal (laser) 92 1.33 2.51 1.09 61.22
K841-21 Transurethral laser prostatectomy (holmium laser) 79 1.80 3.19 0.00 71.56
K783-2 Transurethral ureteral stent placement 31 1.32 6.97 6.45 69.45
K773 Kidney (ureter) malignant tumor surgery 20 2.45 7.40 0.00 62.65
◇Explanation
In urology, transurethral surgery is the most frequent for bladder malignant tumor surgery, and not only cancer but also prostate
We also focus on surgery for hypertrophy and urolithiasis.
Obstetrics and gynecology
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K877 total hysterectomy 57 1.09 6.42 0.00 46.18
K867 Cervical (vaginal) resection 43 0.02 1.00 0.00 40.77
K8882 Uterine appendage tumorectomy (bilateral) (laparoscopic) 41 1.15 5.15 0.00 42.61
K8881 Uterine appendage tumorectomy (bilateral) (laparotomy) 21 1.05 6.29 0.00 50.52
K8721 Uterine myomectomy (enucleation) (abdominal) 18 1.00 6.22 0.00 35.00
◇Explanation
In obstetrics and gynecology, total hysterectomy is the most common, followed by cervical (vaginal) resection, uterine adnexoma
followed by tumourectomy (laparoscopic).
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) 196 2.48 3.06 0.00 67.45
K5491 Percutaneous coronary stent placement (acute myocardial infarction) 104 0.00 15.27 4.81 68.63
K616 Limb vasodilation/thrombectomy 95 1.67 2.94 4.21 72.91
K5492 Percutaneous coronary stenting (unstable angina) 59 0.39 11.44 0.00 69.88
K555-22 Transcatheter aortic valve replacement (percutaneous aortic valve replacement) 58 7.02 11.72 8.62 85.16
◇Explanation
Cardiology is the most common coronary intervention (PCI) other than acute myocardial infarction,
Followed by PCI for acute myocardial infarction.
For arteriosclerosis obliterans extremity vasodilation/thrombectomy and aortic stenosis
We also perform a lot of transcatheter aortic valve replacement (TAVI).
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) 313 0.06 1.10 0.00 64.75
K721-4 Early malignant tumor colorectal submucosal dissection 82 0.59 5.10 1.22 68.88
K6532 Endoscopic gastric and duodenal polyp/mucosal resection (early malignant submucosa) 58 0.38 5.24 0.00 73.24
K7212 Endoscopic colorectal polyp/mucosal resection (longer diameter XNUMX cm or more) 26 0.12 2.15 0.00 61.42
K654 Endoscopic gastrointestinal hemostasis 19 0.47 3.58 0.00 64.11
◇Explanation
In the department of gastroenterological endoscopy, endoscopic colon polyp/mucosal resection (less than 2 cm in length) is the most common.
In addition, we often perform colon submucosal dissection (ESD) for early malignant tumors.
Digestive surgery
K-code Name Number of patients average
Preoperative days		 average
days after surgery		 Transfer rate Average students age patient pass
K672-2 Laparoscopic cholecystectomy 83 1.31 2.39 1.20 57.27
K6335 inguinal hernia surgery 83 1.53 1.55 1.20 69.13
K7193 Colectomy (total resection, subtotal resection or malignant tumor surgery) 28 7.43 19.07 3.57 70.32
K719-3 Laparoscopic Colon Malignant Tumor Resection 21 2.38 10.95 0.00 67.19
K6552 Gastrectomy (malignant tumor surgery) 19 3.11 21.05 0.00 72.05
◇Explanation
Laparoscopic cholecystectomy and surgery for inguinal hernia are the most common in gastrointestinal surgery, followed by
followed by colectomy.
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)) 45 1.11 2.36 0.00 60.22
K4763 Breast cancer surgery (mastectomy without axillary dissection) 23 1.04 7.87 0.00 60.00
K4765 Mammary gland malignant tumor surgery (without mastectomy and pectoral muscle resection) (with axillary clavicle dissection) 13 1.77 10.62 0.00 55.85
K4761 Mammary gland malignant tumor surgery (simple mastectomy (total mastectomy)) 10 1.20 7.90 0.00 55.20
K4764 Breast malignant tumor surgery (partial mastectomy (with axillary dissection)) - - - - -
◇Explanation
Breast surgery is the most common lumpectomy for breast cancer without lymphadenectomy.
increase.Then came mastectomy.
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 19 0.18
Different 26 0.25
180035 Other fungal infections Same - -
Different - -
180040 Complications such as surgery and treatment Same 12 0.12
Different - -
Collect the number and incidence of complications such as disseminated intravascular coagulation, sepsis, mycosis, and surgery/procedures.
I counted.
Aggregated by 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 vascular graft infection, post-pacemaker implantation infection, and surgical wound dissection.
Change log
2019/09/27
FY30 Tsukuba Medical Center Hospital hospital index release
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