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Research regarding the mechanisms of bath-related fatal accidents for prevention

Research Project

Project/Area Number 15K08882
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Legal medicine
Research InstitutionChiba Institute of Science

Principal Investigator

KUROKI Hisanaga  千葉科学大学, 危機管理学部, 教授 (30225289)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords入浴環境 / 熱中症 / 高齢者 / 体温変化 / 入浴介護 / 急死 / 事故
Outline of Final Research Achievements

Sudden, bath-related deaths occur frequently in Japan, particularly among elderly people in the winter. We discovered the pathophysiological mechanisms involved epidemiologically. In Osaka City, 2,063 bathtub-related fatal accidents occurred from 2011 to 2015, 89.4% at home, 6.6% in the public baths, 1.3% at hotel, only 0.4% at nursing care institutions. Among 8 fatal cases at institutions, 1 died due to diseases and 7 died due to heatstroke in one-person bathing possibly.
When the elderly have full immersion baths in 41 ℃ for 30 minutes, they may develop heat stroke and lose consciousness with just a 3 ℃ elevation of the core body temperature. Furthermore, when the core body temperature exceeds 40 ℃, patients may lose consciousness and drown. When the core temperature exceeds 42 ℃, patients will die suddenly from hyperkalemia with ventricular fibrillation. Now we can explain the findings of the forensic autopsies of bath-related deaths with this mechanism.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (12 results)

All 2017 2016

All Journal Article (5 results) (of which Int'l Joint Research: 1 results) Presentation (7 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] 高齢者の入浴関連事故の実態と予防策2017

    • Author(s)
      黒木尚長
    • Journal Title

      臨床老年看護

      Volume: 24(6) Pages: 65-73

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 入浴中急死のほとんどは熱中症である-大阪市の疫学調査より2017

    • Author(s)
      黒木尚長、飯田涼太、日下部雅之、櫻井嘉信
    • Journal Title

      日救医誌

      Volume: 28(9) Pages: 554-554

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 大阪市における熱中症と気象の関係について2017

    • Author(s)
      飯田涼太、黒木尚長、日下部雅之、櫻井嘉信
    • Journal Title

      日救医誌

      Volume: 28(9) Pages: 554-554

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 熱中症の発症しやすい環境について2017

    • Author(s)
      飯田涼太、黒木尚長
    • Journal Title

      日本生気象学会雑誌

      Volume: 54(3)

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Bathtub-related deaths may be caused by hyperthermia2017

    • Author(s)
      H.Kuroki, R. Iida, M. Kusakabe, Y.Sakurai, N. Fujitani, K. Nakama
    • Journal Title

      Rechtsmedizin

      Volume: 27(4) Pages: 356-356

    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 入浴中急死のほとんどは熱中症である-大阪市の疫学調査より2017

    • Author(s)
      黒木尚長、飯田涼太、日下部雅之、櫻井嘉信
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 大阪市における熱中症と気象の関係について2017

    • Author(s)
      飯田涼太、黒木尚長、日下部雅之、櫻井嘉信
    • Organizer
      第45回日本救急医学会総会・学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 熱中症の発症しやすい環境について2017

    • Author(s)
      飯田涼太、黒木尚長
    • Organizer
      第56回日本生気象学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Bathtub-related deaths may be caused by hyperthermia2017

    • Author(s)
      H.Kuroki, R. Iida, M. Kusakabe, Y.Sakurai, N. Fujitani, K. Nakama
    • Organizer
      10th International Symposium Advances in Legal Medicine,Dusseldorf
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 大阪市で発生した入浴中の事故の実態2016

    • Author(s)
      黒木 尚長
    • Organizer
      第44回日本救急医学会総会・学術集会
    • Place of Presentation
      東京、新高輪プリンスホテル
    • Year and Date
      2016-11-17
    • Related Report
      2016 Research-status Report
  • [Presentation] Characteristics of bath-related fatal accident in Osaka, Japan2016

    • Author(s)
      H. Kuroki, R.Iida, M.Kusakabe, Y.Sakurai, K.Nakama
    • Organizer
      The 12th Indo Pacific Association of Law, Medicine and Science Congress(INPALMS 2016)
    • Place of Presentation
      The Stones Hotel, Bali, Indonesia
    • Year and Date
      2016-09-19
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 入浴中事故のほとんどは熱中症(高体温症)によるものか? -大阪市の疫学調査より-2016

    • Author(s)
      黒木 尚長
    • Organizer
      日本賠償科学会 第69回研究会
    • Place of Presentation
      東京、昭和大学 上條講堂
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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