Effectiveness and efficiency of stroke care system
| Project/Area Number |
26293158
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Partial Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical and hospital managemen
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| Research Institution | Kyushu University |
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Principal Investigator |
Kamouchi Masahiro 九州大学, 医学(系)研究科(研究院), 教授 (80346783)
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| Co-Investigator(Kenkyū-buntansha) |
北園 孝成 九州大学, 医学(系)研究科(研究院), 教授 (70284487)
馬場園 明 九州大学, 医学(系)研究科(研究院), 教授 (90228685)
福田 治久 九州大学, 医学(系)研究科(研究院), 准教授 (30572119)
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| Project Period (FY) |
2014-04-01 – 2017-03-31
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| Project Status |
Completed (Fiscal Year 2016)
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| Budget Amount *help |
¥15,080,000 (Direct Cost: ¥11,600,000、Indirect Cost: ¥3,480,000)
Fiscal Year 2016: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2015: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2014: ¥5,850,000 (Direct Cost: ¥4,500,000、Indirect Cost: ¥1,350,000)
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| Keywords | 脳卒中 / 診療行為 / 機能予後 / 医療 / 社会医学 / 予後 / 医療費 / 医療の質 / 医療システム / 患者アウトカム |
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| Outline of Final Research Achievements |
We aimed to elucidate the impact of stroke care on clinical outcomes in patients with acute stroke to improve effectiveness and efficiency of stroke care system. For this purpose, we enrolled stroke patients who were hospitalized in 7 hospitals in Fukuoka, Japan. We collected information about patients’ background, acute care, and post-stroke clinical outcomes with standardized methods. Using this large-scale, multi-center, prospective stroke registry, we evaluated the association between each component of stroke care and post-stroke clinical outcomes, such as short-term functional outcome, long-term cardiovascular events, and prognosis. In this study, we developed risk prediction models for post-stroke clinical outcomes, which enables us to determine whether each health care for acute stroke is clinically significant or not. These findings are important to improve effectiveness and efficiency of stroke care system.
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Report
(4 results)
Research Products
(70 results)
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[Journal Article] Influence of Statin Pretreatment on Initial Neurological Severity and Short-Term Functional Outcome in Acute Ischemic Stroke Patients: The Fukuoka Stroke Registry2016
Author(s)
Hiromi Ishikawa, Yoshinobu Wakisaka, Ryu Matsuo, Noriko Makihara, Jun Hata, Junya Kuroda, Tetsuro Ago, Jiro Kitayama, Hiroshi Nakane, Masahiro Kamouchi, Takanari Kitazono, Fukuoka Stroke Registry Investigators
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Journal Title
Cerebrovasc Dis
Volume: 42
Issue: 5-6
Pages: 395-403
DOI
Related Report
Peer Reviewed / Acknowledgement Compliant
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[Journal Article] Causes of Ischemic Stroke in Patients with Non-Valvular Atrial Fibrillation2016
Author(s)
Asako Nakamura, Junya Kuroda, Tetsuro Ago, Jun Hata, Ryu Matsuo, Shuji Arakawa, Takahiro Kuwashiro, Masahiro Yasaka, Yasushi Okada, Takanari Kitazono, Masahiro Kamouchi, Fukuoka Stroke Registry Investigators
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Journal Title
Cerebrovasc Dis
Volume: 42
Issue: 3-4
Pages: 196-204
DOI
Related Report
Peer Reviewed / Acknowledgement Compliant
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[Journal Article] Plasma S100A12 is associated with functional outcome after ischemic stroke: Research for Biomarkers in Ischemic Stroke.2014
Author(s)
Wakisaka Y, Ago T, Kamouchi M, Kuroda J, Matsuo R, Hata J, Gotoh S, Isomura T, Awano H, Suzuki K, Fukuda K, Okada Y, Kiyohara Y, Ooboshi H, Kitazono T; REBIOS Investigators.
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Journal Title
J Neurol Sci
Volume: 340
Issue: 1-2
Pages: 75-9
DOI
Related Report
Peer Reviewed
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[Journal Article] Significance of plasma adiponectin for diagnosis, neurological severity and functional outcome in ischemic stroke - Research for Biomarkers in Ischemic Stroke (REBIOS)2014
Author(s)
Kuwashiro T, Ago T, Kamouchi M, Matsuo R, Hata J, Kuroda J, Fukuda K, Sugimori H, Fukuhara M, Awano H, Isomura T, Suzuki K, Yasaka M, Okada Y, Kiyohara Y, Kitazono T.
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Journal Title
Metabolism
Volume: 63
Issue: 9
Pages: 1093-1103
DOI
Related Report
Peer Reviewed
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[Presentation] 山口 祐子, 松尾 龍, 杉森 宏, 生野 雄二, 吾郷 哲朗, 鴨打 正浩, 北園 孝成. 脳梗塞患者における神経症状と救急車利用の関連-Fukuoka Stroke Registry-2016
Author(s)
山口祐子, 松尾龍, 杉森宏, 生野雄二, 吾郷哲朗, 鴨打正浩, 北園孝成
Organizer
第3回日本心血管脳卒中学会
Place of Presentation
東京
Year and Date
2016-06-17
Related Report
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