Fujita Medical Journal最新文献

{"title":"Clinical characteristics and courses of 200 patients hospitalized for COVID-19 during the second and third waves at Fujita Health University Okazaki Medical Center in Japan.","authors":"Masamichi Hayashi,&nbsp;Sayako Morikawa,&nbsp;Yusuke Goto,&nbsp;Takazumi Yoshida,&nbsp;Yutaro Kimura,&nbsp;Taku Kawabe,&nbsp;Seiichiro Tsuzuki,&nbsp;Kazuyoshi Imaizumi","doi":"10.20407/fmj.2021-018","DOIUrl":"https://doi.org/10.20407/fmj.2021-018","url":null,"abstract":"<p><strong>Objectives: </strong>There are few reports about patients hospitalized for COVID-19 in Japan. We investigated 200 patients hospitalized for COVID-19 over a 6-month period with the aim of elucidating their clinical characteristics and clinical courses.</p><p><strong>Methods: </strong>The study cohort comprised 200 patients hospitalized for COVID-19 during a 6-month period. We examined baseline characteristics, source of transmission, preadmission course, initial symptoms, concomitant symptoms, comorbidities, treatments, and prognosis.</p><p><strong>Results: </strong>The number of inpatients from outside our region increased from 9 in the second wave to 53 in the third wave. The initial manifestations were cold-like and gastroenteritis-like symptoms, gustatory and olfactory dysfunction being frequently occurring concomitant symptoms. On admission 32 patients had mild disease, 108 moderate I, 54 moderate II, and 6 severe. We divided the 200 patients into second and third wave groups and compared their baseline characteristics. The third wave group was older and had more severe disease. The main treatments implemented were dexamethasone and remdesivir. Three patients (1.5%) required ventilation and 12 (6.0%) died in hospital.</p><p><strong>Conclusions: </strong>We investigated 200 patients hospitalized for COVID-19 over a period of 6 months. The patients in the second wave were relatively young and most had mild disease. In contrast, the patients in the third wave were older and had more severe disease and higher in-hospital mortality.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"17-21"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of tolvaptan for refractory fluid collection and edema in the terminal cancer patients.","authors":"Norimasa Tsuzuki,&nbsp;Masanobu Usui,&nbsp;Akihiro Itoh,&nbsp;Akihiko Futamura,&nbsp;Kazuki Imai","doi":"10.20407/fmj.2021-005","DOIUrl":"https://doi.org/10.20407/fmj.2021-005","url":null,"abstract":"<p><strong>Objective: </strong>Tolvaptan, a vasopressin V₂ receptor antagonist, is an oral diuretic. Patients with terminal cancer develop marked fluid retention, and oral diuretics other than tolvaptan have been used as treatments without clear therapeutic effects. Herein, we aimed to study the efficacy and safety of tolvaptan in patients with terminal cancer.</p><p><strong>Methods: </strong>Tolvaptan was administered at a dose of 7.5 mg/day to 29 patients (median, 72 years) between August 2017 and February 2020. The duration of tolvaptan treatment ranged from 1 to 85 days (mean, 18.5 days).</p><p><strong>Results: </strong>Median albumin (Alb) and transthyretin (TTR) levels on admission were 2.3 g/dL (1.2-4.2 g/dL) and 8.9 mg/dL (2.1-38.2 g/dL), respectively. Median Alb and TTR levels 1 month after treatment initiation remained at 2.3 g/dL (0.8-2.9 g/dL) and 8.6 mg/dL (0.8-23.7 mg/dL), respectively. Regarding renal function indicators, median blood urea nitrogen (BUN) and creatinine levels on admission were 19.9 mg/dL (8.6-49.3 mg/dL) and 0.81 mg/dL (0.38-2.25 mg/dL), respectively. Median BUN and creatinine levels 1 month after treatment initiation were 23.4 mg/dL (13.5-34.0 mg/dL) and 0.91 mg/dL (0.39-2.41 mg/dL), respectively. No patients had hypernatremia on admission, and no effects of tolvaptan on the blood sodium level were found 1 month after treatment initiation. The median potassium level on admission was 4.2 mEq/dL (2.9-5.0 mEq/dL); tolvaptan treatment had no effects on blood potassium level.</p><p><strong>Conclusions: </strong>Tolvaptan is effective and safe for treating fluid retention refractory to conventional diuretics in patients with terminal cancer.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"8-11"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between cognitive appraisal and roles/personality traits in basic life support.","authors":"Tetsuya Nakamura,&nbsp;Sayuri Nakamura,&nbsp;Naoko Kageura,&nbsp;Akira Kondo,&nbsp;Yukika Hotta,&nbsp;Chikako Oda","doi":"10.20407/fmj.2021-008","DOIUrl":"https://doi.org/10.20407/fmj.2021-008","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationship between the cognitive assessment of stress (cognitive appraisal) caused in a scenario requiring basic life support (BLS) and the roles during BLS/personality traits in nursing students.</p><p><strong>Methods: </strong>We conducted an anonymous self-administered questionnaire survey for 264 freshman and senior nursing students. The study period was one month from June 2019. The questionnaire included characteristics, roles (active involvement group/passive involvement group/no involvement group), Cognitive Appraisal Rating Scale (CARS), and Maudsley Personality Inventory (MPI). We only included data for female students (107 people) in the analysis because very little data is available for male students. The Mann-Whitney test was used for the comparison between two groups and the Kruskal-Wallis test was used for the comparison between three groups. The significance level was set at p<0.05.</p><p><strong>Results: </strong>The total number of responses was 133 (50.4%), and the number of valid responses was 107 (40.5%). As a result of analyzing the relationship between the role and the CARS subscale, the controllability of the active and passive involvement groups was significantly lower than that of the no involvement group (p=0.046). Also, the analysis of the relationship between the grade and the CARS subscale showed that the controllability was significantly lower in freshmen than seniors (p=0.020).</p><p><strong>Conclusion: </strong>This study showed the relationship between controllability and cognitive appraisal of stress in the simulation scenario of BLS. Therefore, it was suggested that support for improving controllability is necessary as a preventive measure to reduce the stress associated with BLS.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"22-29"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of a companion robot to improve depression symptoms in a community-dwelling older adult during the coronavirus disease 2019 state of emergency.","authors":"Kei Ito,&nbsp;Shota Suzumura,&nbsp;Yoshikiyo Kanada,&nbsp;Rie Narukawa,&nbsp;Hiroaki Sakurai,&nbsp;Isao Makino,&nbsp;Tomoaki Abiko,&nbsp;Shigeo Oi,&nbsp;Izumi Kondo","doi":"10.20407/fmj.2021-023","DOIUrl":"https://doi.org/10.20407/fmj.2021-023","url":null,"abstract":"<p><strong>Objective: </strong>We investigated the impact of using a companion robot on the mental state of a community-dwelling older adult who was receiving home-visit rehabilitation services during the state of emergency for coronavirus disease 2019 (COVID-19).</p><p><strong>Methods: </strong>This case involved an 80-year-old woman with compression fractures of lumbar vertebrae 1 and 2. Her medical history included hypothyroidism, hypertension, dyslipidemia, and depression. The companion robot used was Smibi^®, a healing baby robot that responds in various ways depending on how the user interacts with it. The patient interacted (e.g., hugging, conversing) with Smibi^® for 30 minutes per day for 1 month, from April 2020 (immediately before the declaration of a state of emergency in Japan) to May 2020. The patient was evaluated with the Self-Rating Depression Scale (SDS) before and after using Smibi^®.</p><p><strong>Results: </strong>The SDS score decreased from 37 points to 26 points after the use of Smibi^®. The items related to diurnal variation, sleep, despair about the future, and dissatisfaction decreased by 2-3 points.</p><p><strong>Conclusion: </strong>Our findings suggest that interacting with Smibi^® may improve depression in older adults who have been forced to refrain from going out due to the spread of COVID-19. Future studies with long-term follow-up and large sample sizes are required to confirm the effectiveness of companion robots in improving depression among community-dwelling older adults.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"47-51"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10726551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term response to immunotherapy in patients with hypertrophic pachymeningitis.","authors":"Mayumi Senda,&nbsp;Akihiro Ueda,&nbsp;Mizuki Ito,&nbsp;Sayuri Shima,&nbsp;Yasuaki Mizutani,&nbsp;Tatsuro Mutoh,&nbsp;Hirohisa Watanabe","doi":"10.20407/fmj.2021-026","DOIUrl":"https://doi.org/10.20407/fmj.2021-026","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we aimed to clarify the relationship between initial treatment response, prednisolone (PSL) dosage, clinical type, and recurrence in patients with hypertrophic pachymeningitis (HP).</p><p><strong>Methods: </strong>The study cohort comprised eight patients with HP who had been admitted to our hospital from April 2015 to June 2020. Diagnostic criteria for HP included neurological abnormalities and dural thickening on magnetic resonance gadolinium-enhanced T1-weighted images.</p><p><strong>Results: </strong>Relevant characteristics of the eight study patients are as follows. There were two men and six women. The average age at onset was 58.3 (range: 29-79) years. Three of them had myeloperoxidase-antineutrophil cytoplasmic antibody-related vasculitis, one immunoglobulin G4-related disease, and one ulcerative colitis. The remaining three patients had idiopathic HP. The average maximum dosage of PSL was 0.79 mg/kg/day, and the average daily maintenance dosage 0.18 mg/kg/day. Three patients needed additional immunosuppressive drugs. Both idiopathic and secondary HP initially responded well to PSL, with improvement in activities of daily living. Six patients had some sequelae related to cranial nerve involvement. No relapses occurred while the patients were taking moderate doses of PSL; however, all patients with idiopathic HP had recurrences when their PSL dosage was reduced.</p><p><strong>Conclusions: </strong>Patients with idiopathic HP and HP associated with immune disorders respond to steroids and immunosuppressive drugs and recover well. However, there is a high rate of relapse after reduction of PSL dosage, mainly in those with idiopathic HP.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10739067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intention to work among outpatients with malignant neoplasms, ischemic heart disease, and cerebrovascular disease.","authors":"Rumi Seko,&nbsp;Miyuki Kawado,&nbsp;Hiroya Yamada,&nbsp;Shuji Hashimoto","doi":"10.20407/fmj.2021-025","DOIUrl":"https://doi.org/10.20407/fmj.2021-025","url":null,"abstract":"<p><strong>Objectives: </strong>Employment support for working age people with disease is important. We investigated the intention to work among outpatients with malignant neoplasms, ischemic heart disease, and cerebrovascular disease.</p><p><strong>Methods: </strong>We used anonymous data from the 2007, 2010, and 2013 Comprehensive Survey of Living Conditions in Japan, a self-administered nationwide questionnaire survey. Data for 154,445 participants (76,059 men and 78,386 women) aged 20-64 years were analyzed using logistic regression models adjusted for covariates.</p><p><strong>Results: </strong>The number of outpatients with malignant neoplasms, ischemic heart disease, and cerebrovascular disease was 851, 1,037, and 716, respectively. The adjusted odds ratio for not working in people with the intention to work was significantly higher among outpatients with the three diseases than among non-outpatients, for both men and women. The adjusted odds ratio for intention to seek permanent work in unemployed people with the intention to work was lower among outpatients with cerebrovascular disease than among non-outpatients for men (p=0.093), and was significantly higher among outpatients with malignant neoplasms than among non-outpatients for women (p=0.007).</p><p><strong>Conclusions: </strong>This study identified a high proportion of unemployed people with the intention to work among outpatients with these three diseases, and suggests that there are disease-associated differences in employment type sought.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"3-7"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10739072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female cancer survivors' return-to-work: Japanese situation.","authors":"Atsuhiko Ota, Masaaki Matsunaga","doi":"10.20407/fmj.2022-017","DOIUrl":"10.20407/fmj.2022-017","url":null,"abstract":"","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"9 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9923447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10739074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heterotopic ossification in primary rectal cancer with squamous cell carcinoma-like differentiation.","authors":"Yoshihiro Imaeda,&nbsp;Satoshi Arakawa,&nbsp;Hironobu Yasuoka,&nbsp;Hiroyuki Kato,&nbsp;Hidetoshi Nagata,&nbsp;Yukio Asano,&nbsp;Norihiko Kawabe,&nbsp;Kazuya Shiogama,&nbsp;Makoto Urano,&nbsp;Ken-Ichi Inada,&nbsp;Tetsuya Tsukamoto,&nbsp;Akihiko Horiguchi","doi":"10.20407/fmj.2021-013","DOIUrl":"https://doi.org/10.20407/fmj.2021-013","url":null,"abstract":"<p><strong>Objectives: </strong>Heterotopic ossification (HO), which occurs when bone tissue forms outside the skeleton, is extremely rare in rectal cancer. Adenocarcinoma is the histological type of all reported primary colorectal cancers with HO. However, in the present case, we observed areas of adenocarcinoma with squamous cell carcinoma-like differentiation. Here we conducted histopathological and immunohistochemical analyses to identify the mechanisms of HO development, to differentiate between adenocarcinoma and squamous cell carcinoma-like phenotypes, and to understand the associated prognostic implications.</p><p><strong>Case report: </strong>A 62-year-old woman was admitted to our hospital with symptoms of intermittent hematochezia without abdominal pain. Colonoscopy revealed stenosis with a protuberant mass in the rectum. Abdominopelvic contrast-enhanced computed tomography showed irregular wall thickness of the rectum, multiple lymph node metastases, and liver metastases. The rectal tumor exhibited calcified deposits with marked hyperintensity. We then performed Hartmann's operation and D3 lymph node resection. The biopsy specimen revealed tubular and solid adenocarcinoma nests and squamous carcinoma-like components over a necrotic extent without secreted mucin. She received chemotherapy (mFOLFOX6 with bevacizumab) as the first option and is alive 5 months after surgery.</p><p><strong>Conclusion: </strong>To the best of our knowledge, this is the first case of heterotopic ossification in a primary rectal cancer with squamous cell carcinoma-like differentiation that was surgically resected. This case suggests that BMP-2 transformed fibroblasts and pluripotent stem cells into osteocytes. We conclude that the squamous cell carcinoma-like lesion was squamous metaplasia of adenocarcinoma.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"8 4","pages":"134-138"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40479906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of change in walking speed on time-distance parameters in post-stroke hemiplegic gait.","authors":"Ken Tomida, Kei Ohtsuka, Toshio Teranishi, Hiroki Ogawa, Misaki Takai, Akira Suzuki, Kenji Kawakami, Shigeru Sonoda","doi":"10.20407/fmj.2021-016","DOIUrl":"10.20407/fmj.2021-016","url":null,"abstract":"<p><strong>Objectives: </strong>In stroke patients, the assessment of gait ability over time is important. For quantitative gait assessment using measuring devices, the walking speed condition for measurement is generally based on the patient's preferred walking speed or the maximum walking speed at the time of measurement. However, because walking speed often increases during the convalescent stage, understanding the effects of change in walking speed on gait when comparing the course of recovery is necessary. Although several previous studies have reported the effects of change in walking speed on gait in stroke patients, the time-distance parameters described in these reports may not be generalizable because of the small case numbers. Therefore, we measured treadmill gait at the preferred walking speed (PWS) and 1.3 times the PWS (130% PWS) in 43 post-stroke hemiplegic patients and analyzed the effects of change in walking speed on time-distance parameters.</p><p><strong>Methods: </strong>Forty-three patients with hemiplegia after a first stroke, who were able to walk on a treadmill under supervision, were recruited as subjects. Using a three-dimensional motion analysis system, treadmill gait was assessed under two conditions: PWS and 130% PWS. The primary outcome measures were the time-distance parameters, which were compared between the PWS and 130% PWS conditions.</p><p><strong>Results: </strong>Cadence, stride length, and step length of the affected and unaffected lower limbs increased significantly at 130% PWS compared with at PWS. In terms of actual time, single stance time and initial and terminal double stance time in both affected and unaffected limbs decreased significantly at 130% PWS. In terms of relative time (% of the gait cycle), compared with PWS, relative single stance time increased significantly, whereas relative initial and terminal double stance times decreased significantly at 130% PWS in both the affected and unaffected limbs.</p><p><strong>Conclusions: </strong>This study on treadmill gait in patients with hemiplegia after a first stroke confirmed the effects of change in walking speed on time-distance parameters. Our results will help in the interpretation of time-distance parameters measured under different walking speed conditions.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"8 4","pages":"121-126"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40479905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of multidisciplinary interventions in perioperative management center on duration of preoperative fasting: A single-center before-and-after study.","authors":"Satoshi Komatsu,&nbsp;Chizuru Yamashita,&nbsp;Tomoaki Yatabe,&nbsp;Naohide Kuriyama,&nbsp;Tomoyuki Nakamura,&nbsp;Osamu Nishida","doi":"10.20407/fmj.2021-021","DOIUrl":"https://doi.org/10.20407/fmj.2021-021","url":null,"abstract":"<p><strong>Objectives: </strong>Our aims were to clarify the actual situation regarding preoperative fasting and determine whether multidisciplinary interventions in a perioperative management center shorten the duration of preoperative fasting.</p><p><strong>Methods: </strong>The cohort of this before-and-after study comprised patients undergoing elective surgery aged 18 years or older who underwent general anesthesia at one of three stages: after starting a short preoperative fasting protocol (Group A), after the anesthesiologist started explaining the protocol (Group B), and after the start of the perioperative management center (Group C). Instructions on drinking clear fluids were given up to 2 h and 4 h before the start of elective surgery to the first patient on the list (on-time) and to the second and subsequent patients (on-call), respectively. Data were collected retrospectively in Groups A and B and prospectively in Group C.</p><p><strong>Results: </strong>The study cohort comprised 89 patients in Group A (50 on-time, 39 on-call), 108 in Group B (65 on-time, 43 on-call), and 284 in Group C (182 on-time, 102 on-call). The difference between the instructed and last drinking time was significantly shorter in Group C than Group A (30 [10, 140] vs. 30 [10, 60] vs. 20 [0, 50] min, p=0.003). The duration of fasting was significantly shorter in Group C than Group B (243 [150, 395] vs. 213 [151, 323] vs. 180 [146, 280] min, p=0.01).</p><p><strong>Conclusions: </strong>Multidisciplinary interventions at the perioperative management center tended to reduce the duration of fasting, suggesting that this approach may contribute to improved compliance.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"8 4","pages":"108-113"},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40479904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}