Evidence map›Paper›PMID 29664960›Full record

ArticlePloS one2018

Long-term outcomes of patients evacuated from hospitals near the Fukushima Daiichi nuclear power plant after the Great East Japan Earthquake.

Yutaka Igarashi, Takashi Tagami, Jun Hagiwara, Takahiro Kanaya, Norihiro Kido, Mariko Omura, Ryoichi Tosa, Hiroyuki Yokota

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yutaka IgarashiDepartment of Emergency and Critical Care Medicine, Nippon Medical School Hospital, Tokyo, Japan.ORCID 0000-0002-4305-2850
Takashi TagamiHealth Services and Systems Research, Duke-NUS Medical School, Singapore.
Jun HagiwaraDepartment of Emergency and Critical Care Medicine, Nippon Medical School Hospital, Tokyo, Japan.
Takahiro KanayaDepartment of Emergency and Critical Care Medicine, Nippon Medical School Hospital, Tokyo, Japan.
Norihiro KidoDepartment of Emergency and Critical Care Medicine, Nippon Medical School Musashi Kosugi Hospital, Kanagawa, Japan.
Mariko OmuraDepartment of Emergency and Critical Care Medicine, Aizu Chuo Hospital, Fukushima, Japan.
Ryoichi TosaDepartment of Emergency and Critical Care Medicine, Aizu Chuo Hospital, Fukushima, Japan.
Hiroyuki YokotaDepartment of Emergency and Critical Care Medicine, Nippon Medical School Hospital, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAfter the accident of the Fukushima Daiichi nuclear power plant due to the Great East Japan Earthquake in March 2011, the Japanese government issued a mandatory evacuation order for people living within a 20 km radius of the nuclear power plant. The aim of the current study was to investigate long-term outcomes of these patients and identify factors related to mortality. MATERIALS AND

methodsPatients who were evacuated from hospitals near the Fukushima Daiichi nuclear power plant to the Aizu Chuo Hospital from 15 to 26 March, 2011 were included in this study. The following data were collected from medical records: age, sex, activities of daily life, hospital they were admitted in at the time of earthquake, distance between the facility and the nuclear power plant, reasons of evacuation and number of transfers. The patient outcomes were collected from medical records and/or investigated on the telephone in January 2012.

resultsA total of 97 patients (28 men and 69 women) were transferred from 10 hospitals via ambulances or buses. No patients died or experienced exacerbation during transfer. Median age of the patients was 86 years. Of the total, 36 patients were not able to obey commands, 44 were bed-ridden and 61 were unable to sustain themselves via oral intake of food. Among 86 patients who were followed-up, 41 (48%) died at the end of 2011. Multiple-regression analysis showed that non-oral intake [Hazard Ratio (HR): 6.07, 95% Confidence interval (CI): 1.94-19.0] and male sex [HR: 8.35, 95% CI: 2.14-32.5] had significant impact on mortality.

conclusionThis study found that 48% of the evacuated patients died 9 months after the earthquake and they had significantly higher mortality rate than the nursing home residents. Non-oral intake and male sex had significant impact on mortality. These patients should be considered as especially vulnerable in case of hospital evacuation.

Indexed as

EarthquakesFukushima Nuclear AccidentHospitalsNuclear Power PlantsAgedAged, 80 and overFemaleHumansJapanMaleMortalityRetrospective StudiesTransportation of Patients

Identifiers

PMID29664960
PMCPMC5903607

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.