Article Text

Download PDFPDF

PinPinKorori or NenNenKorori: the historical and socioeconomic background of geriatric trauma care in Japan
  1. Takashi Fujita
  1. Trauma and Resuscitation Center, Teikyo University, Itabashi-ku 173-8605, Japan
  1. Correspondence to Dr Takashi Fujita, Trauma and Resuscitation Center, Teikyo University, Itabashi-ku 173-8605, Japan; foujitausc{at}


Introduction Aging is one of the most serious social issues, not only in Japan. A country’s socioeconomic conditions must be taken into account when considering the issue of rapid aging. The purpose of this review was to introduce the historical and socioeconomic background of geriatric trauma care in Japan.

Method Literature review regarding the trauma care for the elderly written in Japanese and English.

Results “PinPinKorori” is a Japanese word which symbolizes an ideal, healthy life. “NenNenkorori” is the opposite of PinPinKorori. The Japanese elderly desire to live a healthy, active life and die (PinPinKorori) rather than being bedridden and dying in agony. A bedridden individual (NenNenKorori) is a candidate for receiving end-of-life care. End-of-life care is a form of trauma care for the elderly that ensures quality of death for those in need.

Conclusions I encourage the elderly to document their advance care preferences with decision-making capacity in order to avoid futile care. Healthcare providers should strive to provide optimum care to the patients in their best interest and ensure not to provide treatment that is not desired by the patients.

Level of evidence Level IV.

  • end-of-life care
  • Japan
  • guidelines
  • geriatric

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:

View Full Text

Statistics from


  • Contributors TF: study conception, design, interpretation, and drafting of article.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.