{"created":"2021-03-01T06:15:13.573030+00:00","id":11047,"links":{},"metadata":{"_buckets":{"deposit":"747486c7-c5fd-4299-af18-4e76c618fc11"},"_deposit":{"id":"11047","owners":[],"pid":{"revision_id":0,"type":"depid","value":"11047"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00011047","sets":["453:456","471:537:538:987"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Stroke and Chronic Kidney Disease(Chronic Kidney Disease (CKD) as a Systemic Disease)"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2008-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"9","bibliographicPageEnd":"499","bibliographicPageStart":"496","bibliographicVolumeNumber":"122","bibliographic_titles":[{"bibliographic_title":"新潟医学会雑誌"},{"bibliographic_title":"新潟医学会雑誌","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"近年, 腎機能低下は, 比較的軽度であっても, 独立した虚血性心疾患の危険因子であることが示され, 慢性腎臓病(CKD)という疾病概念が注目されている. CKDとは, 糸球体濾過率(GFR)60mL/分/1.73m^2未満または蛋白尿等の明らかな腎障害の存在が, 3ケ月以上持続する状態と定義される. 最近の疫学調査では, CKDは心血管イベント, 総死亡, 総入院の危険因子であることが明らかとなっている. 一方, 脳卒中の病型との関連は明確ではない. 脳卒中病型とCKDの関連を検討する. 2006年1月1日から2007年12月31日の間に入院した脳卒中142例(虚血性脳卒中124例, 高血圧性脳内出血18例)を検討した. 虚血性病型は, SSS-TOASTに従い分類した. 推定GFR(eGFR)は酵素法により測定した血清クレアチニンと年齢, 性別を基に改定MDRD簡易式で貸出した. eGFR<60mL/分をCKDとした. 全脳卒中でCKDは61/142人(43.0%)にみられた. 高血圧性脳内出血では12/18人(66.7%)に, 虚血性では49/124人(39.5%)にみられた. 大血管アテローム硬化性脳梗塞では12/19人(63.2%), 小血管病脳梗塞では8/31人(25.8%), 心原性脳塞栓では12/44人(27.3%), その他の原因および原因不明では17/30人(56.7%)であった. 高血圧性脳内出血は, 虚血性脳卒中に比較して有意に慢性腎臓病が多かった(P=0.030). 虚血性太血管アテローム硬化性脳梗塞では他の虚血病型に比較して有意にCKDが多かった(P=0.022). CKDは, 高血圧性脳内出血と大血管アテローム硬化性脳梗塞の危険因子である可能性が示された.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"75272","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takano, Hiroki"}]}]},"item_7_publisher_7":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"新潟医学会"}]},"item_7_select_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_select_item":"publisher"}]},"item_7_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00182415","subitem_source_identifier_type":"NCID"}]},"item_7_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00290440","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高野, 弘基"}],"nameIdentifiers":[{"nameIdentifier":"75271","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-08-06"}],"displaytype":"detail","filename":"122(9)_496-499.pdf","filesize":[{"value":"540.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"122(9)_496-499.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/11047/files/122(9)_496-499.pdf"},"version_id":"640dc104-3cc5-4a7a-9e42-47c0c600a1c0"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"脳卒中病型","subitem_subject_scheme":"Other"},{"subitem_subject":"大血管アテローム硬化性脳梗塞","subitem_subject_scheme":"Other"},{"subitem_subject":"小血管病","subitem_subject_scheme":"Other"},{"subitem_subject":"SSS-TOAST","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"3 脳疾患と腎(全身疾患としての慢性腎臓病(CKD),第637回新潟医学会)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"3 脳疾患と腎(全身疾患としての慢性腎臓病(CKD),第637回新潟医学会)"},{"subitem_title":"3 脳疾患と腎(全身疾患としての慢性腎臓病(CKD),第637回新潟医学会)","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","987"],"pubdate":{"attribute_name":"公開日","attribute_value":"2014-07-17"},"publish_date":"2014-07-17","publish_status":"0","recid":"11047","relation_version_is_last":true,"title":["3 脳疾患と腎(全身疾患としての慢性腎臓病(CKD),第637回新潟医学会)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:44:33.297810+00:00"}