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However, there is no consensus on how to evaluate the risk of PPC and what multifactorial risk index should be adapted for Japanese patients. This study aimed at clarifying the utility of risk indexes to predict PPC following digestive surgeries in Japanese patients. Methods: We retrospectively analyzed 892 patients who underwent digestive surgeries under general anesthesia in Niigata University Medical and Dental Hospital between January 2009 and March 2011. PPC was defined as postoperative respiratory failure and postoperative pneumonia. We calculated three risk indexes; respiratory failure risk index (RFRI), postoperative pneumonia risk index, and PPC risk score, and compared them between the PPC and the non-PPC group. A receiver operating characteristic (ROC) curve analysis was employed to compare the usefulness of each index. Results: PPC developed in 55 patients (6.2%). All risk indexes were significantly higher in the PPC group than non-PPC group. 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  1. 0 資料タイプ別
  2. 02 学位論文
  1. 250 大学院医歯学総合研究科(医)
  2. 60 博士学位論文
  3. 10 博士学位論文

Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients

http://hdl.handle.net/10191/32282
http://hdl.handle.net/10191/32282
9060da36-99b4-455d-806d-ef5321514027
名前 / ファイル ライセンス アクション
h26nmk644.pdf 本文 (381.9 kB)
h26nmk644_a.pdf 要旨 (174.4 kB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2016-05-16
タイトル
タイトル Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients
タイトル
言語 en
タイトル Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients
言語
言語 eng
キーワード
主題Scheme Other
主題 postoperative pulmonary complications
キーワード
主題Scheme Other
主題 postoperative respiratory failure
キーワード
主題Scheme Other
主題 postoperative pneumonia
キーワード
主題Scheme Other
主題 respiratory failure risk index
資源タイプ
資源 http://purl.org/coar/resource_type/c_46ec
タイプ thesis
その他のタイトル
その他のタイトル 消化器手術の術後呼吸器合併症予測に関する呼吸不全リスク指数の優越性
著者 Hokari, Satoshi

× Hokari, Satoshi

WEKO 50511

Hokari, Satoshi

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著者別名
識別子 50512
識別子Scheme WEKO
姓名 穂苅, 諭
抄録
内容記述タイプ Abstract
内容記述 Background: Several multifactorial risk indexes have been proposed by Western countries for identifying patients at a high risk of developing postoperative pulmonary complications (PPC). However, there is no consensus on how to evaluate the risk of PPC and what multifactorial risk index should be adapted for Japanese patients. This study aimed at clarifying the utility of risk indexes to predict PPC following digestive surgeries in Japanese patients. Methods: We retrospectively analyzed 892 patients who underwent digestive surgeries under general anesthesia in Niigata University Medical and Dental Hospital between January 2009 and March 2011. PPC was defined as postoperative respiratory failure and postoperative pneumonia. We calculated three risk indexes; respiratory failure risk index (RFRI), postoperative pneumonia risk index, and PPC risk score, and compared them between the PPC and the non-PPC group. A receiver operating characteristic (ROC) curve analysis was employed to compare the usefulness of each index. Results: PPC developed in 55 patients (6.2%). All risk indexes were significantly higher in the PPC group than non-PPC group. The category classification of the risk scores demonstrated a significant tendency to increase the incidence rate of PPC. In the ROC analysis, the area under the curve for RFRI was 0.762 (95% CI 0.697-0.826), which was the highest value observed among these indexes. Conclusions: Multifactorial risk indexes are useful tools for identifying Japanese patients at a high risk of developing PPC following digestive surgeries. Of the risk indexes evaluated in this study, RFRI is potentially the most accurate in predicting PPC.
内容記述
内容記述タイプ Other
内容記述 学位の種類: 博士(医学). 報告番号: 甲第3998号. 学位記番号: 新大院博(医)甲第644号. 学位授与年月日: 平成27年3月23日
内容記述
内容記述タイプ Other
内容記述 Respiratory Investigation. 2015, 53(3), 104-110.
書誌情報 p. 1-33, 発行日 2015-03-23
出版者
出版者 新潟大学
DOI
識別子タイプ DOI
関連識別子 info:doi/10.1016/j.resinv.2014.12.004
著者版フラグ
値 ETD
学位名
学位名 博士(医学)
学位授与機関
学位授与機関名 新潟大学
学位授与年月日
学位授与年月日 2015-03-23
学位授与番号
学位授与番号 13101甲第3998号
学位記番号
内容記述タイプ Other
内容記述 新大院博(医)甲第644号
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