FullText URL | fulltext.pdf |
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Author | Suryadhi, Made Ayu Hitapretiwi| Suryadhi, Putu Ayu Rhamani| Abudureyimu, Kawuli| Ruma, I Made Winarsa| Calliope, Akintije Simba| Wirawan, Dewa Nyoman| Yorifuji, Takashi| |
Keywords | Air pollution Environmental epidemiology nvironmental health Particulate matter Diabetes mellitus Indonesia |
Published Date | 2020-07 |
Publication Title | Environment International |
Volume | volume140 |
Publisher | Elsevier |
Start Page | 105603 |
ISSN | 0160-4120 |
NCID | AA00180393 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2020 The Authors. |
File Version | publisher |
PubMed ID | 32344253 |
DOI | 10.1016/j.envint.2020.105603 |
Web of Science KeyUT | 000544883300001 |
Related Url | isVersionof https://doi.org/10.1016/j.envint.2020.105603 |
FullText URL | fulltext20230112-4.pdf figures20230112-4.pdf online-supplemental-figures20230112-4.pdf online-supplemental-Tables20230112-4.pdf |
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Author | Matsumoto, Naomi| Hagiya, Hideharu| Nakayama, Masanori| Furukawa, Masanori| Mitsuhashi, Toshiharu| Takao, Soshi| Otsuka, Fumio| Yorifuji, Takashi| |
Keywords | SARS-CoV-2 Vaccine Antibody Reactogenicity Adverse reaction Mixed-effects model |
Note | © 2022 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. This manuscript version is made available under the CC-BY-NC-ND 4.0 License. http://creativecommons.org/licenses/by-nc-nd/4.0/. This is the accepted manuscript version. The formal published version is available at [https://doi.org/10.1016/j.jiac.2022.09.012] . | This full-text file will be available in Nov. 2023.| |
Published Date | 2022-11-12 |
Publication Title | Journal of Infection and Chemotherapy |
Volume | volume29 |
Issue | issue1 |
Publisher | Elsevier BV |
Start Page | 39 |
End Page | 42 |
ISSN | 1341-321X |
NCID | AA11057978 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2022 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases |
File Version | author |
PubMed ID | 36168999 |
DOI | 10.1016/j.jiac.2022.09.012 |
Web of Science KeyUT | 000894818300007 |
Related Url | isVersionOf https://doi.org/10.1016/j.jiac.2022.09.012 |
FullText URL | fulltext.pdf |
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Author | Namba, Takahiro| Takeuchi, Akihito| Matsumoto, Naomi| Tsuge, Mitsuru| Yashiro, Masato| Tsukahara, Hirokazu| Yorifuji, Takashi| |
Keywords | Kawasaki disease (KD) birth order group childcare infectious diseases vasculitis |
Published Date | 2023-03-28 |
Publication Title | Frontiers in Pediatrics |
Volume | volume11 |
Publisher | Frontiers Media |
Start Page | 1127053 |
ISSN | 2296-2360 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2023 Namba, Takeuchi, Matsumoto, Tsuge, Yashiro, Tsukahara and Yorifuji. |
File Version | publisher |
PubMed ID | 37056943 |
DOI | 10.3389/fped.2023.1127053 |
Web of Science KeyUT | 000965495400001 |
Related Url | isVersionOf https://doi.org/10.3389/fped.2023.1127053 |
JaLCDOI | 10.18926/AMO/49040 |
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FullText URL | 66_6_443.pdf |
Author | Ugawa, Toyomu| Sakurama, Kazufumi| Yorifuji, Takashi| Takaoka, Munenori| Fujiwara, Yasuhiro| Kabashima, Narutoshi| Azuma, Daisuke| Hirayama, Takahiro| Tsukahara, Kohei| Morisada, Sunao| Iida, Atsuyoshi| Tada, Keitaro| Shiba, Naoki| Sato, Nobuo| Ichiba, Shingo| Kino, Koichi| Fukushima, Masaki| Ujike, Yoshihito| |
Abstract | The functioning of an arteriovenous fistula (AVF) used for vascular access during hemodialysis has been assessed mainly by dilution methods. Although these techniques indicate the immediate recirculation rate, the results obtained may not correlate with Kt/V. In contrast, the clearance gap (CL-Gap) method provides the total recirculation rate per dialysis session and correlates well with Kt/V. We assessed the correlation between Kt/V and CL-Gap as well as the change in radial artery (RA) blood flow speed in the fistula before percutaneous transluminal angioplasty (PTA) in 45 patients undergoing continuous hemodialysis. The dialysis dose during the determination of CL-Gap was 1.2 to 1.4 Kt/V. Patients with a 10% elevation or more than a 10% relative increase in CL-Gap underwent PTA (n=45), and the values obtained for Kt/V and CL-Gap before PTA were compared with those obtained immediately afterward. The mean RA blood flow speed improved significantly (from 52.9 to 97.5cm/sec) after PTA, as did Kt/V (1.07 to 1.30) and CL-Gap (14.1% to -0.2%). A significant correlation between these differences was apparent (r=-0.436 and p=0.003). These findings suggest that calculating CL-Gap may be useful for determining when PTA is required and for assessing the effectiveness of PTA, toward obtaining better dialysis. |
Keywords | hemodialysis recirculation clearance gap vascular access percutaneous transluminal angioplasty |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2012-12 |
Volume | volume66 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 443 |
End Page | 447 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2012 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 23254578 |
Web of Science KeyUT | 000312966100003 |
JaLCDOI | 10.18926/AMO/65148 |
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FullText URL | 77_2_185.pdf |
Author | Sugihara, Akiko| Okada, Ayumi| Horiuchi, Makiko| Yabe, Mayumi| Shigeyasu, Yoshie| Fujii, Chikako| Tanaka, Chie| Yorifuji, Takashi| Tsukahara, Hirokazu| |
Abstract | Psychosomatic disorders are influenced by psychosocial factors such as interpersonal relationships. Coping behaviors, especially in frustrating situations, reflect a patient’s ability to cope with stress, and it is important to assess these behaviors for the treatment of psychosomatic diseases. This study aimed to clarify the interpersonal relationships and coping behaviors of pediatric patients with psychosomatic diseases during frustrating situations simulated using the Rosenzweig Picture-Frustration study. This retrospective study included 126 patients (41 male, 85 female) with an average age of 12.9 (6-16) years who were consulted at the Department of Pediatric Psychosomatic Medicine at Okayama University Hospital from 2013 to 2018 and underwent the P-F study. Each score was compared with a standardization sample. The mean group conformity rating did not differ significantly between the participants and healthy children. Compared with healthy children, those with psychosomatic diseases were less likely to explain their perspective. The children with psychosomatic disorders responded to frustrating situations in a sensible and age-appropriate manner. However, they were less likely to respond by explaining their perspective to protect themselves. |
Keywords | psychosomatic disorder picture-frustration study children projective technique group conformity rating |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2023-04 |
Volume | volume77 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 185 |
End Page | 192 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37094956 |
Web of Science KeyUT | 000982503800008 |
FullText URL | fulltext.pdf |
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Author | Yamamoto, Norio| Taito, Shunsuke| Miura, Takanori| Ariie, Takashi| Tomita, Yosuke| Ogihara, Hirofumi| Shiratsuchi, Daijo| Yorifuji, Takashi| Tsujimoto, Yasushi| |
Keywords | meta-analysis systemic reviews reporting guidelines PRISMA full search strategy |
Published Date | 2023-11-10 |
Publication Title | Journal of Clinical Medicine |
Volume | volume12 |
Issue | issue22 |
Publisher | MDPI |
Start Page | 7031 |
ISSN | 2077-0383 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2023 by the authors. |
File Version | publisher |
PubMed ID | 38002645 |
DOI | 10.3390/jcm12227031 |
Web of Science KeyUT | 001166545400001 |
Related Url | isVersionOf https://doi.org/10.3390/jcm12227031 |
JaLCDOI | 10.18926/AMO/45268 |
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FullText URL | 65_2_97.pdf |
Author | Tsuchihashi, Yuuki| Yorifuji, Takashi| Takao, Soshi| Suzuki, Etsuji| Mori, Shigeru| Doi, Hiroyuki| Tsuda, Toshihide| |
Abstract | Seasonal influenza infection is a major challenge in public health. The term "seasonal influenza" refers to the typical increase in the number of influenza patients in the winter season in temperature zones. However, it is not clear how environmental factors within a single flu season affect influenza infection in a human population. Therefore, we evaluated the effects of temperature and humidity in the 2006-7 flu season on the onset of seasonal influenza using a case-crossover study. We targeted patients who attended one pediatric clinic in Okayama city, Japan and who were diagnosed as being infected with the seasonal influenza virus. Using 2 references (time-stratified and symmetric bidirectional design), we estimated the effects of average temperature and relative humidity from the onset day (lag0) to 10 days before (lag10). The total number of subjects was 419, and their onset days ranged from 26 December 2006 to 30 April 2007. While the onset was significantly associated with lower temperature, relative humidity was not related. In particular, temperatures before the 3-day incubation period had higher-magnitude odds ratios. For example, the odds ratio and 95% confidence interval for average temperature at time lag 8 was 1.12 (1.08-1.17) per 1.0℃ decrease. Low environmental temperature significantly increased the risk of seasonal influenza onset within the 2006-7 winter season. |
Keywords | seasonal influenza in humans temperature humidity case-crossover study |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2011-04 |
Volume | volume65 |
Issue | issue2 |
Publisher | Okayama University Medical School |
Start Page | 97 |
End Page | 103 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2011 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 21519367 |
Web of Science KeyUT | 000289818800005 |
FullText URL | fulltext20220413-5.pdf |
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Author | Tanabe, Ryo| Hongo, Takashi| Mandai, Yasuhiro| Inaba, Mototaka| Yorifuji, Takashi| Nakao, Atsunori| Elmer, Jonathan| Naito, Hiromichi| |
Keywords | DNAR EMT OHCA Stress |
Published Date | 2022-03-03 |
Publication Title | Resuscitation |
Volume | volume173 |
Publisher | Elsevier BV |
Start Page | 61 |
End Page | 68 |
ISSN | 0300-9572 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2022 The Author(s) |
File Version | publisher |
PubMed ID | 35143903 |
DOI | 10.1016/j.resuscitation.2022.01.028 |
Web of Science KeyUT | 000767483800011 |
Related Url | isVersionOf https://doi.org/10.1016/j.resuscitation.2022.01.028 |
FullText URL | fulltext.pdf |
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Author | Habu, Hiroshi| Takao, Soshi| Fujimoto, Ryohei| Naito, Hiromichi| Nakao, Atsunori| Yorifuji, Takashi| |
Keywords | COVID-19 epidemiology emergency medical dispatch suicide |
Published Date | 2021-07-17 |
Publication Title | Journal of Epidemiology |
Volume | volume31 |
Issue | issue9 |
Publisher | Japan Epidemiological Assoc. |
Start Page | 511 |
End Page | 517 |
ISSN | 0917-5040 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2021 Hiroshi Habu et al. |
File Version | publisher |
PubMed ID | 34176855 |
DOI | 10.2188/jea.JE20210066 |
Web of Science KeyUT | 000680719500003 |
Related Url | isVersionOf https://doi.org/10.2188/jea.JE20210066 |
FullText URL | fulltext20240123-01.pdf |
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Author | Naito, Hiromichi| Hanafusa, Hiroaki| Hongo, Takashi| Yumoto, Tetsuya| Yorifuji, Takashi| Weissman, Alexandra| Rittenberger, Jon C.| Guyette, Francis X.| Fujishima, Mamoru| Maeyama, Hiroki| Nakao, Astunori| |
Keywords | Heart arrest Cardiopulmonary resuscitation Airway management Ventilation Insufflation Regurgitation |
Published Date | 2023-12 |
Publication Title | Resuscitation |
Volume | volume193 |
Publisher | Elsevier BV |
Start Page | 109994 |
ISSN | 0300-9572 |
NCID | AA00817253 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2023 The Author(s). |
File Version | publisher |
PubMed ID | 37813147 |
DOI | 10.1016/j.resuscitation.2023.109994 |
Web of Science KeyUT | 001139168400001 |
Related Url | isVersionOf https://doi.org/10.1016/j.resuscitation.2023.109994 |
FullText URL | fulltext.pdf |
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Author | Yamamoto, Norio| Sukegawa, Shintaro| Yamashita, Kazutaka| Manabe, Masaki| Nakano, Keisuke| Takabatake, Kiyofumi| Kawai, Hotaka| Ozaki, Toshifumi| Kawasaki, Keisuke| Nagatsuka, Hitoshi| Furuki, Yoshihiko| Yorifuji, Takashi| |
Keywords | patient variables osteoporosis deep learning convolutional neural network ensemble model effect size |
Published Date | 2021-08-20 |
Publication Title | Medicina-Lithuania |
Volume | volume57 |
Issue | issue8 |
Publisher | MDPI |
Start Page | 846 |
ISSN | 1010-660X |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2021 by the authors. |
File Version | publisher |
PubMed ID | 34441052 |
DOI | 10.3390/medicina57080846 |
Web of Science KeyUT | 000689547600001 |
Related Url | isVersionOf https://doi.org/10.3390/medicina57080846 |
FullText URL | fulltext.pdf |
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Author | Hagiya, Hideharu| Nakano, Yasuhiro| Furukawa, Masanori| Sunada, Naruhiko| Hasegawa, Toru| Sakurada, Yasue| Hasegawa, Kou| Yamamoto, Koichiro| Ogawa, Hiroko| Obara, Takafumi| Ageta, Kouhei| Matsumoto, Naomi| Matsuo, Rumi| Kadowaki, Tomoka| Higashikage, Akihito| Hikita, Takao| Yorifuji, Takashi| Toyooka, Shinichi| Maeda, Yoshinobu| Yokokura, Yoshinori| Otsuka, Fumio| Nakayama, Masanori| |
Note | The version of record of this article, first published in Scientific Reports, is available online at Publisher’s website: http://dx.doi.org/10.1038/s41598-022-24464-3| |
Published Date | 2022-11-30 |
Publication Title | Scientific Reports |
Volume | volume12 |
Issue | issue1 |
Publisher | nature portfolio |
Start Page | 20628 |
ISSN | 2045-2322 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © The Author(s) 2022 |
File Version | publisher |
PubMed ID | 36450786 |
DOI | 10.1038/s41598-022-24464-3 |
Web of Science KeyUT | 001002757900008 |
Related Url | isVersionOf https://doi.org/10.1038/s41598-022-24464-3 |
FullText URL | SciTotalEnviron_201811194.pdf |
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Author | Yorifuji, Takashi| Tsukahara, Hirokazu| Doi, Hiroyuki| |
Keywords | Early childhood exposure Epidemiology Mucocutaneous lymph node syndrome; Smoking |
Published Date | 2019-03-10 |
Publication Title | Science of The Total Environment |
Volume | volume655 |
Publisher | Elsevier |
Start Page | 141 |
End Page | 146 |
ISSN | 00489697 |
NCID | AA00836666 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | author |
PubMed ID | 30469059 |
DOI | 10.1016/j.scitotenv.2018.11.194 |
Web of Science KeyUT | 000455034600013 |
Related Url | isVersionOf https://doi.org/10.1016/j.scitotenv.2018.11.194 |
JaLCDOI | 10.18926/AMO/65966 |
---|---|
FullText URL | 77_5_443.pdf |
Author | Miyaji, Chikara| Takao, Soshi| Habu, Hiroshi| Matsumoto, Naomi| Aoo, Ken| Nishita, Yosuke| Tsuri, Masao| Yorifuji, Takashi| |
Abstract | This study examined whether participation in an art project was associated with higher social capital (SC). We conducted a questionnaire survey from November 2021 to March 2022 among residents aged 20 years or older of Naoshima, an island in Kagawa Prefecture, Japan. Before the survey, the Setouchi Triennale had been held on Naoshima four times, starting in 2010. We calculated propensity scores for Triennale participation and performed propensity score matching. We then compared cognitive and structural SC by Triennale participation and found significant differences, respectively. We adopted a conditional ordered logistic regression analysis with propensity score matching for cognitive or structural SC, and found adjusted odd ratios of 2.913 (95%CI, 1.846-4.596) for cognitive SC and 4.535 (95%CI, 2.839-7.244) for structural SC. Our findings suggest that Triennale participation enhanced the cognitive aspect of SC while also building structural SC. |
Keywords | social capital art project propensity score matching |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2023-10 |
Volume | volume77 |
Issue | issue5 |
Publisher | Okayama University Medical School |
Start Page | 443 |
End Page | 449 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | Copyright Ⓒ 2023 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 37899255 |
Web of Science KeyUT | 001108661600001 |
JaLCDOI | 10.18926/AMO/61210 |
---|---|
FullText URL | 74_6_513.pdf |
Author | Ageta, Kohei| Naito, Hiromichi| Yorifuji, Takashi| Obara, Takafumi| Nojima, Tsuyoshi| Yamada, Taihei| Tsukahara, Kohei| Yakushiji, Hiromasa| Nakao, Atsunori| |
Abstract | Few studies have investigated the influence of the Coronavirus Disease 2019 (COVID-19) pandemic on emer-gency medical service (EMS) systems, especially in areas less affected or unaffected by COVID-19. In this study, we investigated changes in prehospital EMS activity and transport times during the COVID-19 pandemic. All patients transported by EMS in the city of Okayama from March–May 2019 or March–May 2020 were included. Interfacility transports were excluded. The primary outcome was the time from a patient’s first emergency call until hospital arrival (total prehospital time). Secondary outcomes included three segments of total prehospital time: the response time, on-scene time, and transportation time. Total prehospital time and the durations of each segment were compared between corresponding months in 2020 (COVID19-affected) and 2019 (control). The results showed that total prehospital times in April 2020 were significantly higher than those in 2019 (33.8 ± 11.6 vs. 32.2 ± 10.8 min, p < 0.001). Increases in total prehospital time were caused by longer response time (9.3 ± 3.8 vs. 8.7 ± 3.7 min, p < 0.001) and on-scene time (14.4 ± 7.9 vs. 13.5 ± 6.2min, p < 0.001). The COVID-19 pandemic was thus shown to affect EMS and delayed arrival/response even in a minimally affected region. A system to minimize transportation delays should be developed for emerging pandemics. |
Keywords | emergency medical services health care system emergency transport coronavirus infection |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2020-12 |
Volume | volume74 |
Issue | issue6 |
Publisher | Okayama University Medical School |
Start Page | 513 |
End Page | 520 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 33361871 |
Web of Science KeyUT | 000601203600007 |
NAID | 120006948949 |
FullText URL | fulltext.pdf |
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Author | Tsuge, Mitsuru| Ikeda, Masanori| Matsumoto, Naomi| Yorifuji, Takashi| Tsukahara, Hirokazu| |
Keywords | atopic march atopic dermatitis food allergy allergic asthma allergic rhinitis skin barrier dysfunction alarmin group 2 innate lymphoid cells type 2 inflammation oxidative stress specific biomarker epidemiology phenotype early intervention emollient |
Published Date | 2021-11-19 |
Publication Title | Children-Basel |
Volume | volume8 |
Issue | issue11 |
Publisher | MDPI |
Start Page | 1067 |
ISSN | 2227-9067 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2021 by the authors. |
File Version | publisher |
PubMed ID | 34828780 |
DOI | 10.3390/children8111067 |
Web of Science KeyUT | 000727145500001 |
Related Url | isVersionOf https://doi.org/10.3390/children8111067 |
FullText URL | 12_setouchi_project_en.pdf |
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Author | Yorifuji, Takashi| Habu, Hiroshi| Miyaji, Chikara| Matsumoto, Naomi| Takao, Soshi| |
Published Date | 2023-03 |
Publication Title | Setouchi Sustainability and Well-being Research Project Final Report |
Content Type | Research Paper |
language | English |
OAI-PMH Set | 岡山大学 |
File Version | publisher |
FullText URL | fulltext.pdf |
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Author | Uda, Kazuhiro| Hagiya, Hideharu| Yorifuji, Takashi| Koyama, Toshihiro| Tsuge, Mitsuru| Yashiro, Masato| Tsukahara, Hirokazu| |
Keywords | RSV Surveillance Google Trends Epidemiology |
Published Date | 2022-08-09 |
Publication Title | BMC Public Health |
Volume | volume22 |
Issue | issue1 |
Publisher | BMC |
Start Page | 1517 |
ISSN | 1471-2458 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © The Author(s) 2022. |
File Version | publisher |
PubMed ID | 35945532 |
DOI | 10.1186/s12889-022-13899-y |
Web of Science KeyUT | 000838077700004 |
Related Url | isVersionOf https://doi.org/10.1186/s12889-022-13899-y |
FullText URL | fulltext.pdf |
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Author | Yamane, Masaomi| Sugimoto, Seiichiro| Suzuki, Etsuji| Aokage, Keiju| Okazaki, Mikio| Soh, Junichi| Hayama, Makio| Hirami, Yuji| Yorifuji, Takashi| Toyooka, Shinichi| |
Keywords | Non-technical skills Patient safety Thoracic surgery |
Published Date | 2020-10 |
Publication Title | Annals of Medicine and Surgery |
Volume | volume58 |
Publisher | Elsevier |
Start Page | 177 |
End Page | 186 |
ISSN | 2049-0801 |
Content Type | Journal Article |
language | English |
OAI-PMH Set | 岡山大学 |
Copyright Holders | © 2020 The Authors. |
File Version | publisher |
PubMed ID | 32994981 |
DOI | 10.1016/j.amsu.2020.07.062 |
Related Url | isVersionOf https://doi.org/10.1016/j.amsu.2020.07.062 |
JaLCDOI | 10.18926/AMO/60365 |
---|---|
FullText URL | 74_4_285.pdf |
Author | Tsukahara, Kohei| Naitou, Hiromichi| Yorifuji, Takashi| Nosaka, Nobuyuki| Yamamoto, Hirotsugu| Osako, Takaaki| Nakao, Atsunori| the JaRPAC Study Group| |
Abstract | The importance of centralizing treatment services for severely ill children has been well established, but such entralization remains difficult in Japan. We aimed to compare the trauma and illness severity and mortality of children admitted to two common types of ICUs for children. According to the type of management and disposition of the medical provider, we classified ICUs as pediatric ICUs [PICUs] or general ICUs, and analyzed differences in endogenous and exogenous illness settings between them. Overall, 1,333 pediatric patients were included, with 1,143 patients admitted to PICUs and 190 patients to general ICUs. The Pediatric Cerebral Performance Category score (PCPC) at discharge was significantly lower in the PICU group (adjusted OR: 0.45; 95%CI: 0.23-0.88). Death and unfavorable neurological outcomes occurred less often in the PICU group (adjusted OR: 0.29; 95%CI: 0.14-0.60). However, when limited to exogenous illness, PCPC scores (adjusted OR: 0.38; 95%CI: 0.07-1.99) or death/unfavorable outcomes (adjusted OR: 0.72; 95%CI: 0.08-6.34) did not differ between the groups. PCPC deterioration and overall sequelae/death rates were lower in PICUs for children with endogenous illnesses, although the outcomes of exogenous illness were similar between the 2 unit types. Further studies on the necessity of centralization are warranted. |
Keywords | kids critical care mortality morbidity centralization |
Amo Type | Original Article |
Publication Title | Acta Medica Okayama |
Published Date | 2020-08 |
Volume | volume74 |
Issue | issue4 |
Publisher | Okayama University Medical School |
Start Page | 285 |
End Page | 291 |
ISSN | 0386-300X |
NCID | AA00508441 |
Content Type | Journal Article |
language | English |
Copyright Holders | CopyrightⒸ 2020 by Okayama University Medical School |
File Version | publisher |
Refereed | True |
PubMed ID | 32843759 |
Web of Science KeyUT | 000562508700003 |
NAID | 120006880204 |