| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yumoto, Tetsuya| Obara, Takafumi| Hongo, Takashi| Nojima, Tsuyoshi| Tsukahara, Kohei| Hisamura, Masaki| Nakao, Atsunori| Yorifuji, Takashi| Naito, Hiromichi| |
| キーワード | Ambulance diversion Bed occupancy Brain death Emergency medical services Intensive care units Organ donation |
| 発行日 | 2025-04-12 |
| 出版物タイトル | Scientific Reports |
| 巻 | 15巻 |
| 号 | 1号 |
| 出版者 | Nature Portfolio |
| 開始ページ | 12633 |
| ISSN | 2045-2322 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2025 |
| 論文のバージョン | publisher |
| PubMed ID | 40221631 |
| DOI | 10.1038/s41598-025-97198-7 |
| Web of Science KeyUT | 001466042000027 |
| 関連URL | isVersionOf https://doi.org/10.1038/s41598-025-97198-7 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yumoto, Tetsuya| Obara, Takafumi| Hongo, Takashi| Iida, Atsuyoshi| Tsukahara, Kohei| Katsura, Morihiro| Kondo, Yutaka| Yasuda, Hideto| Kushimoto, Shigeki| Yorifuji, Takashi| Naito, Hiromichi| Nakao, Atsunori| SHIPPs Study Group| |
| キーワード | Abdominal injuries Blood transfusions Hemoglobin Hemostasis Shock index |
| 発行日 | 2025-03-12 |
| 出版物タイトル | Scientific Reports |
| 巻 | 15巻 |
| 号 | 1号 |
| 出版者 | Nature Portfolio |
| 開始ページ | 8502 |
| ISSN | 2045-2322 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2025 |
| 論文のバージョン | publisher |
| PubMed ID | 40074821 |
| DOI | 10.1038/s41598-025-92673-7 |
| Web of Science KeyUT | 001443941100009 |
| 関連URL | isVersionOf https://doi.org/10.1038/s41598-025-92673-7 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Hiraoka, Tomohiro| Obara, Takafumi| Matsumoto, Naomi| Tsukahara, Kohei| Hongo, Takashi| Nojima, Tsuyoshi| Hisamura, Masaki| Yumoto, Tetsuya| Nakao, Atsunori| Yorifuji, Takashi| Naito, Hiromichi| |
| キーワード | Retrospective cohort study Injury recurrence Injury prevention |
| 備考 | 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/s41598-024-76403-z| |
| 発行日 | 2024-10-21 |
| 出版物タイトル | Scientific Reports |
| 巻 | 14巻 |
| 号 | 1号 |
| 出版者 | Nature Portfolio |
| 開始ページ | 24716 |
| ISSN | 2045-2322 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2024 |
| 論文のバージョン | publisher |
| PubMed ID | 39433855 |
| DOI | 10.1038/s41598-024-76403-z |
| Web of Science KeyUT | 001339991400047 |
| 関連URL | isVersionOf https://doi.org/10.1038/s41598-024-76403-z |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yumoto, Tetsuya| Hongo, Takashi| Obara, Takafumi| Ageta, Kohei| Aokage, Toshiyuki| Tsukahara, Kohei| Nakao, Atsunori| Naito, Hiromichi| |
| キーワード | clinical conference end-of-life care ICU rounds multidisciplinary team meetings |
| 発行日 | 2024-07-24 |
| 出版物タイトル | Journal of Clinical Medicine |
| 巻 | 13巻 |
| 号 | 15号 |
| 出版者 | MDPI |
| 開始ページ | 4324 |
| ISSN | 2077-0383 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2024 by the authors. |
| 論文のバージョン | publisher |
| PubMed ID | 39124591 |
| DOI | 10.3390/jcm13154324 |
| Web of Science KeyUT | 001287177900001 |
| 関連URL | isVersionOf https://doi.org/10.3390/jcm13154324 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Tsuge, Mitsuru| Ichihara, Eiki| Hasegawa, Kou| Kudo, Kenichiro| Tanimoto, Yasushi| Nouso, Kazuhiro| Oda, Naohiro| Mitsumune, Sho| Kimura, Goro| Yamada, Haruto| Takata, Ichiro| Mitsuhashi, Toshiharu| Taniguchi, Akihiko| Tsukahara, Kohei| Aokage, Toshiyuki| Hagiya, Hideharu| Toyooka, Shinichi| Tsukahara, Hirokazu| Maeda, Yoshinobu| |
| キーワード | novel coronavirus disease 2019 pneumonia hydroperoxide nitric oxide reactive oxygen species citrulline arginine asymmetric dimethylarginine |
| 発行日 | 2024-07-31 |
| 出版物タイトル | International Journal of Molecular Sciences |
| 巻 | 25巻 |
| 号 | 15号 |
| 出版者 | MDPI |
| 開始ページ | 8370 |
| ISSN | 1661-6596 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2024 by the authors. |
| 論文のバージョン | publisher |
| PubMed ID | 39125944 |
| DOI | 10.3390/ijms25158370 |
| Web of Science KeyUT | 001286890700001 |
| 関連URL | isVersionOf https://doi.org/10.3390/ijms25158370 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yumoto, Tetsuya| Tsukahara, Kohei| Obara, Takafumi| Hongo, Takashi| Nojima, Tsuyoshi| Naito, Hiromichi| Nakao, Atsunori| |
| キーワード | Brain death Cardiopulmonary resuscitation Extracorporeal membrane oxygenation Organ transplantation Out-of-hospital cardiac arrest Tissue and organ procurement |
| 備考 | The version of record of this article, first published in Critical Care, is available online at Publisher’s website: http://dx.doi.org/10.1186/s13054-024-04949-5| |
| 発行日 | 2024-05-13 |
| 出版物タイトル | Critical Care |
| 巻 | 28巻 |
| 号 | 1号 |
| 出版者 | BMC |
| 開始ページ | 160 |
| ISSN | 1364-8535 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2024. |
| 論文のバージョン | publisher |
| PubMed ID | 38741176 |
| DOI | 10.1186/s13054-024-04949-5 |
| Web of Science KeyUT | 001221675100001 |
| 関連URL | isVersionOf https://doi.org/10.1186/s13054-024-04949-5 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Ichihara, Eiki| Hasegawa, Kou| Kudo, Kenichiro| Tanimoto, Yasushi| Nouso, Kazuhiro| Oda, Naohiro| Mitsumune, Sho| Yamada, Haruto| Takata, Ichiro| Hagiya, Hideharu| Mitsuhashi, Toshiharu| Taniguchi, Akihiko| Toyooka, Shinichi| Tsukahara, Kohei| Aokage, Toshiyuki| Tsukahara, Hirokazu| Kiura, Katsuyuki| Maeda, Yoshinobu| |
| 発行日 | 2023-10-26 |
| 出版物タイトル | PLoS ONE |
| 巻 | 18巻 |
| 号 | 10号 |
| 出版者 | Public Library of Science |
| 開始ページ | e0287501 |
| ISSN | 1932-6203 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2023 Ichihara et al. |
| 論文のバージョン | publisher |
| PubMed ID | 37883347 |
| DOI | 10.1371/journal.pone.0287501 |
| Web of Science KeyUT | 001094123400028 |
| 関連URL | isVersionOf https://doi.org/10.1371/journal.pone.0287501 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yumoto, Tetsuya| Hongo, Takashi| Koide, Yasuhiro| Obara, Takafumi| Tsukahara, Kohei| Naito, Hiromichi| Nakao, Atsunori| |
| キーワード | Emergency service Informed consent Radiation Treatment refusal |
| 備考 | The version of record of this article, first published in BMC Medical Ethics, is available online at Publisher’s website: http://dx.doi.org/10.1186/s12910-023-00962-5| |
| 発行日 | 2023-10-04 |
| 出版物タイトル | BMC Medical Ethics |
| 巻 | 24巻 |
| 号 | 1号 |
| 出版者 | BMC |
| 開始ページ | 80 |
| ISSN | 1472-6939 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s) 2023. |
| 論文のバージョン | publisher |
| PubMed ID | 37794408 |
| DOI | 10.1186/s12910-023-00962-5 |
| Web of Science KeyUT | 001080177500004 |
| 関連URL | isVersionOf https://doi.org/10.1186/s12910-023-00962-5 |
| JaLCDOI | 10.18926/AMO/65755 |
|---|---|
| フルテキストURL | 77_4_429.pdf |
| 著者 | Sasanami, Misa| Iida, Atsuyoshi| Iwamuro, Masaya| Hirai, Ryousuke| Obara, Takashi| Tsukahara, Kohei| Yumoto, Tetsuya| Naito, Hiromichi| Nakao, Atsunori| |
| 抄録 | Intramural esophageal dissection (IED), characterized by bleeding into the submucosal space, leads to mucosal separation and dissection. The most prevalent symptoms are sudden chest or retrosternal pain, hematemesis, and dysphagia. Therefore, acute coronary syndrome and aortic dissection are among its most notable differential diagnoses. A 31-year-old pregnant woman presented with acute chest pain, laryngeal discomfort, and hematemesis. Emergency esophagogastroscopy revealed longitudinal mucosal dissection (upper esophagus to esophagogastric junction). The patient was successfully treated by avoiding the ingestion of solid foods. Clinicians should consider a diagnosis of IED for pregnant patients with acute chest pain, especially if hematemesis is present. |
| キーワード | chest pain dysphagia esophageal dissection hematemesis |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-08 |
| 巻 | 77巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 429 |
| 終了ページ | 431 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 37635144 |
| Web of Science KeyUT | 001163659800012 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Ageta, Kohei| Hirayama, Takahiro| Aokage, Toshiyuki| Seya, Mizuki| Meng, Ying| Nojima, Tsuyoshi| Yamamoto, Hirotsugu| Obara, Takafumi| Nakao, Atsunori| Yumoto, Tetsuya| Tsukahara, Kohei| Naito, Hiromichi| |
| 発行日 | 2023-08 |
| 出版物タイトル | Surgery |
| 巻 | 174巻 |
| 号 | 2号 |
| 出版者 | Elsevier |
| 開始ページ | 343 |
| 終了ページ | 349 |
| ISSN | 0039-6060 |
| NCID | AA00853880 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2023 The Author(s). |
| 論文のバージョン | publisher |
| PubMed ID | 37210236 |
| DOI | 10.1016/j.surg.2023.04.029 |
| Web of Science KeyUT | 001051321100001 |
| 関連URL | isVersionOf https://doi.org/10.1016/j.surg.2023.04.029 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Yamamoto, Hirotsugu| Hongo, Takashi| Nojima, Tsuyoshi| Obara, Takafumi| Kosaki, Yoshinori| Ageta, Kohei| Tsukahara, Kohei| Yumoto, Tetsuya| Nakao, Atsunori| Naito, Hiromichi| |
| キーワード | Cardiac arrest diagnosis hypothermia hypothyroidism myxedema coma |
| 発行日 | 2023-03-14 |
| 出版物タイトル | Acute Medicine and Surgery |
| 巻 | 10巻 |
| 号 | 1号 |
| 出版者 | Wiley |
| 開始ページ | e828 |
| ISSN | 2052-8817 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2023 The Authors. |
| 論文のバージョン | publisher |
| PubMed ID | 36936740 |
| DOI | 10.1002/ams2.828 |
| Web of Science KeyUT | 000949262800001 |
| 関連URL | isVersionOf https://doi.org/10.1002/ams2.828 |
| JaLCDOI | 10.18926/AMO/64372 |
|---|---|
| フルテキストURL | 77_1_117.pdf |
| 著者 | Obara, Takafumi| Yumoto, Tetsuya| Aoshima, Kenji| Tsukahara, Kohei| Naito, Hiromichi| Nakao, Atsunori| |
| 抄録 | A 38-year-old primipara Japanese woman suffered cardiac arrest due to a pulmonary thromboembolism 1 day after undergoing a cesarean section. Extracorporeal cardiopulmonary resuscitation was initiated and extracorporeal membrane oxygenation support was needed for 24 h. Despite intensive care, the patient was diagnosed with brain death on day 6. With the family’s consent, comprehensive end-of-life care including organ donation was discussed based on our hospital’s policy. The family decided to donate her organs. Specific training and education are required for emergency physicians to optimize the process of incorporating organ donation into end-of-life care while respecting the patient’s and family’s wishes. |
| キーワード | brain death end-of-life extracorporeal cardiopulmonary resuscitation organ donation potential organ donor |
| Amo Type | Case Report |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2023-02 |
| 巻 | 77巻 |
| 号 | 1号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 117 |
| 終了ページ | 120 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | Copyright Ⓒ 2023 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 36849156 |
| Web of Science KeyUT | 000953005500003 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Obara, Takafumi| Naito, Hiromichi| Tsukahara, Kohei| Matsumoto, Naomi| Yamamoto, Hirotsugu| Yorifuji, Takashi| Nakao, Atsunori| |
| キーワード | sleep habits trauma problematic behavior longitudinal study |
| 発行日 | 2021-09-09 |
| 出版物タイトル | International Journal of Environmental Research |
| 巻 | 18巻 |
| 号 | 18号 |
| 出版者 | MDPI |
| 開始ページ | 9512 |
| ISSN | 1660-4601 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2021 by the authors. |
| 論文のバージョン | publisher |
| PubMed ID | 34574435 |
| DOI | 10.3390/ijerph18189512 |
| Web of Science KeyUT | 000699559600001 |
| 関連URL | isVersionOf https://doi.org/10.3390/ijerph18189512 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Naito, Hiromichi| Yumoto, Tetsuya| Yorifuji, Takashi| Nojima, Tsuyoshi| Yamamoto, Hirotsugu| Yamada, Taihei| Tsukahara, Kohei| Inaba, Mototaka| Nishimura, Takeshi| Uehara, Takenori| Nakao, Atsunori| |
| キーワード | Mortality Trauma care Cardiac arrest Time-to-treatment |
| 発行日 | 2021-09-16 |
| 出版物タイトル | BMC Emergency Medicine |
| 巻 | 21巻 |
| 号 | 1号 |
| 出版者 | BMC |
| 開始ページ | 104 |
| ISSN | 1471-227X |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © The Author(s). 2021 |
| 論文のバージョン | publisher |
| PubMed ID | 34530735 |
| DOI | 10.1186/s12873-021-00499-z |
| Web of Science KeyUT | 000696533900001 |
| 関連URL | isVersionOf https://doi.org/10.1186/s12873-021-00499-z |
| JaLCDOI | 10.18926/AMO/61210 |
|---|---|
| フルテキストURL | 74_6_513.pdf |
| 著者 | Ageta, Kohei| Naito, Hiromichi| Yorifuji, Takashi| Obara, Takafumi| Nojima, Tsuyoshi| Yamada, Taihei| Tsukahara, Kohei| Yakushiji, Hiromasa| Nakao, Atsunori| |
| 抄録 | 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. |
| キーワード | emergency medical services health care system emergency transport coronavirus infection |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-12 |
| 巻 | 74巻 |
| 号 | 6号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 513 |
| 終了ページ | 520 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 33361871 |
| Web of Science KeyUT | 000601203600007 |
| NAID | 120006948949 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Saito, Kenki| Aokage, Toshiyuki| Sato, Takayuki| Tsukahara, Kohei| Tokioka, Fumiaki| Otake, Takanao| Irie, Hiromasa| Ueda, Yasunori| |
| キーワード | Stenotrophomonas maltophilia Severe pneumonia Acute panmyelosis with myelofibrosis Acute myeloid leukemia Extracorporeal membrane oxygenation |
| 発行日 | 2020-12 |
| 出版物タイトル | Respiratory Medicine Case Reports |
| 巻 | 31巻 |
| 出版者 | Elsevier |
| 開始ページ | 101224 |
| ISSN | 2213-0071 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2020 The Author(s). |
| 論文のバージョン | publisher |
| PubMed ID | 32995263 |
| DOI | 10.1016/j.rmcr.2020.101224 |
| Web of Science KeyUT | 000600668000086 |
| 関連URL | isVersionOf https://doi.org/10.1016/j.rmcr.2020.101224 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Naitou, Hiromichi| Nojima, Tsuyoshi| Fujisaki, Noritomo| Tsukahara, Kohei| Yamamoto, Hirotsugu| Yamada, Taihei| Aokage, Toshiyuki| Yumoto, Tetsuya| Osako, Takaaki| Nakao, Atsunori| |
| キーワード | Emergency medicine inflammation ischemia reperfusion remote ischemic preconditioning shock therapeutic hypothermia |
| 発行日 | 2020-04-13 |
| 出版物タイトル | Acute Medicine and Surgery |
| 巻 | 7巻 |
| 号 | 1号 |
| 出版者 | Wiley |
| 開始ページ | e501 |
| ISSN | 2052-8817 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2020 The Authors. |
| 論文のバージョン | publisher |
| PubMed ID | 32431842 |
| DOI | 10.1002/ams2.501 |
| Web of Science KeyUT | 000587733600052 |
| 関連URL | isVersionOf https://doi.org/10.1002/ams2.501 |
| フルテキストURL | fulltext.pdf |
|---|---|
| 著者 | Higaki, Taiki| Tsukahara, Kohei| Obara, Takafumi| Nojima, Tsuyoshi| Yamamoto, Hirotsugu| Osako, Takaaki| Naitou, Hiromichi| Nakao, Atsunori| |
| キーワード | Thyroid storm Influenza A virus Airway obstruction Case report |
| 発行日 | 2020-08-04 |
| 出版物タイトル | Respiratory Medicine Case Reports |
| 巻 | 31巻 |
| 出版者 | Elsevier |
| 開始ページ | 101182 |
| ISSN | 2213-0071 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2020 The Authors |
| 論文のバージョン | publisher |
| PubMed ID | 32802737 |
| DOI | 10.1016/j.rmcr.2020.101182 |
| 関連URL | isVersionOf https://doi.org/10.1016/j.rmcr.2020.101182 |
| JaLCDOI | 10.18926/AMO/60365 |
|---|---|
| フルテキストURL | 74_4_285.pdf |
| 著者 | Tsukahara, Kohei| Naitou, Hiromichi| Yorifuji, Takashi| Nosaka, Nobuyuki| Yamamoto, Hirotsugu| Osako, Takaaki| Nakao, Atsunori| the JaRPAC Study Group| |
| 抄録 | 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. |
| キーワード | kids critical care mortality morbidity centralization |
| Amo Type | Original Article |
| 出版物タイトル | Acta Medica Okayama |
| 発行日 | 2020-08 |
| 巻 | 74巻 |
| 号 | 4号 |
| 出版者 | Okayama University Medical School |
| 開始ページ | 285 |
| 終了ページ | 291 |
| ISSN | 0386-300X |
| NCID | AA00508441 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| 著作権者 | CopyrightⒸ 2020 by Okayama University Medical School |
| 論文のバージョン | publisher |
| 査読 | 有り |
| PubMed ID | 32843759 |
| Web of Science KeyUT | 000562508700003 |
| NAID | 120006880204 |
| フルテキストURL | fulltext.pdf fulltext2.pdf |
|---|---|
| 著者 | Fujii, Yosuke| Yashiro, Masato| Yamada, Mutsuko| Kikkawa, Tomonobu| Nosaka, Nobuyuki| Saito, Yukie| Tsukahara, Kohei| Ikeda, Masanori| Morishima, Tsuneo| Tsukahara, Hirokazu| |
| 発行日 | 2018-03-14 |
| 出版物タイトル | Disease Markers |
| 出版者 | Hindawi |
| 開始ページ | 2380179 |
| ISSN | 0278-0240 |
| 資料タイプ | 学術雑誌論文 |
| 言語 | 英語 |
| OAI-PMH Set | 岡山大学 |
| 著作権者 | © 2018 Yosuke Fujii et al. |
| 論文のバージョン | publisher |
| PubMed ID | 29725488 |
| DOI | 10.1155/2018/2380179 |
| Web of Science KeyUT | 000428395400001 |
| 関連URL | isVersionOf https://doi.org/10.1155/2018/2380179 |