森松博史

Increased heme catabolism in critically ill patients: correlation among exhaled carbon monoxide, arterial carboxyhemoglobin, and serum bilirubin IXα concentrations

著者	森松博史\|
発行日	2007-03-23
出版物タイトル
資料タイプ	学位論文

Isoflurane Induces Transient Impairment of Retention of Spatial Working Memory in Rats

JaLCDOI	10.18926/AMO/54808
フルテキストURL	70_6_455.pdf
著者	Tanino, Masaaki\| Kobayashi, Motomu\| Sasaki, Toshihiro\| Takata, Ken\| Takeda, Yoshimasa\| Mizobuchi, Satoshi\| Morita, Kiyoshi\| Nagai, Taku\| Morimatsu, Hiroshi\|
抄録	Postoperative cognitive dysfunction (POCD) occurs in nearly one-third of patients after non-cardiac surgery. Many animal behavior studies have investigated the effect of general anesthesia on cognitive function. However, there have been no studies examining the effects on working memory specifically, with a focus on the retention of working memory. We demonstrate here that isoflurane anesthesia induces deficits in the retention of spatial working memory in rats, as revealed by an increase in isoflurane-induced across-phase errors in the delayed spatial win-shift (SWSh) task with a 30-min delay in an 8-arm radial arm maze on post-anesthesia days (PADs) 1,2,4, and 10. A post-hoc analysis revealed a significant increase in across-phase errors on PAD 1 and recovery on PAD 10 in the isoflurane group. In contrast, within-phase errors independent of the retention of working memory were unaffected by isoflurane. These results demonstrate that isoflurane anesthesia transiently impairs the retention of spatial working memory in rats.
キーワード	postoperative cognitive dysfunction isoflurane spatial working memory retention delayed spatial win-shift task
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2016-12
巻	70巻
号	6号
出版者	Okayama University Medical School
開始ページ	455
終了ページ	460
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Ⓒ 2016 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	28003670

Relationship Between Partial Carbon Dioxide Pressure and Strong Ions in Humans: A Retrospective Study

JaLCDOI	10.18926/AMO/60370
フルテキストURL	74_4_319.pdf
著者	Isoyama, Satoshi\| Kimura, Satoshi\| Morimatsu, Hiroshi\|
抄録	Little is known about the role of a strong ions in humans with respiratory abnormalities. In this study, we investigated the associations between partial carbon dioxide pressure (pCO2) and each of sodium ion (Na+) concentrations, chloride ion (Cl−) concentrations and their difference (SIDNa-Cl). Blood gas data were obtained from patients in a teaching hospital intensive care unit between August 2013 and January 2017. The association between pCO2 and SIDNa-Cl was defined as the primary outcome. The associations between pCO2 and [Cl−], [Na+] and other strong ions were secondary outcomes. pCO2 was stratified into 10 mmHg-wide bands and treated as a categorical variable for comparison. As a result, we reviewed 115,936 blood gas data points from 3,840 different ICU stays. There were significant differences in SIDNa-Cl, [Cl−], and [Na+] among all categorized pCO2 bands. The respective pCO2 SIDNa-Cl, [Cl−], and [Na+] correlation coefficients were 0.48, −0.31, and 0.08. SIDNa-Cl increased and [Cl−] decreased with pCO2, with little relationship between pCO2 and [Na+] across subsets. In conclusion, we found relatively strong correlations between pCO2 and SIDNa-Cl in the multiple blood gas datasets examined. Correlations between pCO2 and chloride concentrations, but not sodium concentrations, were further found to be moderate in these ICU data.
キーワード	acid-base phenomena Stewart approach strong ion difference chlorine ion partial carbon dioxide pressure
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	319
終了ページ	325
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	32843763
Web of Science KeyUT	000562508700007
NAID	120006880209

A Case of Refractory Systemic Capillary Leak Syndrome (Clarkson’s Disease) during Pregnancy

JaLCDOI	10.18926/AMO/54814
フルテキストURL	70_6_497.pdf
著者	Hikasa, Yukiko\| Hayashi, Masao\| Suzuki, Satoshi\| Morimatsu, Hiroshi\|
抄録	A 32-year-old woman, pregnant with twins, presented with a chief complaint of general fatigue. Her general condition had rapidly deteriorated since her last visit to the primary obstetrician; the patient was then referred to our hospital because of suspected fetal death. She underwent emergency cesarean section because fetal death had indeed occurred, and she was then admitted to the intensive care unit (ICU). On ICU admission, she was found to be in shock. Laboratory analysis revealed extreme hemoconcentration and a low albumin level, and initially, septic shock with obstetric complications was suspected. However, because she did not respond to conventional therapy but instead, rapidly developed severe generalized edema, systemic capillary leak syndrome (SCLS) was diagnosed. The patient remained in shock for several days until undergoing plasma exchange (PE), despite some earlier empirical treatments. She eventually recovered from profound shock status and was discharged from the ICU without sequelae. Among potentially effective treatments, PE seemed to be the most reasonable choice for the treatment of her SCLS.
キーワード	systemic capillary leak syndrome plasma exchange pregnancy
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2016-12
巻	70巻
号	6号
出版者	Okayama University Medical School
開始ページ	497
終了ページ	501
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Ⓒ 2016 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	28003676

Local Anesthetic Systemic Toxicity Following General and Epidural Anesthesia in A patient with a History of Muscle Relaxant-induced Anaphylaxis

JaLCDOI	10.18926/AMO/57721
フルテキストURL	73_6_543.pdf
著者	Kubo, Asuka\| Shimizu, Kazuyoshi\| Kuroda, Kosuke\| Kanazawa, Tomoyuki\| Kobayashi, Motomu\| Morimatsu, Hiroshi\|
抄録	We here report that a 71-year-old Japanese woman with a history of anaphylaxis induced by muscle relaxants had local anesthetic systemic toxicity (LAST) following an abdominal surgery under general anesthesia with combined spinal-epidural anesthesia without muscle relaxants. The total dosages of local anesthetics reached 0.67 mg/kg of ropivacaine and 11.5 mg/kg of lidocaine over 12.5 h to obtain sufficient muscle relaxation for surgery. Regional anesthesia is useful in cases in which muscle relaxants are to be avoided during a surgery. However, especially for a patient with risk factors and prolonged surgery, precautions should be taken to prevent LAST.
キーワード	muscle relaxant-induced anaphylaxis local anesthetic systemic toxicity epidural anesthesia abdominal surgery
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2019-12
巻	73巻
号	6号
出版者	Okayama University Medical School
開始ページ	543
終了ページ	546
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Ⓒ 2019 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	31871339
Web of Science KeyUT	000503431400012

Relationship between a High-inspired Oxygen Concentration and Dorsal Atelectasis in High-energy Trauma Patients

JaLCDOI	10.18926/AMO/57948
フルテキストURL	74_1_17.pdf
著者	Ishii, Kenzo\| Morimatsu, Hiroshi\| Ono, Kazumi\| Miyasho, Koji\|
抄録	We performed a retrospective cohort study of 911 high-energy trauma patients who underwent chest CT scans at least twice after admission. We hypothesized that in high-energy trauma patients, a high-inspired oxygen concentration delivered after admission results in dorsal atelectasis. The study’s primary outcome was dorsal atelectasis formation diagnosed based on CT images. We defined dorsal atelectasis as the presence of atelectasis at ≥ 10 mm thick on CT images. We defined high-inspired oxygen concentration as >60% oxygen delivered between two CT scans. Four hundred sixty-five patients (51.0%) developed atelectasis according to the second CT scan, and 338 (37.1%) received a high-inspired oxygen concentration. A univariate analysis showed that the rate of the high-inspired oxygen concentration in the atelectasis group was significantly higher than that in the non-atelectasis group (43.4% vs. 30.1%, p<0.001). However, a logistic regression analysis showed that there was no significant relationship between the oxygen concentration and the formation of dorsal atelectasis (OR: 1.197, 95%CI: 0.852-1.683, p=0.30). Age, the Injury Severity Score, BMI, and smoking were found to be risk factors of dorsal atelectasis formation in high-energy trauma patients. There was no relationship between the oxygen concentration and atelectasis formation in our series of high-energy trauma patients.
キーワード	trauma patient dorsal atelectasis oxygen concentration
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2020-02
巻	74巻
号	1号
出版者	Okayama University Medical School
開始ページ	17
終了ページ	26
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	32099244
Web of Science KeyUT	000516606200003
NAID	120006795615

Observational Study to Assess and Predict Serious Adverse Events after Major Surgery

JaLCDOI	10.18926/AMO/54809
フルテキストURL	70_6_461.pdf
著者	Shiozaki, Kyoko\| Morimatsu, Hiroshi\| Matsusaki, Takashi\| Iwasaki, Tatsuo\|
抄録	Many patients suffer from postoperative serious adverse events (SAEs). Here we sought to determine the incidence of SAEs, assess the accuracy of currently used scoring systems in predicting postoperative SAEs, and determine whether a combination of scoring systems would better predict postoperative SAEs. We prospectively evaluated patients who underwent major surgery. We calculated 4 scores: American Society of Anesthesiologists physical status (ASA-PS) score, the Charlson Score, the POSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity) score, and the Surgical Apgar Score (SAS). We assessed the occurrence of SAEs. We assessed the association between each score and SAEs. We combined these scoring systems to find the best combination to predict the occurrence of SAEs. Among 284 patients, 43 suffered SAEs. All scoring systems could predict SAEs. However, their predictive power was not high (the area under the receiver operating characteristic curves [AUROC] 0.6-0.7). A combination of the ASA-PS score and the SAS was the most predictive of postoperative SAEs (AUROC 0.714). The incidence of postoperative SAEs was 15.1 . The combination of the ASA-PS score and the SAS may be a useful tool for predicting postoperative serious adverse events after major surgery.
キーワード	serious adverse events preoperative assessment intraoperative assessment ASA-PS surgical Apgar score
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2016-12
巻	70巻
号	6号
出版者	Okayama University Medical School
開始ページ	461
終了ページ	467
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Ⓒ 2016 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	28003671

Heme breakdown and ischemia/reperfusion injury in grafted liver during living donor liver transplantation

著者	Matsumi, Junya\| Morimatsu, Hiroshi\| Matsusaki, Takashi\| Kaku, Ryuji\| Shimizu, Hiroko\| Takahashi, Toru\| Yagi, Takahito\| Matsumi, Masaki\| Morita, Kiyoshi\|
発行日	2012-02
出版物タイトル	International Journal of Molecular Medicine
巻	29巻
号	2号
資料タイプ	学術雑誌論文

Postoperative Course of Serum Albumin Levels and Organ Dysfunction After Liver Transplantation

フルテキストURL	fulltext.pdf
著者	Hiroi, Kazumasa\| Matsusaki, Takashi\| Kaku, Ryuji\| Umeda, Yuzo\| Yagi, Takahito\| Morimatsu, Hiroshi\|
発行日	2019-10-31
出版物タイトル	Transplantation Proceedings
巻	51巻
号	8号
出版者	Elsevier
開始ページ	2750
終了ページ	2754
ISSN	00411345
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	© 2019 The Authors. Published by Elsevier Inc.
論文のバージョン	publisher
PubMed ID	31563245
DOI	10.1016/j.transproceed.2019.01.199
Web of Science KeyUT	000490063000048
関連URL	isVersionOf https://doi.org/10.1016/j.transproceed.2019.01.199

Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report

フルテキストURL	JACR5_1_53.pdf
著者	Hayashi, Fumiaki\| Nishimoto, Rei\| Shimizu, Kazuyoshi\| Kanazawa, Tomoyuki\| Iwasaki, Tatsuo\| Morimatsu, Hiroshi\|
キーワード	Cerebral ischemia Near-infrared spectroscopy Pediatric Minimally invasive cardiac surgery Pericardium traction
発行日	2019-08-17
出版物タイトル	JA Clinical Reports
巻	5巻
号	51号
出版者	Springer
開始ページ	53
ISSN	2363-9024
資料タイプ	学術雑誌論文
言語	英語
OAI-PMH Set	岡山大学
論文のバージョン	publisher
DOI	10.1186/s40981-019-0273-7
Web of Science KeyUT	000481753700001
関連URL	isVersionOf https://doi.org/10.1186/s40981-019-0273-7

Pediatric Living Donor Liver Transplantation for Congenital Absence of the Portal Vein With Pulmonary Hypertension: A Case Report

フルテキストURL	fulltext.pdf
著者	Matsumoto, Naohisa\| Matsusaki, Takashi\| Hiroi, Kazumasa\| Kaku, Ryuji\| Yoshida, Ryuichi\| Umeda, Yuzo\| Yagi, Takahito\| Morimatsu, Hiroshi\|
備考	11th Congress of the Andalusian-Society-of-Organ-and-Tissue-Transplantation (SATOT)\|
発行日	2020-03-31
出版物タイトル	Transplantation Proceedings
巻	52巻
号	2号
出版者	Elsevier
開始ページ	630
終了ページ	633
ISSN	00411345
NCID	AA00868957
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. Published by Elsevier Inc.
論文のバージョン	publisher
PubMed ID	32029317
DOI	10.1016/j.transproceed.2019.11.032
Web of Science KeyUT	000518473000059
関連URL	isVersionOf https://doi.org/10.1016/j.transproceed.2019.11.032

Anesthetic management of a patient with sodium-channel myotonia: a case report

フルテキストURL	fulltext.pdf
著者	Matsumoto, Naohisa\| Nishimoto, Rei\| Matsuoka, Yoshikazu\| Takeda, Yoshimasa\| Morimatsu, Hiroshi\|
キーワード	Anesthetic management Myotonia congenita Nondystrophic myotonia Paramyotonia congenita Periodic paralysis Potassium-aggravated myotonia Skeletal muscle channelopathy Sodium-channel myotonia
発行日	2019-11-25
出版物タイトル	JA Clinical Reports
巻	5巻
号	1号
出版者	Springer
開始ページ	77
ISSN	2363-9024
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). 2019
論文のバージョン	publisher
PubMed ID	32026975
DOI	10.1186/s40981-019-0300-8
Web of Science KeyUT	000534692000001
関連URL	isVersionOf https://doi.org/10.1186/s40981-019-0300-8

Transversus Abdominis Plane Block Reduced Early Postoperative Pain after Robot-assisted Prostatectomy: a Randomized Controlled Trial

フルテキストURL	fulltext.pdf
著者	Taninishi, Hideki\| Matsusaki, Takashi\| Morimatsu, Hiroshi\|
発行日	2020-02-28
出版物タイトル	Scientific Reports
巻	10巻
号	1号
出版者	Nature
開始ページ	282
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) 2020
論文のバージョン	publisher
PubMed ID	32111916
DOI	10.1038/s41598-020-60687-y
Web of Science KeyUT	000563058200004
関連URL	isVersionOf https://doi.org/10.1038/s41598-020-60687-y

Management of Lacerated and Swollen Tongue after Convulsive Seizure with a Mouth Protector: Interprofessional Collaboration Including Dentists in Intensive Care

JaLCDOI	10.18926/AMO/53027
フルテキストURL	68_6_375.pdf
著者	Yamanaka, Reiko\| Soga, Yoshihiko\| Moriya, Yoshie\| Okui, Akemi\| Takeuchi, Tetsuo\| Sato, Kenji\| Morimatsu, Hiroshi\| Morita, Manabu\|
抄録	We encountered a 74-year-old male patient with tongue laceration after convulsive seizures under intensive care. The tongue showed severe swelling, and the right ventral surface had been lacerated by his isolated and pointed right lower canine. Our university hospital has established a perioperative management center, and is promoting interprofessional collaboration, including dentists, in perioperative management. Dentists collaborating in the perioperative management center took dental impressions, with the support of anesthesiologists who opened the patientʼs jaw under propofol sedation, to produce a mouth protector. By raising the patientʼs bite, the completed mouth protector prevented the isolated tooth from contacting the tongue and protected the lacerated wound. Use of the mouth protector prevented the lacerated tongue from coming into contact with the pointed tooth, and the tongue healed gradually. These findings underscore that interprofessional collaboration including dentists can improve the quality of medical care.
キーワード	mouth protector tongue laceration
Amo Type	Case Report
出版物タイトル	Acta Medica Okayama
発行日	2014-12
巻	68巻
号	6号
出版者	Okayama University Medical School
開始ページ	375
終了ページ	378
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Ⓒ 2014 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25519032
Web of Science KeyUT	000346882200008

Impact of patient characteristics on the efficacy and safety of landiolol in patients with sepsis-related tachyarrhythmia: Subanalysis of the J-Land 3S randomised controlled study

フルテキストURL	fulltext.pdf
著者	Matsuda, Naoyuki\| Nishida, Osamu\| Taniguchi, Takumi\| Okajima, Masaki\| Morimatsu, Hiroshi\| Ogura, Hiroshi\| Yamada, Yoshitsugu\| Nagano, Tetsuji\| Ichikawa, Akira\| Kakihana, Yasuyuki\| J-Land 3S Study Group\|
キーワード	Ultra-short-acting β1-selective antagonist Heart rate Mortality Adverse events Septic shock
発行日	2020-11
出版物タイトル	EClinicalMedicine
巻	28巻
出版者	Elsevier
開始ページ	100571
ISSN	2589-5370
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	33294804
DOI	10.1016/j.eclinm.2020.100571
関連URL	isVersionOf https://doi.org/10.1016/j.eclinm.2020.100571

Two cases of intraoperative hemodynamic instability during combined thoracoscopic-laparoscopic surgery for esophagogastric junction carcinoma

フルテキストURL	fulltext.pdf
著者	Tani, Makiko\| Matsuoka, Yoshikazu\| Sugihara, Mayu\| Fujii, Ayaka\| Kanazawa, Tomoyuki\| Morimatsu, Hiroshi\|
キーワード	Esophagogastric junction carcinoma Intra-mediastinal valvuloplastic esophagogastrostomy Hemodynamic instability Tension pneumothorax Anesthetic management
発行日	2021-02-10
出版物タイトル	JA Clinical Reports
巻	7巻
号	1号
出版者	Springer
開始ページ	16
ISSN	2363-9024
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	33566182
DOI	10.1186/s40981-021-00419-x
Web of Science KeyUT	000617122800001
関連URL	isVersionOf https://doi.org/10.1186/s40981-021-00419-x

Histidine-rich glycoprotein as a novel predictive biomarker of postoperative complications in intensive care unit patients: a prospective observational study

フルテキストURL	fulltext.pdf
著者	Oiwa, Masahiko\| Kuroda, Kosuke\| Kawanoue, Naoya\| Morimatsu, Hiroshi\|
キーワード	Biomarker Clavien-Dindo classification Histidine-rich glycoprotein Intensive care unit Perioperative management Postoperative complication Predictor
発行日	2022-07-20
出版物タイトル	BMC Anesthesiology
巻	22巻
号	1号
出版者	BMC
開始ページ	232
ISSN	1471-2253
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) 2022.
論文のバージョン	publisher
PubMed ID	35858852
DOI	10.1186/s12871-022-01774-7
Web of Science KeyUT	000828247900001
関連URL	isVersionOf https://doi.org/10.1186/s12871-022-01774-7

Integrated pulmonary index can predict respiratory compromise in high-risk patients in the post-anesthesia care unit: a prospective, observational study

フルテキストURL	fulltext.pdf
著者	Kuroe, Yasutoshi\| Mihara, Yuko\| Okahara, Shuji\| Ishii, Kenzo\| Kanazawa, Tomoyuki\| Morimatsu, Hiroshi\|
キーワード	Integrated pulmonary index Respiratory compromise Post‐anesthesia care unit
発行日	2021-04-21
出版物タイトル	BMC Anesthesiology
巻	21巻
号	1号
出版者	BMC
開始ページ	123
ISSN	1471-2253
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	33882856
NAID	120007037372
DOI	10.1186/s12871-021-01338-1
Web of Science KeyUT	000643881600003
関連URL	isVersionOf https://doi.org/10.1186/s12871-021-01338-1

Recent Changes and Improvements in Multidisciplinary Perioperative Management From a Nutritional Perspective: Dental Specialty Should Be Considered Important

フルテキストURL	fulltext20210601-1.pdf
著者	Soga, Yoshihiko\| Shirakawa, Yasuhiro\| Fujiwara, Toshiyoshi\| Ashiwa, Takako\| Morimatsu, Hiroshi\|
キーワード	perioperative management nutrition dental oral management
備考	This is a post-peer-review, pre-copyedit version of an article published in Current Oral Health Reports. The final authenticated version is available online at: http://dx.doi.org/10.1007/s40496-019-0217-3.\|
発行日	2019-04-15
出版物タイトル	Current Oral Health Reports
巻	6巻
号	2号
出版者	Springer Science and Business Media LLC
開始ページ	70
終了ページ	75
ISSN	2196-3002
資料タイプ	学術雑誌論文
言語	英語
OAI-PMH Set	岡山大学
論文のバージョン	author
NAID	120007042397
DOI	10.1007/s40496-019-0217-3
関連URL	isVersionOf https://doi.org/10.1007/s40496-019-0217-3

Living Will Interest and Preferred End-of-life Care and Death Locations among Japanese Adults 50 and over: A Population-based Survey

JaLCDOI	10.18926/AMO/53023
フルテキストURL	68_6_339.pdf
著者	Nishie, Hiroyuki\| Mizobuchi, Satoshi\| Suzuki, Etsuji\| Sato, Kenji\| Toda, Yuichiro\| Matsuoka, Junji\| Morimatsu, Hiroshi\|
抄録	The main purpose of this study was to determine the relationships between Japanese individualsʼ interest in living wills and their preferred end-of-life care and death locations. Questionnaires were mailed to 1,000 individuals aged ｧ50 to measure these 2 factors. We examined the associations between the respondentsʼ characteristics and their preferred care and death locations by using multinomial logistic regression models. The response rate was 74%. Home was the most frequently preferred place for end-of-life care (64%), and a palliative care unit (PCU) was the most commonly preferred place to die (51%). Living will interest was associated with a preference for care (odds ratio [OR] 4.74, 95% confidence interval [CI] 1.95-12.1) and death (OR 2.75, 95% CI 1.70-4.47) in a PCU rather than a hospital, but it was not associated with the choice between receiving care or dying at home instead of a hospital. We must consider why Japanese people think home death is impracticable. The Japanese palliative care system should be expanded to meet patientsʼ end-of-life needs, and this includes not only facilitating home care but also increasing access to PCU care.
キーワード	advance healthcare directive living will end-of-life care palliative care unit place of death
Amo Type	Original Article
出版物タイトル	Acta Medica Okayama
発行日	2014-12
巻	68巻
号	6号
出版者	Okayama University Medical School
開始ページ	339
終了ページ	348
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Ⓒ 2014 by Okayama University Medical School
論文のバージョン	publisher
査読	有り
PubMed ID	25519028
Web of Science KeyUT	000346882200004
関連URL	http://ousar.lib.okayama-u.ac.jp/metadata/53134

森松 博史