Search Results 1-20 of 149

  • Long-stay pediatric patients in Japanese intensive care units: their significant presence and a newly developed, simple predictive score

    Knaup Emily , Nosaka Nobuyuki , Yorifuji Takashi , Tsukahara Kohei , Naitou Hiromichi , Tsukahara Hirokazu , Nakao Atsunori , the JaRPAC Study Group

    … BACKGROUND:<br/>The length of stay (LOS) in intensive care units (ICUs) has been used as a good indicator not only for resource consumption but also for health outcomes of patients. …

    Journal of Intensive Care (7), 38, 2019-07-29

    IR 

  • Post-intensive care syndrome: its pathophysiology, prevention, and future directions

    Inoue Shigeaki , Hatakeyama Junji , Kondo Yutaka , Hifumi Toru , Sakuramoto Hideaki , Kawasaki Tatsuya , Taito Shunsuke , Nakamura Kensuke , Unoki Takeshi , Kawai Yusuke , Kenmotsu Yuji , Saito Masafumi , Yamakawa Kazuma , Nishida Osamu

    … Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units (ICUs). … Post-intensive care syndrome (PICS) refers to physical, cognition, and mental impairments that occur during ICU stay, after ICU discharge or hospital discharge, as well as the long-term prognosis of ICU patients. …

    Acute Medicine & Surgery 6(3), 233-246, 2019-07

    IR 

  • Beta blocker therapy in the intensive care unit  [in Japanese]

    Suzuki Takeshi

    <p>集中治療室の重症患者では,様々な原因により頻脈をきたすことが多い。交感神経の緊張に伴う頻脈は,生体に悪影響を及ぼすため,交感神経の過緊張をコントロールすることは重要である。心拍数のコントロール目的で使用されるβ遮断薬は,これまで心臓にリスクを抱えた非心臓手術患者や心臓外科手術患者,心筋梗塞や急性心不全を発症した患者に対して頻繁に投与され,その有効性が指摘されてきた。しかし,急性期 …

    Journal of the Japanese Society of Intensive Care Medicine 26(4), 249-258, 2019

    J-STAGE  Ichushi Web 

  • Exploratory Survey on the Subjective Meaningfulness of Digitization among Nurses at two Hospitals in Japan

    Suzaki Makoto , Ishikawa Takemasa , Fukuroku Keiko , Düsch Elke , Narita Yugo , Hirohata Shizu , Koseko Takashi , Takeuchi Sachie , Miyata Chiharu , Mizutani Mayumi , Okita Mayumi , Takeda Yoshiko , Funao Hiroki

    … Participants were clinical nurses aged ≤60 years working in intensive care units or acute wards at Mie University Hospital and Kinan Hospital. …

    International Symposium on Affective Science and Engineering ISASE2019(0), 1-5, 2019

    J-STAGE 

  • Characteristics, management, and in-hospital mortality among patients with severe sepsis in intensive care units in Japan: the FORECAST study

    Abe Toshikazu , Ogura Hiroshi , Shiraishi Atsushi , Kushimoto Shigeki , Saitoh Daizoh , Fujishima Seitaro , Mayumi Toshihiko , Shiino Yasukazu , Nakada Taka-aki , Tarui Takehiko , Hifumi Toru , Otomo Yasuhiro , Okamoto Kohji , Umemura Yutaka , Kotani Joji , Sakamoto Yuichiro , Sasaki Junichi , Shiraishi Shin-ichiro , Takuma Kiyotsugu , Tsuruta Ryosuke , Hagiwara Akiyoshi , Yamakawa Kazuma , Masuno Tomohiko , Takeyama Naoshi , Yamashita Norio , Ikeda Hiroto , Ueyama Masashi , Fujimi Satoshi , Gando Satoshi , JAAM FORECAST group

    … Methods This is a cohort study of the Focused Outcomes Research in Emergency Care in Acute Respiratory Distress Syndrome, Sepsis, and Trauma (FORECAST) study, which was a multicenter, prospective cohort study conducted at 59 intensive care units (ICUs) from January 2016 to March 2017. …

    Critical Care (22), 322, 2018-11-22

    IR 

  • The Japan hospice and palliative evaluation study 4: a cross-sectional questionnaire survey

    Masukawa Kento , Aoyama Maho , Morita Tatsuya , Kizawa Yoshiyuki , Tsuneto Satoru , Shima Yasuo , Miyashita Mitsunori

    … Background: Constant evaluation is important for maintaining and improving the quality of end-of-life care. … The main purposes of J-HOPE4 are as follows: 1) to evaluate the processes, structures, and outcomes of palliative care acute hospitals, palliative care units, and home hospice services; …

    BMC Palliative Care (17), 66, 2018-04-20

    IR 

  • Increased oxidative stress and renal injury in patients with sepsis

    Yamaguchi Junko , Nagase Midori , Yamamoto Yorihiro , Sakurai Atsushi , Kubo Airi , Mitsuhashi Hikaru , Matsuoka Masaru , Ihara Shingo , Kinoshita Kosaku

    … <p>Sepsis remains one of the leading causes of death in intensive care units. …

    Journal of Clinical Biochemistry and Nutrition 63(2), 137-143, 2018

    J-STAGE  Ichushi Web 

  • Point-of-care ultrasound using B-lines in the assessment of cardiogenic pulmonary edema  [in Japanese]

    KAMEDA Toru , KOBAYASHI Hideo , YAMADA Hirotsugu , TANIGUCHI Nobuyuki

    … Point-of-care超音波では,胸膜ラインから深部に向かって減衰することなく伸びる線状のアーチファクトは「Bライン」と呼称され,肺水腫や炎症性疾患で顕在化する.近年Bラインを用いた肺超音波の診断能について検討した前向き臨床研究が数多く報告され,Bラインは心原性肺水腫の診断に役立つことが明らかになった.肺超音波は,病院前救急や救急室における心原性肺水腫の迅速な診断,集中治療室や一般病棟にお …

    Choonpa Igaku 45(2), 125-135, 2018

    J-STAGE  Ichushi Web 

  • Nursing care based on facial expressions of infants under sedation in pediatric intensive care units  [in Japanese]

    Otani Naoya

    <p> 目的 : 看護師がPICUに入室している鎮静下の幼児の表情をどのように捉え、ケアに生かしているのかを明らかにすることである。</p><p> 研究方法 : Leiningerの民族看護学を用いた。研究参加者は、看護師8名と一般情報提供者の幼児と家族9組、医師5名とした。</p><p> 結果 : 1. 「険しい」 表情が続く時は、眠れ …

    Journal of Japanese Society of Child Health Nursing 26(0), 166-172, 2017

    J-STAGE  Ichushi Web 

  • Characteristics of Patients Discharged from a Comprehensive Community-based Care Ward to Destinations Other than Home  [in Japanese]

    IWAI Nobuhiko , MURAO Hiroshi , MIURA Toshiyuki , FUJIMOTO Motomi , YAMAGUCHI Fumiko

    〔目的〕自宅から当院地域包括ケア病棟に入棟し,転帰先が自宅以外であった患者の特徴を明らかにすることとした.〔対象と方法〕2016年1月から同年7月末までに,自宅から本病棟に入棟した111人を対象とした.転帰先が自宅か自宅以外かの2群に分け,疾患名,年齢,性別,急性期病棟入院日数,入棟日数,リハ介入職種,リハ総単位数,1日あたりのリハ単位数,入・退棟時の排泄および移動動作能力を群間で比較した.〔結果 …

    Rigakuryoho Kagaku 32(4), 573-576, 2017

    J-STAGE  Ichushi Web 

  • Activities of the Mental Care Team during the 2014 Kamishiro Fault Earthquake  [in Japanese]

    AMEMIYA Kotaro , YUZAWA Hironori , MURATA Shiho

    平成26年11月22日,22時8 分に長野県北安曇郡白馬村を震源とする神城断層地震(マグニチュード6.7,最大震度6 弱)が発生した(図1 )。震源地は北アルプス医療センターの診療圏にあり,精神科病床を有する総合病院である当センターが長野県からの委託を受け,災害派遣精神医療チーム(DPAT)<sup>1) </sup>に準じた活動を行った。<br> 本震より5 …

    JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 65(5), 1006-1010, 2017

    J-STAGE  Ichushi Web 

  • Noninvasive ventilation on mortality of acute respiratory distress syndrome

    Ye Ling , Wang Jian , Xu Xiaobo , Song Yuanlin , Jiang Jinjun

    … <p>[Purpose] The aim of this study was to assess the efficacy of noninvasive ventilation (NIV) in acute respiratory distress syndrome (ARDS). … [Subjects and Methods] The clinical data of 58 patients with ARDS that required mechanical ventilation in two intensive care units (ICU) was reviewed. …

    Journal of Physical Therapy Science 28(8), 2284-2288, 2016

    J-STAGE  Ichushi Web 

  • EARLY ADMINISTRATION OF TRANEXAMIC ACID WAS ASSOCIATED TO LOWER IN-HOSPITAL MORTALITY IN TRAUMA PATIENTS IN JAPAN-A PROPENSITY SCORE ANALYSIS  [in Japanese]

    SHIRAISHI Atsushi , SASAKI Junichi , OGURA Hiroshi , MATSUOKA Tetsuya , MORIMURA Naoto , ISHIKURA Hiroyasu , TAKEDA Munekazu , KATO Hiroshi , YOKOTA Hiroyuki , SAKAMOTO Teruo , TANAKA Hiroshi , KUSHIMOTO Shigeki , KUDO Daisuke , KANEMURA Takashi , SHIBUSAWA Takayuki , HAGIWARA Yasushi , FURUGORI Shintaro , NAKAMURA Yoshihiko , MAEKAWA Kunihiko , MAYAMA Gou , YAGUCHI Arino , KIM Shiei , OTOMO Yasuhiro , TAKASU Osamu , NISHIMURA Kazutaka , SAITOH Daizoh , MURATA Kiyoshi , HAYAKAWA Mineji , UEJIMA Toshifumi , KANEKO Naoyuki , HAGIWARA Akiyoshi

     背景 : トラネキサム酸投与が外傷患者の死亡率を低下させることがランダム化試験で示されたが, 多くの批判もなされている. 本研究では, 日本の実際の外傷診療における受傷後3時間以内のトラネキサム酸の投与が, 生死および輸血量に及ぼす効果を検証した. 対象と方法 : Japanese Observational Study for Coagulation and Thrombolysis …

    Journal of the Japanese Association for the Surgery of Trauma 30(3), 397-404, 2016

    J-STAGE  Ichushi Web 

  • HIGH D-DIMER LEVELS PREDICT A POOR OUTCOME IN PATIENTS WITH SEVERE TRAUMA REGARDLESS OF FIBRINOGEN LEVELS : A RETROSPECTIVE COHORT STUDY  [in Japanese]

    HAYAKAWA Mineji , MORIMURA Naoto , ISHIKURA Hiroyasu , TAKEDA Munekazu , KANEKO Naoyuki , KATO Hiroshi , OTOMO Yasuhiro , YOKOTA Hiroyuki , SAKAMOTO Teruo , TANAKA Hiroshi , SHIRAISHI Atsushi , MAEKAWA Kunihiko , KUDO Daisuke , KANEMURA Takashi , SHIBUSAWA Takayuki , HAGIWARA Yasushi , FURUGORI Shintaro , NAKAMURA Yoshihiko , MURATA Kiyoshi , MAYAMA Gou , YAGUCHI Arino , KIM Shiei , KUSHIMOTO Shigeki , TAKASU Osamu , NISHIYAMA Kazutaka , HAGIWARA Akiyoshi , SAITOH Daizoh , SASAKI Junichi , OGURA Hiroshi , MATSUOKA Tetsuya , UEJIMA Toshifumi

     目的 : 外傷急性期におけるフィブリノゲン (fibrinogen, 以下Fbg) 低値は予後不良を示唆する. D–dimerは線溶亢進の指標であり外傷重症度を反映するが, 予後予測におけるFbgとの関係は明らかにされていない. 今回, 搬入時のD–dimer高値がFbg値に関係なく予後不良を示唆する可能性を検証した. 方法 : Japanese Observa …

    Journal of the Japanese Association for the Surgery of Trauma 30(3), 331-340, 2016

    J-STAGE  Ichushi Web 

  • FIBRINOGEN LEVEL AS A PREDICTOR FOR MASSIVE TRANSFUSION AMONG COAGULATION/FIBRINOLYSIS MARKERS IN SEVERE BLUNT TRAUMA PATIENTS : A MULTICENTER RETROSPECTIVE ANALYSIS  [in Japanese]

    NAKAMURA Yoshihiko , UEJIMA Toshifumi , MORIMURA Naoto , TAKEDA Munekazu , KANEKO Naoyuki , KATO Hiroshi , SHIRAISHI Atsushi , KUDO Daisuke , MAEKAWA Kunihiko , KANEMURA Takashi , SHIBUSAWA Takayuki , ISHIKURA Hiroyasu , HAGIWARA Yasushi , FURUGORI Shintaro , MURATA Kiyoshi , MAYAMA Gou , YAGUCHI Arino , KIM Shiei , TAKASU Osamu , NISHIYAMA Kazutaka , KUSHIMOTO Shigeki , HAYAKAWA Mineji , HAGIHARA Akiyoshi , SAITOH Daizoh , SASAKI Junichi , OGURA Hiroshi , MATSUOKA Tetsuya

     【目的】鈍的重症外傷患者において凝固・線溶系マーカーがmassive transfusion (以下MT) (24時間以内における10単位以上の赤血球輸血) の予測因子になり得るか否かを検討した. 【方法】Japanese Observational Study for Coagulation and Thrombolysis in Early Trauma (J–OCTE …

    Journal of the Japanese Association for the Surgery of Trauma 30(3), 348-355, 2016

    J-STAGE  Ichushi Web 

  • OVERVIEW OF THE JAPANESE OBSERVATIONAL STUDY FOR COAGULATION AND THROMBOLYSIS IN EARLY TRAUMA, A MULTICENTER, RETROSPECTIVE OBSERVATIONAL STUDY FOR TRAUMA-ASSOCIATED COAGULOPATHY AND HEMOSTATIC RESUSCITATION STRATEGY  [in Japanese]

    KUSHIMOTO Shigeki , ISHIKURA Hiroyasu , TAKEDA Munekazu , KANEKO Naoyuki , KATO Hiroshi , OTOMO Yasuhiro , YOKOTA Hiroyuki , SAKAMOTO Teruo , TANAKA Hiroshi , SHIRAISHI Atsushi , KUDO Daisuke , HAYAKAWA Mineji , KANEMURA Takashi , SHIBUSAWA Takayuki , HAGIWARA Yasushi , FURUGORI Shintaro , NAKAMURA Yoshihiko , MAEKAWA Kunihiko , MURATA Kiyoshi , MAYAMA Gou , YAGUCHI Arino , KIM Shiei , HAGIWARA Akiyoshi , TAKASU Osamu , NISHIYAMA Kazutaka , SAITOH Daizoh , SASAKI Junichi , OGURA Hiroshi , MATSUOKA Tetsuya , UEJIMA Toshifumi , MORIMURA Naoto

    <p> 日本外傷学会将来計画委員会は,1)外傷急性期凝固異常の病態解明,2)病態把握に基づくhemostatic resuscitationの構築を目標とし,多施設共同後向き観察研究:Japanese Observational study for Coagulation and Thrombolysis in Early Trauma(J-OCTET)を実施した.対象:2012年1〜 …

    Journal of the Japanese Association for the Surgery of Trauma 30(3), 321-330, 2016

    J-STAGE  Ichushi Web 

  • CLINICAL IMPACT OF TRANSFUSION STRATEGY WITH PLASMA/RED BLOOD CELL CONDENTRATES≧1 IN SEVERELY TRAUMATIZED PATIENTS REQUIRING EARLY TRANSFUSION : A MULTICENTRE, RETROSPECTIVE COHORT STUDY  [in Japanese]

    KUSHIMOTO Shigeki , MORIMURA Naoto , ISHIKURA Hiroyasu , TAKEDA Munekazu , KANEKO Naoyuki , KATO Hiroshi , OTOMO Yasuhiro , YOKOTA Hiroyuki , SAKAMOTO Teruo , TANAKA Hiroshi , SHIRAISHI Atsushi , KUDO Daisuke , KANEMURA Takashi , SHIBUSAWA Takayuki , HAGIWARA Yasushi , FURUGORI Shintaro , NAKAMURA Yoshihiko , MAEKAWA Kunihiko , MURATA Kiyoshi , MAYAMA Gou , YAGUCHI Arino , KIM Shiei , HAYAKAWA Mineji , TAKASU Osamu , NISHIYAMA Kazutaka , HAGIWARA Akiyoshi , SAITOH Daizoh , SASAKI Junichi , OGURA Hiroshi , MATSUOKA Tetsuya , UEJIMA Toshifumi

     目的 : 大量出血を伴う外傷治療には早期の輸血戦略が重要である. 重症外傷における6時間以内輸血施行例の早期抽出と, 転帰改善につながる治療戦略を明らかにすることを目的とした. 方法 : Japanese Observational Study for Coagulation and Thrombolysis in Early Trauma, J–OCTETデータベースによ …

    Journal of the Japanese Association for the Surgery of Trauma 30(3), 376-384, 2016

    J-STAGE  Ichushi Web 

  • THE IMPACT OF PRE-INJURY ANTICOAGULANT AND ANTIPLATELET MEDICATION ON HEMOSTATIC INTERVENTIONS IN SEVERE TRAUMA PATIENTS WITHOUT BRAIN INJURY  [in Japanese]

    KUDO Daisuke , MATSUOKA Tetsuya , UEJIMA Toshifumi , MORIMURA Naoto , ISHIKURA Hiroyasu , TAKEDA Munekazu , KANEKO Naoyuki , KATO Hiroshi , YOKOTA Hiroyuki , SAKAMOTO Teruo , TANAKA Hiroshi , KUSHIMOTO Shigeki , MURATA Kiyoshi , ENDO Akira , KANEMURA Takashi , SHIBUSAWA Takayuki , HAGIWARA Yasushi , FURUGORI Shintaro , NAKAMURA Yoshihiko , MAEKAWA Kunihiko , MAYAMA Gou , YAGUCHI Arino , SHIRAISHI Atsushi , KIM Shiei , TAKASU Osamu , NISHIYAMA Kazutaka , OTOMO Yasuhiro , SAITOH Daizoh , HAYAKAWA Mineji , HAGIWARA Akiyoshi , SASAKI Junichi , OGURA Hiroshi

     【目的】頭部外傷非合併重症外傷例では, 抗凝固・抗血小板薬 (薬剤) 内服が, 止血的介入のリスクであるかを検討すること. 【方法】Japanese Observational Study for Coagulation and Thrombolysis in Early Trauma (J–OCTET) データベースに収集されたInjury Severity Score …

    Journal of the Japanese Association for the Surgery of Trauma 30(3), 370-375, 2016

    J-STAGE  Ichushi Web 

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