Hydrocortisone administration was associated with improved survival in Japanese patients with cardiac arrest

• 資料種別: 博士論文
• ISSN: 2045-2322
• タイトル: Hydrocortisone administration was associated with improved survival in Japanese patients with cardiac arrest
• 巻次・部編番号: 7
• 著者・編者: Niimura, Takahiro; Zamami, Yoshito; Koyama, Toshihiro; Izawa-Ishizawa, Yuki; Miyake, Masashi; Koga, Tadashi; Harada, Keisaku; Ohshima, Ayako; Imai, Toru; Kondo, Yutaka; Imanishi, Masaki; Takechi, Kenshi; Fukushima, Keijo; Horinouchi, Yuya; Ikeda, Yasumasa; Fujino, Hiromichi; Tsuchiya, Koichiro; Tamaki, Toshiaki; Hinotsu, Shiro; Kano, Mitsunobu R.; Ishizawa, Keisuke
• 著者標目: Niimura, Takahiro; Zamami, Yoshito; Koyama, Toshihiro; Izawa-Ishizawa, Yuki; Miyake, Masashi; Koga, Tadashi; Harada, Keisaku; Ohshima, Ayako; Imai, Toru; Kondo, Yutaka; Imanishi, Masaki; Takechi, Kenshi; Fukushima, Keijo; Horinouchi, Yuya; Ikeda, Yasumasa; Fujino, Hiromichi; Tsuchiya, Koichiro; Tamaki, Toshiaki; Hinotsu, Shiro; Kano, Mitsunobu R.; Ishizawa, Keisuke
• 出版事項: Springer Nature
• 出版年月日等: 2017-12-20
• 出版年（W3CDTF）: 2017-12-20
• 並列タイトル等: ヒドロコルチゾン投与は日本人心肺停止患者の生存率改善に関連する
• タイトル（掲載誌）: Scientific Reports
• 授与機関名: 徳島大学
• 授与年月日: 2021-03-23
• 授与年月日（W3CDTF）: 2021-03-23
• 報告番号: 甲第3502号
• 学位: 博士（医学）
• 博論授与番号: 甲第3502号
• 本文の言語コード: eng
• 件名標目: Hydrocortisone; Cardiac arrest; Database
• 対象利用者: 一般
• 一般注記: There are few reports on hydrocortisone administration after cardiac arrest, and those that have been published included few subjects. This study aimed to evaluate the effect of hydrocortisone administration on the outcomes of patients who experienced cardiac arrest. We investigated the survival discharge rates and the length of hospital stay from cardiac arrest to discharge, stratified by use of hydrocortisone, using a Japanese health-insurance claims dataset that covers approximately 2% of the Japanese population. The study included the data of 2233 subjects who experienced either in-hospital or out-of-hospital cardiac arrest between January 2005 and May 2014. These patients were divided into two groups, based on the administration of hydrocortisone. We adjusted the baseline characteristics, medical treatment, and drug administration data of the two groups using propensity scores obtained via the inverse probability of treatment weighted method. The hydrocortisone group had a significantly higher survival discharge rate (13/61 [21.1%] vs. 240/2172 [11.0%], adjusted odds ratio: 4.2, 95% CI: 1.60–10.98, p = 0.004). In addition, the administration of hydrocortisone was independent predictor of survival to discharge (hazard ratio: 4.6, p < 0.001). The results demonstrate a correlation between hydrocortisone administration and the high rates of survival to discharge.
• DOI: info:doi/10.1038/s41598-017-17686-3; https://doi.org/info:doi/10.1038/s41598-017-17686-3
• 国立国会図書館永続的識別子: info:ndljp/pid/11671531; https://dl.ndl.go.jp/pid/11671531
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2021-05-16T23:51:55+09:00
• 記録形式（IMT）: application/pdf; application/msword
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://repo.lib.tokushima-u.ac.jp/112397
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp