Severe Complications after General Anesthesia versus Sedation during Pediatric Diagnostic Cardiac Catheterization for Ventricular Septal Defect

• 資料種別: 博士論文
• タイトル: Severe Complications after General Anesthesia versus Sedation during Pediatric Diagnostic Cardiac Catheterization for Ventricular Septal Defect
• 著者・編者: Ogawa, Yuki; Yamana, Hayato; Noda, Tatsuya; Kishimoto, Miwa; Yoshihara, Shingo; Kanaoka, Koshiro; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo; Kawaraguchi, Masahiko; Imamura, Tomoaki
• 著者標目: Ogawa, Yuki; Yamana, Hayato; Noda, Tatsuya; Kishimoto, Miwa; Yoshihara, Shingo; Kanaoka, Koshiro; Matsui, Hiroki; Fushimi, Kiyohide; Yasunaga, Hideo; Kawaraguchi, Masahiko; Imamura, Tomoaki
• 出版事項: MDPI
• 出版年月日等: 2022-08-31
• 出版年（W3CDTF）: 2022-08-31
• 並列タイトル等: 心室中隔欠損症に対する小児心臓カテーテル検査における麻酔方法と重症合併症の関連
• 授与機関名: 奈良県立医科大学
• 授与年月日: 2023-03-15
• 授与年月日（W3CDTF）: 2023-03-15
• 報告番号: 甲第867号
• 学位: 博士（医学）
• 本文の言語コード: eng
• 件名標目: cardiac catheterization; anesthesia; ventricular septal defect
• 対象利用者: 一般
• 一般注記: type:Thesis; Pediatric cardiac catheterization requires unconsciousness and immobilization throughgeneral anesthesia or sedation. This study aimed to compare the occurrence of severe complicationsin pediatric diagnostic cardiac catheterization for ventricular septal defect between general anesthesiaand sedation performed under similar institutional environments. Using the Japanese DiagnosisProcedure Combination database, we retrospectively identified pediatric patients (aged <2years) who underwent diagnostic cardiac catheterization for ventricular septal defect between July2010 and March 2019. The composite outcome was the occurrence of severe complications, includingcatecholamine use and intensive care unit admission, within seven days after catheterization.Overlap weighting based on propensity scores was used to adjust for patient- and hospital-levelconfounding factors. We identified 3159 patients from 87 hospitals, including 930 under generalanesthesia and 2229 under sedation. The patient- and hospital-level baseline characteristics differedbetween the groups. After adjustment, the proportion of patients with severe complications wassignificantly higher in the general anesthesia group than in the sedation group (2.4% vs. 0.6%; riskdifference, 1.8% [95% confidence interval, 0.93–2.6%]). Severe complications occurred more frequentlyin the general anesthesia group than in the sedation group. Further research on anestheticmethods is necessary to assess the safety and accuracy of pediatric diagnostic cardiac catheterization.; 博士（医学）・甲第867号・令和5年3月15日; © 2022 by the authors. Licensee MDPI, Basel, Switzerland.This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).; identifier:Journal of clinical medicine Vol.11 No.17 Article No.5165 (2022 Aug); identifier:20770383; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4099; identifier:Journal of clinical medicine, 11(17): Article No.5165
• 国立国会図書館永続的識別子: info:ndljp/pid/13120257; https://dl.ndl.go.jp/pid/13120257
• 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）: 2023-12-05T21:41:08+09:00
• 記録形式（IMT）: application/pdf
• 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://hdl.handle.net/10564/4099
• 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