Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients

• 資料種別: 博士論文
• タイトル: Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients
• 著者・編者: Hokari, Satoshi
• 出版事項: 新潟大学
• 出版年月日等: 2015-03-23
• 出版年（W3CDTF）: 2015-03-23
• 並列タイトル等: Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients; 消化器手術の術後呼吸器合併症予測に関する呼吸不全リスク指数の優越性
• 授与機関名: 新潟大学
• 授与年月日: 2015-03-23
• 授与年月日（W3CDTF）: 2015-03-23
• 報告番号: 甲第3998号
• 学位: 博士（医学）
• 博論授与番号: 甲第3998号
• 本文の言語コード: eng
• 件名標目: postoperative pulmonary complications; postoperative respiratory failure; postoperative pneumonia; respiratory failure risk index
• 一般注記: Background: Several multifactorial risk indexes have been proposed by Western countries for identifying patients at a high risk of developing postoperative pulmonary complications (PPC). However, there is no consensus on how to evaluate the risk of PPC and what multifactorial risk index should be adapted for Japanese patients. This study aimed at clarifying the utility of risk indexes to predict PPC following digestive surgeries in Japanese patients. Methods: We retrospectively analyzed 892 patients who underwent digestive surgeries under general anesthesia in Niigata University Medical and Dental Hospital between January 2009 and March 2011. PPC was defined as postoperative respiratory failure and postoperative pneumonia. We calculated three risk indexes; respiratory failure risk index (RFRI), postoperative pneumonia risk index, and PPC risk score, and compared them between the PPC and the non-PPC group. A receiver operating characteristic (ROC) curve analysis was employed to compare the usefulness of each index. Results: PPC developed in 55 patients (6.2%). All risk indexes were significantly higher in the PPC group than non-PPC group. The category classification of the risk scores demonstrated a significant tendency to increase the incidence rate of PPC. In the ROC analysis, the area under the curve for RFRI was 0.762 (95% CI 0.697-0.826), which was the highest value observed among these indexes. Conclusions: Multifactorial risk indexes are useful tools for identifying Japanese patients at a high risk of developing PPC following digestive surgeries. Of the risk indexes evaluated in this study, RFRI is potentially the most accurate in predicting PPC.; 学位の種類: 博士（医学）. 報告番号: 甲第3998号. 学位記番号: 新大院博（医）甲第644号. 学位授与年月日: 平成27年3月23日; Respiratory Investigation. 2015, 53(3), 104-110.; 新大院博（医）甲第644号; 開始ページ : 1; 終了ページ : 33
• DOI: info:doi/10.1016/j.resinv.2014.12.004; https://doi.org/info:doi/10.1016/j.resinv.2014.12.004
• 国立国会図書館永続的識別子: info:ndljp/pid/9984330; https://dl.ndl.go.jp/pid/9984330
• 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）: 2016-06-03T01:05:16+09:00
• 作成日（W3CDTF）: 2019-08-05
• 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/10191/32282
• 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