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

• Material Type: 博士論文
• Title: Superiority of respiratory failure risk index in prediction of postoperative pulmonary complications after digestive surgery in Japanese patients
• Author/Editor: Hokari, Satoshi
• Publication, Distribution, etc.: 新潟大学
• Publication Date: 2015-03-23
• Publication Date (W3CDTF): 2015-03-23
• Alternative Title: 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
• Degree grantor/type: 新潟大学
• Date Granted: 2015-03-23
• Date Granted (W3CDTF): 2015-03-23
• Dissertation Number: 甲第3998号
• Degree Type: 博士（医学）
• Conferring No. (Dissertation): 甲第3998号
• Text Language Code: eng
• Subject Heading: postoperative pulmonary complications; postoperative respiratory failure; postoperative pneumonia; respiratory failure risk index
• Note (General): 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
• Persistent ID (NDL): info:ndljp/pid/9984330; https://dl.ndl.go.jp/pid/9984330
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 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
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2016-06-03T01:05:16+09:00
• Date Created (W3CDTF): 2019-08-05
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/10191/32282
• Data Provider (Database): 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