| Item type |
文献 / Documents(1) |
| 公開日 |
2024-09-19 |
| アクセス権 |
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|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版社版DOI |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.3390/jcm13164866 |
|
|
言語 |
ja |
|
|
関連名称 |
10.3390/jcm13164866 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
The Respiratory Adjusted Shock Index at Admission Is a Valuable Predictor of In-Hospital Outcomes for Elderly Emergency Patients with Medical Diseases at a Japanese Community General Hospital |
|
言語 |
en |
| 著者 |
ホリ, タイキ
粟飯原, 賢一
渡邊, 毅
稲葉, 香織
稲葉, 圭佑
カネコ, ヨウスケ
カワタ, サキ
川人, 圭祐
キタ, ヒロキ
シミズ, カズマ
ホソキ, ミナエ
モリ, ケンスケ
影治, 照喜
ウラオカ, ヒデユキ
中村, 信元
|
| 抄録 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: The respiratory adjusted shock index (RASI) is a risk score whose usefulness in patients with sepsis and trauma has previously been reported. However, its relevance in elderly emergency patients with medical diseases is yet to be clarified. This study assessed the usefulness of the RASI, which can be evaluated without requiring special equipment, to provide objective and rapid emergency responses. Methods: In this retrospective study, we recruited patients with medical diseases, aged 65 years or older, who were transported to the emergency room from Tokushima Prefectural Kaifu Hospital and underwent arterial blood gas testing from 1 January 2022 to 31 December 2023. We investigated the association of the RASI with other indices, including the lactate level, National Early Warning Score 2 (NEWS2), Shock Index (SI), Sequential Organ Failure Assessment (SOFA) score, quick SOFA (qSOFA) score, and systemic inflammatory response syndrome (SIRS). Results: In this study, we included 260 patients (mean age, 86 years), of whom 234 were admitted to the hospital; 27 and 49 patients died within 7 and 30 days of admission, respectively. The RASI was positively correlated with the lactate level, NEWS2, SI, and increase in the SOFA score (p < 0.001). The RASI was higher in patients with a SIRS or qSOFA score ≥ 2 than in those without (p < 0.001). It predicted death within 7 and 30 days of admission with an area under the curve (AUC) of 0.80 (95% confidence interval [CI]: 0.73–0.87), sensitivity of 96.3%, and specificity of 53.6% when the cutoff value was set to 1.58 and with an AUC of 0.73 (95% CI: 0.66–0.81), sensitivity of 69.4%, and specificity of 70.6% when the cutoff value was set to 1.83, respectively. Conclusions: The RASI is a simple indicator that can be used for predicting in-hospital outcomes in elderly emergency patients with medical diseases. Larger prospective studies based on this study are needed. |
|
言語 |
en |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
respiratory adjusted shock index |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
elderly |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
emergency room |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
medical diseases |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
prognosis |
| 書誌情報 |
en : Journal of Clinical Medicine
巻 13,
号 16,
p. 4866,
発行日 2024-08-18
|
| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
20770383 |
| 出版者 |
|
|
出版者 |
MDPI |
|
言語 |
en |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
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/). |
| EID |
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|
識別子 |
414363 |
|
識別子タイプ |
URI |
| 言語 |
|
|
言語 |
eng |
jcm_13_16_4866.pdf (865 KB)
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