基本情報
- 所属
- 自治医科大学 附属さいたま医療センター内科系診療部救急科 講師
- J-GLOBAL ID
- 201701001479141743
- Researcher ID
- E-5987-2016
- researchmap会員ID
- B000275391
- 外部リンク
研究分野
1論文
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Journal of medical case reports 11(1) 318-318 2017年11月11日 査読有り
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World neurosurgery 106 185-192 2017年10月 査読有り
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Scandinavian journal of trauma, resuscitation and emergency medicine 25(1) 95-95 2017年9月16日 査読有り
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JOURNAL OF EMERGENCY MEDICINE 53(3) 345-352 2017年9月 査読有り
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Acute medicine & surgery 4(3) 322-325 2017年7月 査読有り
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BMC anesthesiology 17(1) 59-59 2017年4月21日 査読有り
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Critical Care Medicine 45(2) e240-e241 2017年2月1日 査読有り
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Critical care medicine 45(2) e240-e241-E241 2017年2月 査読有り
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ACUTE MEDICINE & SURGERY 4(1) 119-122 2017年1月 査読有り
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Journal of intensive care 5(1) 37-37 2017年 査読有り
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Journal of intensive care 5(1) 8-8 2017年 査読有り
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ACUTE MEDICINE & SURGERY 3(4) 404-406 2016年10月 査読有り
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ANNALS OF EMERGENCY MEDICINE 68(4) 525-526 2016年10月 査読有り
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JOURNAL OF THORACIC DISEASE 8(10) E1435-E1437 2016年10月 査読有り
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JOURNAL OF THORACIC DISEASE 8(8) E791-E793 2016年8月 査読有り
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ACUTE MEDICINE & SURGERY 3(2) 132-134 2016年4月 査読有り
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CHEST 149(4) 1105-1106 2016年4月 査読有り
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Critical care (London, England) 20 49-49 2016年3月1日 査読有りBACKGROUND: The 2015 American Heart Association Guidelines for Cardiopulmonary Resuscitation recommend Basic Life Support (BLS) and Advanced Life Support (ALS) rules for termination of resuscitation (TOR). However, it is unclear whether the TOR rules are valid for out-of-hospital cardiac arrests (OHCAs) of both cardiac and non-cardiac etiologies. In this study, we validated the TOR rules for OHCA resulting from both etiologies. METHODS: This was a prospective multicenter observational study of OHCA patients transported to 67 emergency hospitals between January 2012 and March 2013 in the Kanto region of Japan. We calculated the specificity and positive predictive value (PPV) for neurologically unfavorable outcomes at one month in patients with OHCA of cardiac and non-cardiac etiologies. RESULTS: Of 11,505 eligible cases, 6,138 and 5,367 cases were of cardiac and non-cardiac etiology, respectively. BLS was performed on 2,818 and 2,606 patients with OHCA of cardiac and non-cardiac etiology, respectively. ALS was performed on 3,320 and 2,761 patients with OHCA of cardiac and non-cardiac etiology, respectively. The diagnostic accuracy of the TOR rules for predicting unfavorable outcomes in patients with OHCA of cardiac etiology who received BLS included a specificity of 0.985 (95% confidence interval [CI]: 0.956-0.997) and a PPV of 0.999 (95% CI: 0.996-1.000). In patients with OHCA from cardiac etiologies who received ALS, the TOR rules had a specificity of 0.963 (95% CI: 0.896-0.992) and a PPV of 0.997 (95% CI: 0.991-0.999). In patients with OHCA from non-cardiac etiologies who received BLS, the specificity was 0.915 (95% CI: 0.796-0.976) and PPV was 0.998 (95% CI: 0.995-0.999). For patients with OHCA from non-cardiac etiologies who received ALS, the specificity was 0.833 (95% CI: 0.586-0.964) and PPV was 0.996 (95% CI: 0.988-0.999). CONCLUSIONS: Both TOR rules have high specificity and PPV in patients with OHCA from cardiac etiologies. For patients with OHCA from non-cardiac etiologies, the rules had a high PPV, but relatively low specificity. Therefore, TOR rules are useful in patients with OHCA from cardiac etiologies, but should be applied with caution to patients with OHCA from non-cardiac etiologies.
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Chudoku kenkyu : Chudoku Kenkyukai jun kikanshi = The Japanese journal of toxicology 29(1) 21-5 2016年3月 査読有りThe intoxication caused by "kiken" drugs (law-evading drugs), such as synthetic cannabinoids, cathinones, and methoxetamine, has recently increased in Japan. We retrospectively examined the characteristics of patients poisoned with the "kiken" drugs. We included patients who presented at the emergency department at the Tokyo Metropolitan Bokutoh Hospital from January 2011 to December 2014. Eighteen patients admitted between January 2011 and December 2013 were included in the early period group and 10 patients admitted between January and December 2014 were categorized into the late period group. The number of the patients transported to our emergency department between 2011 and 2014 increased annually. Patients were mainly admitted between May and October 2014; no patients were admitted after November 2014. The patients' age, history of previous mental disease, habitual use, Triage DOA results, serum creatinine values on admission, and respiratory management differed significantly between the groups. However, the median serum creatinine values of both groups on admission were within the normal level. Patients poisoned with the "kiken" drugs showed more severe symptoms, higher rate of habitual use, and higher average age. The annual increase in the number of the patients observed thus far is expected to decrease in the future. Maintenance of the law and expansion of medical institutions that treat patients addicted to the "kiken" drugs are warranted.
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JOURNAL OF TRAVEL MEDICINE 22(1) 64-66 2015年1月 査読有り
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INTERNAL MEDICINE 53(24) 2829-2829 2014年 査読有り
MISC
245-
Journal of Japan Coma Society: JJCS 31(1) 55-55 2023年8月
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