| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2022-07-12 |
| タイトル |
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タイトル |
Type D personality is a predictor of prolonged acute brain dysfunction (delirium/coma) after cardiovascular surgery |
| タイトル |
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タイトル |
Type D personality is a predictor of prolonged acute brain dysfunction (delirium/coma) after cardiovascular surgery |
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言語 |
en |
| 言語 |
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言語 |
eng |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
delirium |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
delirium/coma days |
| キーワード |
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言語 |
en |
|
主題Scheme |
Other |
|
主題 |
type D personality |
| キーワード |
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言語 |
en |
|
主題Scheme |
Other |
|
主題 |
depression |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
thoracic surgery |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
intensive care units |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
critical care |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
松石, 雄二朗
下條, 信威
卯野木, 健
櫻本, 秀明
徳永, 千穂
吉野, 靖代
星野, 晴彦
大内, 玲
河野, 了
坂本, 裕昭
平松, 祐司
井上, 貴昭
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| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Background
Previous studies have shown a relationship between delirium and depressive symptoms after cardiac surgery with distress personalities linking to negative surgical outcomes. The aim of the present study is to further investigate the association between patients with Type D (distressed) personality with regards to delirium after cardiac surgery.
Methods
We conducted a consecutive-sample observational cohort pilot study with an estimated 142 patients needed. Enrollment criteria included patients aged ≥18 years who were undergoing planned cardiovascular, thoracic and abdominal artery surgery between October 2015 to August 2016 at the University of Tsukuba Hospital, Japan. All patients were screened by Type-D Personality Scale-14 (DS14) as well as the Hospital Anxiety and Depression Scale (HADS) the day before surgery. Following surgery, daily data was collected during recovery and included severity of organ dysfunction, sedative/analgesic exposure and other relevant information. We then evaluated the association between Type D personality and delirium/coma days (DCDs) during the 7-day study period. We applied regression and mediation modeling for this study.
Results
A total of 142 patients were enrolled in the present study and the total prevalence of delirium was found to be 34% and 26% of the patients were Type D. Non-Type D personality patients experienced an average of 1.3 DCDs during the week after surgery while Type D patients experienced 2.1 days over the week after surgery. Multivariate analysis showed that Type D personality was significantly associated with increased DCDs (OR:2.8, 95%CI:1.3–6.1) after adjustment for depressive symptoms and clinical variables. Additionally, there was a significant Type D x depression interaction effect (OR:1.7, 95% CI:1.2–2.2), and depressive symptoms were associated with DCDs in Type D patients, but not in non-Type D patients. Mediation modeling showed that depressive symptoms partially mediated the association of Type D personality with DCDs (Aroian test =0.04).
Conclusions
Type D personality is a prognostic predictor for prolonged acute brain dysfunction (delirium/coma) in cardiovascular patients independent from depressive symptoms and Type D personality-associated depressive symptoms increase the magnitude of acute brain dysfunction. |
| 内容記述 |
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内容記述タイプ |
Other |
|
内容記述 |
Research article |
| 書誌情報 |
BMC Psychology
en : BMC Psychology
巻 7,
号 1,
p. 27,
発行日 2019
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| 出版者 |
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出版者 |
BioMed Central Ltd |
| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
2050-7283 |
| DOI |
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関連タイプ |
isIdenticalTo |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1186/s40359-019-0303-2 |
| 権利 |
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権利情報 |
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
| 関連サイト |
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識別子タイプ |
DOI |
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関連識別子 |
https://doi.org/10.1186/s40359-019-0303-2 |
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関連名称 |
BMC(Springer Nature) |
| 他の資源との関係 |
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関連名称 |
isIdenticalTo:https://doi.org/10.1186/s40359-019-0303-2 |
| フォーマット |
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内容記述タイプ |
Other |
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内容記述 |
application/pdf |
| 著者版フラグ |
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出版タイプ |
VoR |
本文 (1.2 MB)
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