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However, the association between FO and delirium duration remains unclear.\n\nMethods\nThis retrospective observational cohort study was undertaken at University of Tsukuba Hospital (Tsukuba, Japan) from April 2015 to March 2017. Mechanically ventilated patients who stayed in the intensive care unit for more than 7 days were eligible for inclusion. Univariate analysis was carried out with the Mann–Whitney U-test for continuous variables and Fisher’s exact test for categorical variables. A multivariate proportional odds logistic regression model was used to evaluate the association between FO and delirium/coma days (DCDs) during the 7-day study period.\n\nResults\nA total of 118 patients were included and divided into FO and non-FO groups. Fluid overload occurred in 40% of patients. The FO group had a higher APACHE II score than the non-FO group (19 [16–26] versus 23 [20–29], P = 0.017). Cumulative fluid balance at day 3 was higher in the FO group (3,238 [281–6,530] versus 7,886 [4,106–10,631], P \u003c 0.001). Delirium days within 7 days was longer in the FO group (1 [0–3] versus 2 [1–3], P = 0.048) and DCDs was longer in the FO group (4 [1–5] versus 6 [3–7], P = 0.002). After adjusting for covariates, there were significant associations between FO and DCDs (odds ratio, 2.16; 95% confidence interval, 1.05–4.47).\n\nConclusions\nOur findings suggest that FO is associated with increased DCDs in mechanically ventilated patients.", "subitem_description_type": "Abstract"}]}, "item_10001_publisher_8": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Japanese Association for Acute Medicine"}, {"subitem_publisher": "日本救急医学会"}]}, "item_10001_relation_13": {"attribute_name": "PubMed番号", "attribute_value_mlt": [{"subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "32431848", "subitem_relation_type_select": "PMID"}}]}, "item_10001_relation_14": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type": "isIdenticalTo", "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1002/ams2.508", "subitem_relation_type_select": "DOI"}}]}, "item_10001_relation_17": {"attribute_name": "関連サイト", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "Acute Medicine \u0026 Surgery"}], "subitem_relation_type_id": {"subitem_relation_type_id_text": "https://doi.org/10.1002/ams2.508", "subitem_relation_type_select": "DOI"}}]}, "item_10001_relation_18": {"attribute_name": "他の資源との関係", "attribute_value_mlt": [{"subitem_relation_name": [{"subitem_relation_name_text": "isIdenticalTo:https://doi.org/10.1002/ams2.508"}]}]}, "item_10001_rights_15": {"attribute_name": "権利", "attribute_value_mlt": [{"subitem_rights": "© 2020 The Authors. 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Association between fluid overload and delirium/coma in mechanically ventilated patients
https://jrckicn.repo.nii.ac.jp/records/861
https://jrckicn.repo.nii.ac.jp/records/861b9c10f0f-3f7e-4321-973d-8391f26463e6
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2022-07-13 | |||||
タイトル | ||||||
タイトル | Association between fluid overload and delirium/coma in mechanically ventilated patients | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Association between fluid overload and delirium/coma in mechanically ventilated patients | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題 | brain dysfunction | |||||
キーワード | ||||||
言語 | en | |||||
主題 | delirium | |||||
キーワード | ||||||
言語 | en | |||||
主題 | fluid | |||||
キーワード | ||||||
言語 | en | |||||
主題 | fluid overload | |||||
キーワード | ||||||
言語 | en | |||||
主題 | intensive care | |||||
資源タイプ | ||||||
資源タイプ | journal article | |||||
著者 |
大内, 玲
× 大内, 玲× 櫻本, 秀明× 星野, 晴彦× 松石, 雄二朗× SAKAGUCHI, Tatsuya× 榎本, 有希× 星野, 哲也× 下條, 信威× 井上, 貴昭 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Aim Several studies have shown an association between fluid overload (FO) and mortality or duration of mechanical ventilation in critically ill patients. However, the association between FO and delirium duration remains unclear. Methods This retrospective observational cohort study was undertaken at University of Tsukuba Hospital (Tsukuba, Japan) from April 2015 to March 2017. Mechanically ventilated patients who stayed in the intensive care unit for more than 7 days were eligible for inclusion. Univariate analysis was carried out with the Mann–Whitney U-test for continuous variables and Fisher’s exact test for categorical variables. A multivariate proportional odds logistic regression model was used to evaluate the association between FO and delirium/coma days (DCDs) during the 7-day study period. Results A total of 118 patients were included and divided into FO and non-FO groups. Fluid overload occurred in 40% of patients. The FO group had a higher APACHE II score than the non-FO group (19 [16–26] versus 23 [20–29], P = 0.017). Cumulative fluid balance at day 3 was higher in the FO group (3,238 [281–6,530] versus 7,886 [4,106–10,631], P < 0.001). Delirium days within 7 days was longer in the FO group (1 [0–3] versus 2 [1–3], P = 0.048) and DCDs was longer in the FO group (4 [1–5] versus 6 [3–7], P = 0.002). After adjusting for covariates, there were significant associations between FO and DCDs (odds ratio, 2.16; 95% confidence interval, 1.05–4.47). Conclusions Our findings suggest that FO is associated with increased DCDs in mechanically ventilated patients. |
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書誌情報 |
Acute Medicine & Surgery en : Acute Medicine & Surgery 巻 7, 号 1, p. e508, 発行日 2020-01 |
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出版者 | ||||||
出版者 | Japanese Association for Acute Medicine | |||||
出版者 | ||||||
出版者 | 日本救急医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 20528817 | |||||
PubMed番号 | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | PMID | |||||
関連識別子 | 32431848 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1002/ams2.508 | |||||
権利 | ||||||
権利情報 | © 2020 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine | |||||
権利 | ||||||
権利情報 | This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. | |||||
関連サイト | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1002/ams2.508 | |||||
関連名称 | Acute Medicine & Surgery | |||||
他の資源との関係 | ||||||
関連名称 | isIdenticalTo:https://doi.org/10.1002/ams2.508 | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
著者版フラグ | ||||||
出版タイプ | VoR |