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Postoperative delirium in liver resection patients: Usefulness of the abdominal wall fat index
http://hdl.handle.net/10069/38821
http://hdl.handle.net/10069/388210694c615-67cd-4436-bf31-6769d0d23833
名前 / ファイル | ライセンス | アクション |
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ActMed62_43.pdf (541.0 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2019-02-18 | |||||
タイトル | ||||||
タイトル | Postoperative delirium in liver resection patients: Usefulness of the abdominal wall fat index | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | postoperative delirium | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | abdominal wall fat index | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | AFI | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | elderly | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | risk factor | |||||
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 | departmental bulletin paper | |||||
著者 |
Kuroki, Tamotsu
× Kuroki, Tamotsu× Kitasato, Amane× Kugiyama, Tota× Hirayama, Takanori× Imai, Ryo× Adachi, Toshiyuki× Tokunaga, Takayuki× Takeshita, Hiroaki× Taniguchi, Ken× Maeda, Shigeto× Fujioka, Hikaru |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Postoperative delirium is one of the most common and important complications in patients who have undergone surgery. Although the precise mechanism of postoperative delirium is unclear, several risk factors have been reported. Here we investigated candidate risk factors for postoperative delirium after liver resection. This retrospective analysis included 112 consecutive patients who underwent an elective liver resection. Preoperative and intraoperative parameters were analyzed for their potential as risk factors of postoperative delirium. Thirty-one patients (27.7%) developed postoperative delirium. A multivariate analysis showed that advanced age (odds ratio [OR] = 1.189, 95% confidence interval [95%CI] = 1.081?1.309, p<0.001), the abdominal wall fat index (AFI) (OR 14.904, 95%CI 3.072?72.319, p<0.001), and non-laparoscopic surgery (OR 5.496, 95%CI 1.237?24.413, p=0.025) were independent risk factors for postoperative delirium. The AFI had a high OR for postoperative delirium. The area under the receiver-operating characteristic (ROC) curve was 0.806 (95%CI, 0.713?0.896) with a calculated optimal cut-off value of 1.0. The AFI is thus the most useful predictor for postoperative delirium after liver resection. Elderly patients with a higher AFI (>1.0) and open liver resection are associated with an increased risk of postoperative delirium. |
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書誌情報 |
Acta medica Nagasakiensia 巻 62, 号 2, p. 43-47, 発行日 2019-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | Nagasaki University School of Medicine | |||||
出版者別言語 | ||||||
長崎大学医学部 | ||||||
sortkey | ||||||
01 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia, 62(2), pp.43-47; 2019 |