{"created":"2023-05-15T16:30:25.832324+00:00","id":1553,"links":{},"metadata":{"_buckets":{"deposit":"4cd759da-e472-463a-96e6-aa958a55bead"},"_deposit":{"created_by":2,"id":"1553","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"1553"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00001553","sets":["29:30:1713167819629:151"]},"author_link":["7465","7466","7469","7464","7460","7463","7470","7462","7467","7468","7461"],"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"47","bibliographicPageStart":"43","bibliographicVolumeNumber":"62","bibliographic_titles":[{"bibliographic_title":"Acta medica Nagasakiensia"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Postoperative delirium is one of the most common and important complications in patients who have undergone surgery. \nAlthough the precise mechanism of postoperative delirium is unclear, several risk factors have been reported. Here we \ninvestigated 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 \ncalculated 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.","subitem_description_type":"Abstract"}]},"item_3_description_64":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Acta medica Nagasakiensia, 62(2), pp.43-47; 2019","subitem_description_type":"Other"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagasaki University School of Medicine"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508430","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_3_text_62":{"attribute_name":"sortkey","attribute_value_mlt":[{"subitem_text_value":"01"}]},"item_3_text_63":{"attribute_name":"出版者別言語","attribute_value_mlt":[{"subitem_text_value":"長崎大学医学部"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kuroki, Tamotsu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kitasato, Amane"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kugiyama, Tota"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hirayama, Takanori"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Imai, Ryo"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Adachi, Toshiyuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tokunaga, Takayuki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takeshita, Hiroaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Taniguchi, Ken"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Maeda, Shigeto"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Fujioka, Hikaru"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-18"}],"displaytype":"detail","filename":"ActMed62_43.pdf","filesize":[{"value":"541.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ActMed62_43.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/1553/files/ActMed62_43.pdf"},"version_id":"a217487f-ac36-4062-b950-6517719da3cd"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"postoperative delirium","subitem_subject_scheme":"Other"},{"subitem_subject":"abdominal wall fat index","subitem_subject_scheme":"Other"},{"subitem_subject":"AFI","subitem_subject_scheme":"Other"},{"subitem_subject":"elderly","subitem_subject_scheme":"Other"},{"subitem_subject":"risk factor","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Postoperative delirium in liver resection patients: Usefulness of the abdominal wall fat index","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Postoperative delirium in liver resection patients: Usefulness of the abdominal wall fat index"}]},"item_type_id":"3","owner":"2","path":["151"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-02-18"},"publish_date":"2019-02-18","publish_status":"0","recid":"1553","relation_version_is_last":true,"title":["Postoperative delirium in liver resection patients: Usefulness of the abdominal wall fat index"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2024-04-16T05:25:19.470834+00:00"}