{"created":"2023-05-15T16:49:37.283642+00:00","id":27136,"links":{},"metadata":{"_buckets":{"deposit":"924f3f4e-1342-40c4-89c0-6cb08991f928"},"_deposit":{"created_by":6,"id":"27136","owners":[6],"pid":{"revision_id":0,"type":"depid","value":"27136"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00027136","sets":["10:11"]},"author_link":["120993","120995","120994","120996","120997","120998"],"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-01-28","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageStart":"e28657","bibliographicVolumeNumber":"101","bibliographic_titles":[{"bibliographic_title":"Medicine"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The differences between the pathologies of cases of type A acute aortic dissection (AAD) that did and did not result in prehospital death (PHD) have not been fully elucidated.\n This study aimed to compare the CT findings and clarify the differences between the pathologies of such cases.\n Ninety four consecutive type A AAD patients between 2010 and 2020 were enrolled in this study. There were 47 males and 47 females (mean age: 69.0 ± 14.4 years). The patients were divided into those that did (n = 25, 27%) and did not (n = 69, 73%) suffer PHD. We retrospectively evaluated the CT or postmortem CT findings of each case and analyzed the relationships between clinical factors (CT findings and clinical characteristics) and PHD using logistic regression analysis.\nBloody pericardial effusion (96% vs 35%, P < .0001), bloody pleural effusion (40% vs 1%, P < .0001), and mediastinal hematomas (88% vs 14%, P < .0001) were significantly more common in the PHD group than in the no PHD group.\n In the multivariate logistic regression analysis, bloody pericardial effusion and lung consolidation were found to be significant risk factors for PHD (odds ratio: 21.29 [95% confidence intervals {CI}: 1.19–248.29] and 13.72 [95% CI: 1.79–105.06], respectively; P = .014 and P = .012, respectively). AD affecting the abdominal aorta was identified as a significant negative risk factor for PHD (odds ratio: 0.02 [95% CI: 0.01–0.65]; P = .0042).\n Most PHD due to type A AAD are associated with hemorrhaging. Bleeding into the pericardium and type A AAD confined to the thoracic aorta are significant risk factors for PHD. Secondary respiratory failure might contribute to PHD in such cases.","subitem_description_type":"Abstract"}]},"item_2_description_63":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Medicine, 101(4), e28657; 2022","subitem_description_type":"Other"}]},"item_2_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Wolters Kluwer Health, Inc."}]},"item_2_relation_12":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1097/MD.0000000000028657","subitem_relation_type_select":"DOI"}}]},"item_2_rights_13":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2022 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal."}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0025-7974","subitem_source_identifier_type":"ISSN"}]},"item_2_source_id_8":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"1536-5964","subitem_source_identifier_type":"ISSN"}]},"item_2_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":"Sueyoshi, Eijun"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Murakami, Tomonori"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"He, Xi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Koike, Hirofumi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nagayama, Hiroki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Uetani, Masataka"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-03-01"}],"displaytype":"detail","filename":"Medicine101_e28657.pdf","filesize":[{"value":"396.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"Medicine101_e28657.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/27136/files/Medicine101_e28657.pdf"},"version_id":"7ccd24d9-adef-4c92-8c60-25e84b2ac6e8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"acute aortic dissection","subitem_subject_scheme":"Other"},{"subitem_subject":"complication","subitem_subject_scheme":"Other"},{"subitem_subject":"CT","subitem_subject_scheme":"Other"},{"subitem_subject":"sudden death","subitem_subject_scheme":"Other"},{"subitem_subject":"type A","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"CT findings of type A acute aortic dissection that did and did not result in prehospital death","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"CT findings of type A acute aortic dissection that did and did not result in prehospital death"}]},"item_type_id":"2","owner":"6","path":["11"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-03-01"},"publish_date":"2022-03-01","publish_status":"0","recid":"27136","relation_version_is_last":true,"title":["CT findings of type A acute aortic dissection that did and did not result in prehospital death"],"weko_creator_id":"6","weko_shared_id":-1},"updated":"2023-05-15T19:57:01.873718+00:00"}