| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2024-06-26 |
| タイトル |
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タイトル |
Significance of Preoperative Body Composition Assessment on the Short-term Outcomes of Elective Cardiac Surgery |
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言語 |
en |
| 言語 |
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言語 |
eng |
| 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 |
Shinichiro, IENAGA
Ken, SUGIMOTO
Masahiko, KUINOSE
Moe, SAKAMAKI
Kotone, TSUJIMOTO
Naoki, MORIMOTO
Tomoki, YAMATSUJI
Yoshio, NAOMOTO
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| 著者所属(英) |
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en |
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Department of Emergency Medicine, Kawasaki Medical School General Medical Center |
| 著者所属(英) |
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en |
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Department of General Geriatric Medicine |
| 著者所属(英) |
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en |
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Department of General Surgery, Kawasaki Medical School |
| 著者所属(英) |
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en |
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Kawasaki Medical School General Medical Center |
| 著者所属(英) |
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en |
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Department of General Surgery, Kawasaki Medical School |
| 著者所属(英) |
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en |
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Department of Emergency Medicine, Kawasaki Medical School General Medical Center |
| 著者所属(英) |
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en |
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Department of General Surgery, Kawasaki Medical School |
| 著者所属(英) |
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en |
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Kawasaki Medical School General Medical Center |
| 著者所属(英) |
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en |
| キーワード |
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言語 |
en |
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主題Scheme |
Other |
|
主題 |
Cardiac Surgery |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Visceral fat |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Muscle mass |
| キーワード |
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言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Muscle quality |
| キーワード |
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|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Prognosis |
| 抄録(英) |
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|
en |
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ABSTRACT Background: Traditionally, surgical risk is determined by a preoperative assessment of age, comorbidities, and performance status. Although it is known that various age associated factors affect postoperative outcomes in the elderly, evidence in the field of cardiac surgery is still insufficient. In patients aged 50+ admitted to our hospital for elective cardiac surgery, body composition was evaluated immediately before surgery and its association with length of Intensive Care Unit (ICU) stay, length of hospital stay, and outcome was examined.<br>Methods: In 101 consecutive patients (52 with valvular disease, 24 with ischemic heart disease, 12 with arrhythmia, 11 with aortic aneurysm, and 2 with cardiac tumor) bioelectrical impedance analysis body composition measurements were taken on the day of surgery, and skeletal muscle mass index (SMI), the ratio of visceral fat area to skeletal muscle mass (VFA/ SMM), and Phase Angle (PA) were measured and calculated.<br>Results: The subjects’age was 72.0 ± 8.8 years, body mass index (BMI) was 22.3 ± 3.9 kg/ m2, the length of hospital stay was 35.6 ± 28.0 days, and the ICU stay was 4.1 ± 3.1 days. The outcomes were 81 patients (80.2%) discharged to their home, 16 (15.8%) transferred to other hospitals, and 4 (4.0%) died.<br>A low SMI was associated with a longer hospital stay (p < 0.01), a high VFA/SMM was associated with transfer to another hospital or death (p < 0.05), and a PA <4.5 in men and <4.0 in women was associated with a longer hospital stay (p < 0.05).<br>Conclusion: Low skeletal muscle mass, a high visceral fat area to skeletal muscle mass ratio, and poor muscle quality were all associated with a worse short-term prognosis in patients undergoing elective cardiac surgery. |
| 書誌情報 |
en : Kawasaki medical journal
巻 49,
p. 15-24,
発行日 2023
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| 出版者 |
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|
出版者 |
Kawasaki Medical Society |
|
言語 |
en |
| ISSN |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
03850234 |
| ISSN |
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収録物識別子タイプ |
EISSN |
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収録物識別子 |
24343404 |
| 書誌レコードID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA12029005 |
| 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/10.11482/KMJ-E202349015 |
| 記事種別(英) |
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内容記述 |
Regular Article |
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言語 |
en |
| 関連サイト |
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識別子タイプ |
URI |
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|
関連識別子 |
https://igakkai.kms-igakkai.com/wp/wp-content/uploads/2023en/KMJ-E202349015.pdf |
| 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 |
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