Item type |
学術雑誌論文 / Journal Article(1) |
公開日 |
2022-04-01 |
タイトル |
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タイトル |
Analysis of water balance for perioperative management in coronary artery bypass grafting |
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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 |
OCHIAI, Yoko
WATANABE, Tatsuya
OHASHI, Ichiro
KATAYAMA, Hiroshi
ISHIDA, Naomasa
HAYASHI, Masao
TAKAOKA, Munenori
KUINOSE, Masahiko
SUGIMOTO, Ken
TODA, Yuichiro
NAKATSUKA, Hideki
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著者所属(英) |
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en |
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Department of Anesthesiology and Intensive Care Medicine 3 |
著者所属(英) |
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en |
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Department of General Surgery |
著者所属(英) |
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en |
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Department of Anesthesiology and Intensive Care Medicine 3 |
著者所属(英) |
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en |
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Department of Anesthesiology and Intensive Care Medicine 3 |
著者所属(英) |
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en |
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Department of General Surgery |
著者所属(英) |
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en |
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Department of Anesthesiology and Intensive Care Medicine 3 |
著者所属(英) |
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en |
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Department of General Surgery |
著者所属(英) |
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en |
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Department of General Surgery |
著者所属(英) |
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en |
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General and Geriatric Medicine |
著者所属(英) |
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en |
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Department of Anesthesiology and Intensive Care Medicine 2 |
著者所属(英) |
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en |
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Department of Anesthesiology and Intensive Care Medicine 1, Kawasaki Medical School |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Coronary artery bypass graft |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Bioelectrical impedance analysis |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Edema index |
キーワード |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
Perioperative water balance |
抄録(英) |
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en |
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For patients who undergo heart surgery, it is well known that good perioperative body fluid management is important because it can affect the postoperative course, particularly the development of complications. The purpose of this study was to clarify the perioperative water balance in coronary artery bypass grafting (CABG) patients and to determine if certain prognostic predictive markers could be adapted for CABG perioperative care. Additionally, fluid balance was examined in CABG surgeries with and without a cardiopulmonary bypass (CPB). Eighteen patients who underwent CABG at Kawasaki Medical Hospital from March 2018 to February 2021 had their perioperative body water levels tracked. An InBody S10 body water analysis machine was used for measurements and the results were retrospectively analyzed. Correlations were found between the preoperative edema index (EI), which is the ratio of extracellular water to TBW, and various predictive markers including preoperative hemoglobin (R2 : 0.4422, p = 0.0026), albumin (R2 : 0.436, p = 0.00286), eGFR (R2 : 0.305, p = 0.0173), and body mass index (BMI) (R2 : 0.2426, p = 0.0378). There was also a correlation between the maximum postoperative value of EI and the length of intensive care unit stay (R2 : 0.3562, p = 0.01466). A sub-analysis was performed of CABG surgeries performed with and without a CPB. Non-CPB surgeries had a larger change in TBW, while CPB surgeries experienced a significantly larger change in EI. The EI can be a predictor of prognosis in CABG surgeries, and fluctuations in the EI were found to vary significantly depending on whether CPB was used or not. |
書誌情報 |
en : Kawasaki medical journal
巻 47,
p. 55-62,
発行日 2021
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出版者 |
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出版者 |
Kawasaki Medical Society |
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 |
AA12685295 |
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-E202147055 |
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/2021en/KMJ-E202147055.pdf |
著者版フラグ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |