{"created":"2025-01-14T04:27:07.764991+00:00","id":2000734,"links":{},"metadata":{"_buckets":{"deposit":"ef7f37ac-3a18-4a1b-961d-a7bdb4ed2584"},"_deposit":{"created_by":11,"id":"2000734","owner":"11","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"2000734"},"status":"published"},"_oai":{"id":"oai:hirosaki.repo.nii.ac.jp:02000734","sets":["557:666:1733727873643"]},"author_link":[],"control_number":"2000734","item_1735019115310":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Objective: To investigate the effects of combined early oral healthcare and early mobilisation on the incidence of stroke-associated pneumonia during hospitalisation of acute stroke patients.\nMaterials and methods: In this single-centre, non-blinded, before-and-after cohort study, patients received basic stroke rehabilitation by a multidisciplinary team within 72 h of symptom onset from July to September 2016 and from July to September 2018. Patients were divided into two groups: 1) patients who received combined early oral healthcare and early mobilisation (early intervention group) (n=107), and 2) patients who received usual care (control group) (n=107). The relationship between the stroke-associated pneumonia incidence and prognosis was examined.\nResults: The early intervention group had a significantly lower incidence of stroke-associated pneumonia than the control group (0.93% vs. 7.48%; P=0.01). Moreover, the early intervention group had a significantly lower proportion of patients who died or required medical care because of recurrent pneumonia at discharge (0.93% vs. 5.6%; P=0.04). In contrast, there were no significant differences between the two groups regarding the Revised Hasegawa's Dementia Scale on day 14 (22.5 vs. 23; P=0.87), Functional Independence Measure on day 14 (112 vs. 116; P=0.06), and rate of total oral diet (Food Intake LEVEL Scale ≥7) at discharge (95.2% vs. 93.5%; P=0.55).\nConclusions: Combined early oral healthcare and early mobilisation by a multidisciplinary team significantly decreased the stroke-associated pneumonia incidence within 7 days and reduced the percentage of patients who died or required medical care because of recurrent pneumonia after stroke.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_1735020952570":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"10.1016/j.jstrokecerebrovasdis.2022.106893.","subitem_relation_type_select":"DOI"}}]},"item_30001_access_rights4":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_30001_bibliographic_information17":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageStart":"106893","bibliographicVolumeNumber":"32","bibliographic_titles":[{"bibliographic_title":"Journal of Stroke and Cerebrovascular Diseases","bibliographic_titleLang":"en"}]}]},"item_30001_creator2":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"藤田, 彩香","creatorNameLang":"ja"}]}]},"item_30001_date_granted20":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2024-09-30"}]},"item_30001_degree_grantor21":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"弘前大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"11101","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_30001_degree_name19":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）","subitem_degreename_language":"ja"}]},"item_30001_description8":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"Author: Ayaka Fujita, Manabu Iwata, Joji Hagii, Norifumi Metoki, Hiroshi Shiroto, Eiichi Tsuda","subitem_description_language":"en","subitem_description_type":"Other"},{"subitem_description":"Citation: Journal of Stroke and Cerebrovascular Diseases ;32(1):106893, 2023 Jan","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_30001_dissertation_number18":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第2303号"}]},"item_30001_file22":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-01-14"}],"filename":"tdm_2303_fujita.pdf","filesize":[{"value":"413 KB"}],"format":"application/pdf","licensetype":"license_5","mimetype":"application/pdf","url":{"label":"本文","objectType":"fulltext","url":"https://hirosaki.repo.nii.ac.jp/record/2000734/files/tdm_2303_fujita.pdf"},"version_id":"69d2a89a-7e55-435e-be58-ddfc2aa78548"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-01-14"}],"filename":"tdm_2303_fujita_a1.pdf","filesize":[{"value":"179 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"内容要旨","objectType":"abstract","url":"https://hirosaki.repo.nii.ac.jp/record/2000734/files/tdm_2303_fujita_a1.pdf"},"version_id":"e48feed8-e82a-4a66-b62e-10dfc455f666"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-01-14"}],"filename":"tdm_2303_fujita_a2.pdf","filesize":[{"value":"437 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"label":"審査要旨","objectType":"abstract","url":"https://hirosaki.repo.nii.ac.jp/record/2000734/files/tdm_2303_fujita_a2.pdf"},"version_id":"924d7f1f-fb8b-4e9a-bf07-65e3e046e601"}]},"item_30001_language10":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_30001_publisher9":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Elsevier","subitem_publisher_language":"en"}]},"item_30001_resource_type11":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_30001_rights5":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"© 2022 Elsevier Inc. All rights reserved.","subitem_rights_language":"en"}]},"item_30001_source_identifier16":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1532-8511","subitem_source_identifier_type":"EISSN"}]},"item_30001_subject7":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Early mobilisation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Oral health care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Stroke multidisciplinary team","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Stroke-associated pneumonia","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_30001_title0":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"The effects of combined early oral health care and early mobilisation on the incidence of stroke-associated pneumonia","subitem_title_language":"en"}]},"item_30001_version_type12":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_title":"The effects of combined early oral health care and early mobilisation on the incidence of stroke-associated pneumonia","item_type_id":"40034","owner":"11","path":["1733727873643"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-01-14"},"publish_date":"2025-01-14","publish_status":"0","recid":"2000734","relation_version_is_last":true,"title":["The effects of combined early oral health care and early mobilisation on the incidence of stroke-associated pneumonia"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2025-01-28T05:07:40.666883+00:00"}