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  1. 30 医学部・医学研究科・保健学研究科
  2. 30a 学術雑誌論文
  3. 1.学術雑誌論文

Delirium in hemodialysis predicts mortality: a single-center, long-term observational study

http://hdl.handle.net/10129/00006531
http://hdl.handle.net/10129/00006531
2288a7a4-1b66-40d5-b87f-b85fe70a85e3
名前 / ファイル ライセンス アクション
NDT-152355-3011.pdf NDT-152355-3011 (597.9 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2019-03-07
タイトル
タイトル Delirium in hemodialysis predicts mortality: a single-center, long-term observational study
言語
言語 jpn
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Yasui-Furukori, Norio

× Yasui-Furukori, Norio

Yasui-Furukori, Norio

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Tarakita, Natsumi

× Tarakita, Natsumi

Tarakita, Natsumi

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Uematsu, Waka

× Uematsu, Waka

Uematsu, Waka

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Saito, Hisao

× Saito, Hisao

Saito, Hisao

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Nakamura, Kazuhiko

× Nakamura, Kazuhiko

Nakamura, Kazuhiko

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Ohyama, Chikara

× Ohyama, Chikara

Ohyama, Chikara

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Sugawara, Norio

× Sugawara, Norio

Sugawara, Norio

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著者所属
値 Hirosaki Univ, Grad Sch Med, Dept Neuropsychiat
著者所属
値 Hirosaki Univ, Grad Sch Med, Dept Neuropsychiat
著者所属
値 Oyokyo Kidney Res Inst, Dept Urol
著者所属
値 Oyokyo Kidney Res Inst, Dept Urol
著者所属
値 Hirosaki Univ, Grad Sch Med, Dept Neuropsychiat
著者所属
値 Hirosaki Univ, Grad Sch Med, Dept Urol
著者所属
値 Natl Ctr Neurol & Psychiat, Dept Clin Epidemiol, Translat Med Ctr
抄録
内容記述タイプ Abstract
内容記述 Objectives: Delirium signifies underlying brain dysfunction; however, its clinical significance in hemodialysis remains unclear. In this study, we sought to determine whether the occurrence of delirium during hemodialysis was associated with higher mortality.

Patients and methods: This was a retrospective, 10-year cohort study. This study was performed at the urology department located within a hospital in Oyokyo, Hirosaki. We analyzed 338 of 751 patients who underwent hemodialysis. Psychiatrists diagnosed patients with delirium according to the corresponding DSM-IV-TR criteria. Cox proportional hazard regression, which was adjusted for patient age at the time of hemodialysis initiation, sex, and the presence of diabetes mellitus, was performed. Hazard ratios (HRs) and their 95% CIs were also reported.

Results: In total, 286 patients without psychiatric diseases and 52 patients with delirium were evaluated. Eighty percent of patients with delirium died within 1 year of hemodialysis initiation, while only 22% of patients without delirium died within the same time period (P < 0.01). Kaplan-Meier plots demonstrated the existence of associations between delirium and all-cause mortality (global log-rank P < 0.001), cardiovascular disease-related mortality (global log-rank P < 0.001), and infection-related mortality (global log-rank P < 0.001). Moreover, Cox proportional hazard regression showed that delirium was associated with all-cause mortality (HR=1.96, 95% CI: 1.32-2.90), cardiovascular disease-related mortality (HR=2.65, 95% CI: 1.31-5.35), and infection-related mortality (HR=3.30, 95% CI: 1.34-8.10).
書誌情報 NEUROPSYCHIATRIC DISEASE AND TREATMENT

巻 13, p. 3011-3016, 発行日 2017
ISSN
収録物識別子タイプ ISSN
収録物識別子 1178-2021
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 10.2147/NDT.S152355
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
資源タイプ
値 Article
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