| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2019-03-07 |
| タイトル |
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タイトル |
Delirium in hemodialysis predicts mortality: a single-center, long-term observational study |
| 言語 |
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言語 |
jpn |
| 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 |
Yasui-Furukori, Norio
Tarakita, Natsumi
Uematsu, Waka
Saito, Hisao
Nakamura, Kazuhiko
Ohyama, Chikara
Sugawara, Norio
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| 著者所属 |
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値 |
Hirosaki Univ, Grad Sch Med, Dept Neuropsychiat |
| 著者所属 |
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値 |
Hirosaki Univ, Grad Sch Med, Dept Neuropsychiat |
| 著者所属 |
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値 |
Oyokyo Kidney Res Inst, Dept Urol |
| 著者所属 |
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値 |
Oyokyo Kidney Res Inst, Dept Urol |
| 著者所属 |
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値 |
Hirosaki Univ, Grad Sch Med, Dept Neuropsychiat |
| 著者所属 |
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値 |
Hirosaki Univ, Grad Sch Med, Dept Urol |
| 著者所属 |
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値 |
Natl Ctr Neurol & Psychiat, Dept Clin Epidemiol, Translat Med Ctr |
| 抄録 |
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内容記述タイプ |
Abstract |
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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
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| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1178-2021 |
| 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 |
10.2147/NDT.S152355 |
| 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 |
| 資源タイプ |
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値 |
Article |
NDT-152355-3011 (597.9 kB)
