| Item type |
[ELS]学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-05-24 |
| タイトル |
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タイトル |
Analysis of the Characteristics of Patients Presenting with Exacerbation of Asthma to Emergency Care Units |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題 |
Asthma |
| キーワード |
|
|
言語 |
en |
|
主題 |
Emergency Room |
| キーワード |
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|
言語 |
en |
|
主題 |
Fatal Asthma |
| キーワード |
|
|
言語 |
en |
|
主題 |
Pulse Oximetry |
| キーワード |
|
|
言語 |
en |
|
主題 |
Exacerbation Of Asthma |
| 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 |
| 雑誌書誌ID |
|
|
収録物識別子 |
AA00629581 |
| 論文名よみ |
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タイトル |
Analysis of the Characteristics of Patients Presenting with Exacerbation of Asthma to Emergency Care Units |
| 著者 |
Satoh, Hideyuki
Sugiyama, Kumiya
Souma, Ryosuke
Tokita, Shingo
Wakayama, Tomoshige
Yoshida, Naruo
Nakano, Kentaro
Fukuda, Takeshi
Fukushima, Yasutsugu
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| 著者所属(英) |
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|
en |
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Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital |
| 著者所属(英) |
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|
en |
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Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 著者所属(英) |
|
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|
en |
|
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Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 著者所属(英) |
|
|
|
en |
|
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Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 著者所属(英) |
|
|
|
en |
|
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Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 著者所属(英) |
|
|
|
en |
|
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Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 著者所属(英) |
|
|
|
en |
|
|
Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 著者所属(英) |
|
|
|
en |
|
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Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 著者所属(英) |
|
|
|
en |
|
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Department Of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital:Department Of Pulmonary Medicine And Clinical Immunology Dokkyo Medical University |
| 記事種別(英) |
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内容記述タイプ |
Other |
|
内容記述 |
Original |
| 抄録(英) |
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|
内容記述タイプ |
Other |
|
内容記述 |
Background:Fatal asthma remains a serious problem, and patient self-management of asthma is important to prevent exacerbation. To reduce the asthma mortality rate, we analyzed the characteristics of patients who visited an emergency care unit with exacerbation of asthma.Methods:Subjects were 317 patients(135 men, 182 women;mean age, 47.0 years)who visited the emergency room at Dokkyo Medical University Hospital or Dokkyo Medical University Koshigaya Hospital for exacerbation of asthma between April 2010 and March 2011. When categorized by severity, 41.3% ofpatients were step 1, 8.2% were step 2, 18.9% were step 3, 30.9% were step 4, and 0.6% were unknown. When categorized by primary care physician, 60.3% of patients had a primary care physician at Dokkyo Medical University, 13.6% had one at another hospital, and 26.2% had no primary care physician. When categorized by recovery from exacerbation, control was achieved within 1 day in 63.1% of cases, after more than 1 day in 30.6% of cases, and required admission in 6.3% of cases.Results:The rate of admissions was highest for cases with step 1 severity(step 1, 55.0%;step 2, 20.0%;step 3, 0.0%;and step 4, 25.0%). The rate of admissions did not differ significantly by age(age 15-39 years, 40.0%;40-65 years, 25.0%;>65 years, 35.0%). Initial value of oxyhemoglobin saturation(SpO_2) measured by pulse oximetry was significantly lower in the admission group(SpO_2 92.4%)than in the nonadmissiongroup(SpO_2 95.2%, p<0.01).Conclusion:Patients with step 1 severity who visit an emergency unit with exacerbation of asthma may need regular treatment for asthma. When initial SpO_2 is less than 92%, we should consider hospitalization for treatment of asthma. |
| 書誌情報 |
Dokkyo journal of medical sciences
巻 42,
号 1,
p. 11-20,
発行日 2015-03-25
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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 |
03855023 |
KJ00009786640.pdf (181.7 kB)
