{"created":"2023-06-20T14:25:19.049297+00:00","id":429,"links":{},"metadata":{"_buckets":{"deposit":"bf28349c-527d-4344-9ef3-2f7774ae138c"},"_deposit":{"created_by":3,"id":"429","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"429"},"status":"published"},"_oai":{"id":"oai:dmu.repo.nii.ac.jp:00000429","sets":["81:37"]},"author_link":["1745","1744","1746","1747","1748","1750","1743","1749"],"item_2_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"110","bibliographicPageStart":"105","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"Dokkyo journal of medical sciences"}]}]},"item_2_description_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_description":"脳梗塞の早期治療は重要だが,超急性期のtissue plasminogen activator (t-PA)の他に,早期治療の有効性は証明されていない.われわれは,t-PA適応のないアテローム血栓性梗塞の早期治療の有効性について検討した.対象はJSSRS脳卒中急性期患者データベースに登録された127例のアテローム血栓性梗塞で,発症から当院到着までを発症一来院時間とし,発症3～6時間の早期来院,6時間以降の非早期来院に分類し,退院時のmodified Rankin Scale (mRS)およびNIHSS改善度を求めた.退院時mRSに差はなかったが,NIHSS改善度はそれぞれ1.9±3.5,1.6±6.4であり,早期来院で有意に改善した.近年,\"Brain Attack\"の重要性が唱えられているが,t-PA適応に外れた場合でも早期に来院,治療をすることの重要性の一部を裏付けたものと考えられた.","subitem_description_type":"Other"}]},"item_2_description_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_description":"Early treatment of cerebral infarction is important, however, the effect of such treatment has not been established yet except for hyperacute treatment using tissue plasminogen activator (t-PA). We investigated the outcome of early treatment at the hospital for stroke care. The study subjects were 127 patients based on a Japanese Standard Stroke Registry Study (JSSRS) database with atherothrombotic infarction admitted 3 hour later after onset. Patients were divided into two groups based on the time from onset of clinical features of stroke to hospital admission; the early visit group (3-6 hr) and late visit group (>6 hr). All patients were assessed by modified Rankin Scale (mRS) and NIH Stroke Score (NIHSS). There were no significant differences of mRS at discharge. However, the degree of improvement of NIHSS score at discharge were 1.9±3.5 and 1.6±6.4, respectively. Patients of the early visit group showed significantly better improvement compared with the late visit group. At special hospital for stroke care, patients with onset-visit period of <6 hr showed significantly better improvement at discharge. Since the importance of the concept of \"Brain Attack\" was argued recently, our results confirm the importance of early admission and delivery of intensive care on prognosis of stroke patients.","subitem_description_type":"Other"}]},"item_2_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"原著","subitem_description_type":"Other"}]},"item_2_description_9":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Original","subitem_description_type":"Other"}]},"item_2_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA00629581"}]},"item_2_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03855023","subitem_source_identifier_type":"ISSN"}]},"item_2_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_value":"獨協医科大学 内科学(神経)"},{"subitem_text_value":"獨協医科大学 内科学(神経)"},{"subitem_text_value":"獨協医科大学 内科学(神経)"},{"subitem_text_value":"島根大学 医学部 神経・血液・膠原病内科学"}]},"item_2_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Neurology, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Neurology, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Neurology, Dokkyo University School of Medicine"},{"subitem_text_language":"en","subitem_text_value":"Department of Internal Medicine III, Shimane Medical University"}]},"item_2_title_3":{"attribute_name":"論文名よみ","attribute_value_mlt":[{"subitem_title":"アテローム ケッセンセイ コウソク ノ ソウキ チリョウ ワ ヨゴ カイゼン ニ ユウコウ デ アルカ? : ノウソッチュウ キュウセイキ カンジャ データベース オ モチイタ ケントウ"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"江幡, 敦子"},{"creatorName":"エバタ, アツコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹川, 英宏"},{"creatorName":"タケカワ, ヒデヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大門, 康寿"},{"creatorName":"ダイモン, ヤスヒサ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小林, 祥泰"},{"creatorName":"コバヤシ, ショウタイ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ebata, Atsuko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takekawa, Hidehiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Daimon, Yasuhisa","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kobayashi, Syotai","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-05-24"}],"displaytype":"detail","filename":"KJ00004451278.pdf","filesize":[{"value":"547.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00004451278.pdf","url":"https://dmu.repo.nii.ac.jp/record/429/files/KJ00004451278.pdf"},"version_id":"e441169f-e340-4916-8b95-aba7aec812b7"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"脳梗塞"},{"subitem_subject":"アテローム血栓性梗塞"},{"subitem_subject":"予後"},{"subitem_subject":"発症来院時間"},{"subitem_subject":"JSSRS"},{"subitem_subject":"cerebral infarction","subitem_subject_language":"en"},{"subitem_subject":"atherothrombotic infarction","subitem_subject_language":"en"},{"subitem_subject":"prognosis","subitem_subject_language":"en"},{"subitem_subject":"onset-visit period","subitem_subject_language":"en"},{"subitem_subject":"JSSRS","subitem_subject_language":"en"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"アテローム血栓性梗塞の早期治療は予後改善に有効であるか? : 脳卒中急性期患者データベースを用いた検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"アテローム血栓性梗塞の早期治療は予後改善に有効であるか? : 脳卒中急性期患者データベースを用いた検討"},{"subitem_title":"Is Early Treatment of Atherothrombotic Infarction Available for Improvement of Prognosis? : Study Using the Japanese Standard Stroke Registry Study Database of Acute Ischemic Stroke","subitem_title_language":"en"}]},"item_type_id":"2","owner":"3","path":["37"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-05-24"},"publish_date":"2017-05-24","publish_status":"0","recid":"429","relation_version_is_last":true,"title":["アテローム血栓性梗塞の早期治療は予後改善に有効であるか? : 脳卒中急性期患者データベースを用いた検討"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-20T16:20:27.959763+00:00"}