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J-GLOBAL ID：201802259248836360   整理番号：18A0355173

周術期死亡率の低減のための無作為化証拠:最新のコンセンサスプロセス【Powered by NICT】

Randomized Evidence for Reduction of Perioperative Mortality: An Updated Consensus Process

著者 (49件)： Landoni Giovanni (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Landoni Giovanni (Vita-Salute San Raffaele University, Milan, Italy) ,  Pisano Antonio (Division of Cardiac Anaesthesia and Intensive Care, Azienda Ospedaliera Dei Colli, Monaldi Hospital, Naples, Italy) ,  Lomivorotov Vladimir (Department of Anaesthesia and Intensive Care, Academician EN Meshalkin Novosibirsk State Budget Research Institute of Circulation Pathology, Novosibirsk, Russia) ,  Alvaro Gabriele (Department of Anaesthesia and Intensive Care, Azienda Ospedaliera Universitaria “Mater Domini,” Catanzaro, Italy) ,  Hajjar Ludhmila (Disciplina de Anestesia, Incor-Hospital das Clinicas, Sao Paulo, Brazil) ,  Paternoster Gianluca (Department of Cardiovascular Anaesthesia and Intensive Care, Ospedale San Carlo, Potenza, Italy) ,  Nigro Neto Caetano (Dante Pazzanese Institute of Cardiology, Department of Anesthesia and Intensive Care, Sao Paulo, Brazil) ,  Latronico Nicola (Department of Anaesthesia and Intensive Care, Spedali Civili, Brescia, Italy) ,  Fominskiy Evgeny (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Fominskiy Evgeny (Department of Anaesthesia and Intensive Care, Academician EN Meshalkin Novosibirsk State Budget Research Institute of Circulation Pathology, Novosibirsk, Russia) ,  Pasin Laura (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Finco Gabriele (Anesthesia and Intensive Care Unit, Policlinico ”Duilio Casula” AOU Cagliari, Department of Medical Sciences “M. Aresu,” Cagliari, Italy) ,  Lobreglio Rosetta (Department of Cardiac Anaesthesia and Intensive Care, San Giovanni Battista Hospital, University of Turin, Turin, Italy) ,  Azzolini Maria Luisa (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Buscaglia Giuseppe (Department of Cardiac Anaesthesia and Intensive Care, IRCCS University Hospital San Martino IST, Genova, Italy) ,  Castella Alberto (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Comis Marco (Cardiac and Vascular Department, Ospedale Mauriziano Umberto I, Torino, Italy) ,  Conte Adele (Division of Cardiac Anaesthesia and Intensive Care, Azienda Ospedaliera Dei Colli, Monaldi Hospital, Naples, Italy) ,  Conte Massimiliano (Department of Anesthesia and Intensive Care, Mater Dei Hospital, Bari, Italy) ,  Corradi Francesco (Department of Anaesthesia and Intensive Care, Ente Ospedaliero Ospedali Galliera, Genova, Italy) ,  Dal Checco Erika (Department of Cardiothoracic and Vascular Anaesthesia and Intensive Care, Universita degli Studi di Bologna-Azienda Ospedaliera Sant’Orsola-Malpighi, Bologna, Italy) ,  De Vuono Giovanni (Department of Anaesthesia and Intensive Care, Azienda Ospedaliera Universitaria “Mater Domini,” Catanzaro, Italy) ,  Ganzaroli Marco (Cardiac and Vascular Department, Ospedale Mauriziano Umberto I, Torino, Italy) ,  Garofalo Eugenio (Department of Anaesthesia and Intensive Care, Azienda Ospedaliera Universitaria “Mater Domini,” Catanzaro, Italy) ,  Gazivoda Gordana (Department of Anaesthesia and Intensive Care, Institute of Cardiovascular Diseases Dedinje, Belgrade, Serbia) ,  Lembo Rosalba (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Marianello Daniele (Department of Thoracic and Cardiac Surgery, University of Siena, Siena, Italy) ,  Baiardo Redaelli Martina (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Monaco Fabrizio (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Tarzia Valentina (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Mucchetti Marta (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Belletti Alessandro (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Mura Paolo (Anesthesia and Intensive Care Unit, Policlinico ”Duilio Casula” AOU Cagliari, Department of Medical Sciences “M. Aresu,” Cagliari, Italy) ,  Musu Mario (Department of Cardiac Anaesthesia and Intensive Care, San Giovanni Battista Hospital, University of Turin, Turin, Italy) ,  Pala Giovanni (Department of Cardioanesthesia and Intensive Care, Ospedale Civile Santissima Annunziata, Sassari, Italy) ,  Paltenghi Massimiliano (Department of Anaesthesia and Intensive Care, Spedali Civili, Brescia, Italy) ,  Pasyuga Vadim (Cardiac Anaesthesia and Intensive Care, Federal Centre for Cardiac Surgery, Astrakhan, Russia) ,  Piras Desiderio (Anesthesia and Intensive Care Unit, Policlinico ”Duilio Casula” AOU Cagliari, Department of Medical Sciences “M. Aresu,” Cagliari, Italy) ,  Riefolo Claudio (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Roasio Agostino (Department of Anaesthesia and Intensive Care, Ospedale Cardinal Massaia di Asti, Asti, Italy) ,  Ruggeri Laura (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Santini Francesco (Division of Cardiac Surgery, IRCCS University Hospital San Martino IST, Genova, Italy) ,  Szekely Andrea (Department of Anaesthesiology and Intensive Care, Semmelweis Egyetem, Budapest, Hungary) ,  Verniero Luigi (Division of Cardiac Anaesthesia and Intensive Care, Azienda Ospedaliera Dei Colli, Monaldi Hospital, Naples, Italy) ,  Vezzani Antonella (Dipartimento Cardio-Nefro-Polmonare, Sezione Terapia Intensiva Cardiochirurgica, Azienda Ospedaliero Universitaria di Parma, Parma, Italy) ,  Zangrillo Alberto (Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy) ,  Zangrillo Alberto (Vita-Salute San Raffaele University, Milan, Italy) ,  Bellomo Rinaldo (Intensive Care, Austin Hospital, Melbourne, Australia)
資料名： Journal of Cardiothoracic and Vascular Anesthesia  (Journal of Cardiothoracic and Vascular Anesthesia)
巻： 31  号： 2  ページ： 719-730  発行年： 2017年 
JST資料番号： W0009A  ISSN： 1053-0770  資料種別： 逐次刊行物 (A)
記事区分： 原著論文  発行国： オランダ (NLD)  言語： 英語 (EN)

抄録/ポイント： 毎年を主要な外科処置を受けた二億三千万名の患者のうち,百万一以上が30日以内に死亡する。,周術期死亡率を低下させるのを助けることを任意の非外科的介入は,千人の命を救うかもしれない。周術期死亡率を低下させるのを助ける可能性があることを,無作為抽出した証拠により支持され,すべての非外科的介入を同定するために以前のコンセンサスプロセスを更新した。Webベース国際コンセンサス会議。研究は61か国から500臨床医を対象とした。系統的文献検索は,無作為抽出した証拠により支持され,非外科的介入死亡率に統計的に有意な影響を示すについて発表された文献を同定した。専門家のコンセンサス会議は適格な論文を検討した。会議により同定された介入は,webベースの調査を通じて世界同僚に供した。生存率増加(周術期血液動態最適化,脳幹脊髄麻酔,非侵襲的換気,トラネキサム酸,消化管の選択的汚染除去,タイトな血糖コントロールのためにインスリン,術前大動脈内バルーンポンプ,白色枯渇赤血球輸血,レボシメンダン,揮発性剤,遠隔虚血プレコンディショニング)と死亡率増加を示す2種の介入(β遮断薬療法とアプロチニン)に寄与する11介入を同定した。介入は,参加臨床医による投票であった。各国における臨床医間の一致の割合は,6種の介入で有意に異なり,証拠と臨床の間の可変性間隙が認められた。周術期死亡率を減少または増加させ,臨床医による可変一致を持つことを13非外科的介入を同定した。このような介入は高品質試験の調査のための最適候補であると周術期死亡率を低下させる国際ガイドラインで議論可能性がある。Copyright 2018 Elsevier B.V., Amsterdam. All rights reserved. Translated from English into Japanese by JST.【Powered by NICT】

シソーラス用語： 脊椎麻酔 ,  無作為抽出 ,  品質検査 ,  生存率 ,  治療法 ,  最適化 ,  インスリン ,  血液動態 ,  文献検索 ,  患者 ,  βアドレナリン遮断薬 ,  *死亡率
準シソーラス用語： 血糖コントロール ,  臨床医 ,  *周術期 , 【Automatic Indexing@JST】

著者キーワード (5件)： 周術期ケア ,  死亡率 ,  コンセンサス ,  麻酔 ,  集中治療

分類 (2件)： 糖質代謝作用薬の臨床への応用  (GW13030B) ,  代謝異常・栄養性疾患の治療  (GD05030F)

タイトルに関連する用語 (5件)： 周術期 ,  死亡 ,  証拠 ,  コンセンサス ,  プロセス