Unique ID issued by UMIN | UMIN000001409 |
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Receipt number | R000001712 |
Scientific Title | Epidemic Research on Acute Mesenteric Ischemia in Japan |
Date of disclosure of the study information | 2008/10/01 |
Last modified on | 2015/04/06 12:31:19 |
Epidemic Research on Acute Mesenteric Ischemia in Japan
ERAMI-J
Epidemic Research on Acute Mesenteric Ischemia in Japan
ERAMI-J
Japan |
Acute Mesenteric Ischemia
Gastroenterology | Gastrointestinal surgery |
Others
NO
To investigate the incidental rates and mortality rates of individual types of acute mesenteric ishemia and prognostic factors on mortality.
Others
prognostic factors
in-hospital mortality
Observational
Not applicable |
Not applicable |
Male and Female
Patients who were admitted between Feb 1st 2002 and Jan 31st 2007, and were diagnosed with AMI by diagnostic image modalities, laparotomy or autopsy.
Patients who could not be distinguished from strangulated ileus via laparotomy.
100
1st name | |
Middle name | |
Last name | Yoshio Haga |
National Hospital Organization Kumamoto Medical Center
Departemt of Surgery
1-5 Ninomaru, Kumamoto 860-0008, Japan
096-353-6501
yoshio@kumamed.jp
1st name | |
Middle name | |
Last name | Yoshio Haga |
National Hospital Organization Kumamoto Medical Center
Departemt of Surgery
1-5Ninomaru, Kumamoto, Japan
096-353-6501
yoshio@kumamed.jp
National Hospital Organization Kumamoto Medical Center
National Hospital Organization
JAPAN
NO
2008 | Year | 10 | Month | 01 | Day |
http://poppy.ac/nho/img/summary/eramij_summary2.html
Published
http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstract&ArtikelNr=219367&Ausgabe=249595&ProduktNr=223838
Objective: Acute mesenteric ischemia is potentially fatal, but prognostic factors have not yet been established. This study was undertaken to elucidate them.
Methods: This is a retrospective cohort study, consisting of 110 patients who had been treated in the past 5 years, from 26 national hospitals in Japan.
Results: The overall in-hospital mortality rate was 51%. Logistic regression analysis demonstrated two independent prognostic factors, electrocardiogram scale with an odds ratio of 1.7 (95% CI 1.2-2.4) and shock index of 11 (95% CI 1.5-80). A stepwise analysis gave a prediction equation for in-hospital mortality (R) using these variables and age score. We further modified this equation to a simpler scoring system (S) using the same variables. Both R and S showed a good discriminatory ability as determined by areas under the receiver-operating characteristic curve (0.83, 95% CI 0.74-0.91 for R; 0.82, 95% CI 0.74-0.91 for S). The observed mortality rates increased as the R or S increased (19% at R <0.25, 41% at R values of 0.25 to <0.6, 85% at R values of 0.6 or more; 19% at S of 2 or less, 37% at S of 3 or 4, 91% at S of 5 or more).
Conclusion: The new prediction rules can be used at any hospital and may be promising tools for medical decision-making, informed consent and reviewing quality of care.
Completed
2007 | Year | 01 | Month | 18 | Day |
2007 | Year | 04 | Month | 01 | Day |
2007 | Year | 09 | Month | 01 | Day |
2007 | Year | 09 | Month | 01 | Day |
2007 | Year | 09 | Month | 01 | Day |
2008 | Year | 09 | Month | 01 | Day |
Publication
Haga Y, Odo M, Homma M, Komiyama K, Takeda K, Koike S, Takahashi T, Hiraka K, Yamashita H, Tanakaya K: New prediction rule for mortality in acute mesenteric ischemia. Digestion, 2009;80(2):104-111.
Oral presentation
The 43rd World Congress of the International Society of Surgery (ISS), Sep 8, 2009 Adelaide, Australia, Haga Y, Odo M, Homma M, Komiya K, Takeda K, Koike S, Take-shita T, Hiraka K: New prediction rule for mortality in acute mesenteric ischemia.
2008 | Year | 10 | Month | 01 | Day |
2015 | Year | 04 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001712
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