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| 1 | Prediction of return of spontaneous circulation in outof-hospital cardiac arrest with non-shockable initial rhythm using point-of-care testing: a retrospective observational study显示文摘BACKGROUND:Out-of-hospital cardiac arrest(OHCA) is a public health concern, and many studies have been conducted on return of spontaneous circulation(ROSC) and its prognostic factors.Rotational thromboelastometry(ROTEM?), a point-of-care testing(POCT) method, has been useful for predicting ROSC in patients with OHCA, but very few studies have focused on patients with non-shockable rhythm. We examined whether the parameters of POCT could predict ROSC in patients with OHCA and accompanying non-shockable rhythm.METHODS:This is a single-center, retrospective observational study. Complete blood count,blood gas, and ROTEM POCT measurements were used. This study included patients with nontraumatic OHCA aged 18 years or older who were transported to the emergency department and evaluated using POCT between January 2013 and December 2021. The patients were divided into the ROSC and non-ROSC groups. Prehospital information and POCT parameters were compared using receiver operating characteristic(ROC) curve analysis, and further logistic regression analysis was performed.RESULTS:Sixty-seven and 135 patients were in the ROSC and non-ROSC groups,respectively. The ROC curves showed a high area under the curve(AUC) for K^(+) of 0.77(95%confidence interval [CI]:0.71–0.83) and EXTEM amplitude 5 min after clotting time(A5) of 0.70(95%CI:0.62–0.77). The odds ratios for ROSC were as follows:female sex 3.67(95%CI:1.67–8.04);K^(+)0.64(95%CI:0.48–0.84);and EXTEM A5 1.03(95%CI:1.01–1.06).CONCLUSION:In OHCA patients with non-shockable rhythm, K^(+) level and the ROTEM parameter EXTEM A5 may be useful in predicting ROSC. | Kota Shinada Hiroyuki Koami Ayaka Matsuoka Yuichiro Sakamoto | 2023 | World Journal of Emergency Medicine2023，14，2： | 2 |
| 2 | Expression and functional characterization of the adhesion molecule spermatogenic immunoglobulin superfamily in the mouse testis显示文摘 | Wakayama T Koami H Ariga H | | 0，，05： | 1 |
| 3 | Expression and functional characterization of the adhesion molecule spermatogenic immuno-globulin superfamily in the mouse testis显示文摘 | Wakayama T Koami H Ariga H | 2003 | Biol Repord2003，68，5： | 1 |
| 4 | Establishment of real-time polymerase chain reaction method for quantitative analysis of asparagine synthetase expression显示文摘 | Irino T Kitoh T Koami K | | 0，，03： | 1 |
| 5 | Establishment of real-time polymerase chain reaction method for quantitative analysis of asparagine synthetase expression 显示文摘 | Irino T Kitoh T Koami K Kashima T Mukai K Takeuchi E | 2004 | J Mol Diagn2004，6，3： | 1 |
| 6 | Expression of erythropoietin and erythropoietin receptor in non-small cell lung carcinomas显示文摘 | KOAMI D EMILIE P FREDERIC C | 2005 | Clin Cancer Res2005，11，： | 1 |
| 7 | Role of resuscitative emergency field thoracotomy in the Japanese helicopter emergency medical service system显示文摘 | Hisashi Matsumoto Kunihiro Mashiko Yoshiaki Hara Noriyoshi Kutsukata Yuichiro Sakamoto Kenkichi Takei Katsuhiro Kanemaru Yoshiteru Tomita Nobuyuki Saito Takanori Yagi Shinichiro Tetsu Hiroaki Iida Yukiko Masuda Hiroyuki Koami Hiroyuki Yokota | 2009 | Resuscitation2009，，11： | 1 |
| 8 | Relationship between nutritional therapy and beneficial bacteria ratio in severe disease显示文摘Objective:To evaluate relationship between changes in the beneficial bacteria in intensive care unit(ICU)patients and nutritional therapy type.Methods:Ten patients aged≥18 years admitted to the ICU between January and December 2020,were included.Good enteral nutrition was defined as early achievement of target calorie intake through enteral feeding.The ratio of beneficial bacteria at the first and second bowel movements after each patient’s admission was calculated and the patients were classified into the increase or decrease group.Among all patients,five each were in the increase and decrease groups.We investigated patient background,changes in sequential organ failure assessment(SOFA)and acute physiology and chronic health evaluation(APACHE)Ⅱscores,nutritional doses or methods,and clinical outcomes.Results:No relationship was found between changes in the ratio of beneficial bacteria and changes in SOFA/APACHEⅡscores at the time of admission.The rate of good enteral nutrition was significantly higher in the increase group than in the decrease group(4/5 vs.0/5,P=0.01).Conclusions:An increase in beneficial bacteria may be significantly related to the early establishment of enteral nutrition.In the future,accumulating cases may make it possible to establish a new nutritional strategy for critically ill patients from an intestinal microbiota perspective. | Kento Nakayama Hiroyuki Koami Yuichiro Sakamoto | 2024 | Journal of Acute Disease2024，13，1： | 0 |
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