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Elevated Blood Urea Nitrogen Is a Predictive Factor for Intensive Care Unit Admission in Legionella Pneumonia
http://hdl.handle.net/10087/7061
http://hdl.handle.net/10087/7061be5b353e-1b6e-4fa4-823a-57302a3fe51b
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
62_251.pdf (77.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2012-08-24 | |||||
| タイトル | ||||||
| タイトル | Elevated Blood Urea Nitrogen Is a Predictive Factor for Intensive Care Unit Admission in Legionella Pneumonia | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | Legionella pneumonia | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | blood urea nitrogen | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | A-DROP | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | CURB-65 | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | journal article | |||||
| 著者 |
Hashizume, Yutaka
× Hashizume, Yutaka× Takise, Atsushi× Shimizu, Yasuo× Horie, Takeo× Endou, Katsuaki× Kawata, Tadayoshi |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: Legionella pneumonia (L.pneumonia) is a serious disease among patients with\ncommunity-acquired pneumonia (CAP). Appropriate initial assessment of severity and admission to\nintensive care unit (ICU) can reduce mortality due to L.pneumonia. Here, the efficacy of using the\ncurrent CAP scoring for recommending admission to ICU and other variables for initial management\nwere evaluated. M ethods : The clinical characteristics of 11 patients diagnosed with L.pneumonia at\nMaebashi Red Cross Hospital from November 1999 to July 2010 were examined. The scoring systems\nof A-DROP (A : Age, D : Dehydration, R : Respiration,O: Orientation, and P: Blood Pressure) and\nCURB-65 (C : Confusion, U : Urea, R : Respiratory rate, B: Blood pressure, and Age) were used.\nResults : Of the 11 L.pneumonia patients, 6 were admitted to the ICU. By A-DROP and CURB-65\nscoring systems, 4 cases were assessed as not severe. Among the parameters used in the scores, only\nelevated blood urea nitrogen (BUN) had significantly predictive potential for ICU admission (sensitivity＝\n100％, specificity＝80％, P＜0.02). Both A-DROP and CURB-65 scoring systems underestimated\nthe severity of CAP caused by L.spp.. Conclusions : In the case of L.pneumonia, elevated BUN level\nis important for assessing CAP severity and making ICU admission recommendations. | |||||
| 書誌情報 |
The Kitakanto medical journal = 北関東医学 巻 62, 号 3, p. 251-254, 発行日 2012-08-01 |
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| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 1343-2826 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AN10585677 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| 出版者 | ||||||
| 出版者 | 北関東医学会 | |||||
| 資源タイプ | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Journal Article | |||||
| 更新日 | ||||||
| 日付 | 2017-03-27 | |||||
| 日付タイプ | Created | |||||
