Application of the Recent American Practice Resources for Risk Stratification System for Patients Presenting to a Japanese Emergency Department Because of Syncope
スポンサーリンク
概要
- 論文の詳細を見る
Background: The American College of Physicians (ACP) and the American College of Emergency Physicians (ACEP) recently published practice guidelines and recommendations for evaluation of patients with syncope based on historical, physical, and ECG findings. The objective of the present study was to determine if risk stratification using these practice resources is valid in a series of Japanese patients. Methods and Results: A total of 912 consecutive patients brought to our emergency department between 1988 and 1997 because of syncope were identified. Follow-up information about mortality was obtained for 707 patients by means of mailed questionnaires and from medical records, and the mortality data were analyzed by the actuarial life-table method. A total of 187 patients who fulfilled the admission criteria according to the ACP guidelines were found to have higher overall and cardiac mortality than the other 520 patients (P < 0.0001), and 153 patients who fulfilled the admission criteria according to the ACEP recommendations also had higher overall and cardiac mortality than the other 554 patients (P < 0.0001). Conclusions: The recent American practice recommendations can be used for risk stratification of syncope patients in Japan. Historical, physical, and ECG findings available on presentation can be used to stratify the risk of mortality in patients brought to Japanese emergency departments because of syncope.
- インターナショナル・ハート・ジャーナル刊行会の論文
著者
-
SUZUKI Masaru
Department of Applied Physics and Chemistry, The University of Electro-Communications
-
HORI Shingo
Department of Emergency & Critical Care Medicine, School of Medicine, Keio University
-
AIKAWA Naoki
Department of Emergency & Critical Care Medicine, School of Medicine, Keio University
-
Aikawa N
Department Of Emergency & Critical Care Medicine School Of Medicine Keio University
-
Hori Shingo
Department Of Cardiovascular Surgery Keio University School Of Medicine
-
Suzuki Masaru
Department Of Applied Physics And Chemistry The University Of Electro-communications
-
Aikawa Naoki
Depart Ment Of Emergency Medicine Keio University School Of Medicine
-
Aikawa Naoki
Department of Emergency Medicine, Keio University
関連論文
- Usefulness of procalcitonin serum level for the discrimination of severe sepsis from sepsis : a multicenter prospective study
- High-Field Magnetostriction of the Spin-State Transition Compound LaCoO_3(Condensed matter: structure and mechanical and thermal properties)
- Stonefish "Okoze" Envenomation during Food Preparation
- 6 Clinical Backgrounds and Outcomes of Sudden Cardiac Arrest and Syncope Related to Coronary Vasospasm(Symposium 2 (SY-02) (IHD) Coronary Spasm Revisited,Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Sustained Monomorphic Ventricular Tachycardia in a Patient With Brugada Syndrome
- Multicenter prospective study of procalcitonin as an indicator of sepsis
- IgD myeloma with systemic amyloidosis with chest discomfort as an initial symptom
- Distinct Regulation of Two Types of Membrane-associated Prostaglandin E Synthase in Rat Cardiomyocytes(Infection/Inflammation/Immunity 1 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- MYOCARDIAL ISCHEMIA IN HEMORRHAGIC SHOCK
- -0885-OXYGEN RESERVE OF THE BEATING HEART : ANALYSIS BY RAPID MYOCARDIAL SAMPLING : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -0196-EVALUATION OF TRICUSPID REGURGITATION BY VENA CAVAL FLOW PATTERN USING A CATHETER-TIP DOPPLER VELOCIMETER
- SWITHCHING FROM AEROBIC TO ANAEROBIC GLYCOLYSIS IN MYOCARDIAL ISCHEMIA
- Ultrasonic Measurement of LaCoO_3 : Evidence for the Orbital-Order Fluctuation(Condensed matter: structure and mechanical and thermal properties)
- ^Mn NMR in Ferromagnetic Perovskites RENi_Mn_O_3 (RE=Rare Earth Element)(Condensed Matter : Electronic Structure, Electrical, Magnetic and Optical Properties)
- Pressure Dependence of the 100 K Spin-State Transition in LaCoO_3
- Neovascularization promoted by mononuclear cell transplantation after transient cerebral ischemia in mice
- -433- CARDIOVASCULAR EFFECTS OF INTRAVENOUS AND INTRACORONARY ADMINISTRATION OF ATRIAL NATRIURETIC PEPTIDE IN HALOTHANE ANESTHETIZED DOGS
- DPE-014 Effects of Carvedilol on Atrial Fibrillation Promotion by Atrial Tachycardia Remodeling in Dogs(DPE03,Atrial/Supraventricular Arrhythmia (Clinical/Treatment) (A),Digital Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese C
- Reply to the letter to the editor by S. Kapoor
- The effect of endogenous nitric oxide (NO) on myocardial ischemia in the shock state
- A 35-year-old Man with Cerebral Hemorrhage and Pheochromocytoma : The Second Brain-dead Organ Donor in Japan
- Pleural Involvement of Dialysis-Related Amyloidosis
- OE-366 A Novel Prostaglandin E Synthase, mPGES-2, is Involved in Pressure Overload-induced Cardiac Hypertrophy in Rats(Cardiac Hypertrophy, Basic and Clinical 1 (M) : OE46)(Oral Presentation (English))
- Application of the Recent American Practice Resources for Risk Stratification System for Patients Presenting to a Japanese Emergency Department Because of Syncope
- Orthostatic Decrease in Cardiac Chaos During the Head-up Tilt Test in Patients With Vasovagal Syncope
- OE-015 Peripheral Blood Level of Matrix Metalloprotease-9 is Elevated in Patients with Acute Aortic Dissection(Emergency care-1 (H) OE3,Oral Presentation (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- A New Simple Method for Evaluating Cardiac Vagal Activity : Standard Deviation of Ratios for Consecutive RR Intervals
- Measuring Time to Deliver Shock in the Use of AED by Untrained Medical Students
- Characteristics of elderly patients presenting to the emergency department with injury
- Critical Pathway Improves Arrival-In-Cath-Lab Interval for Patients With Acute Myocardial Infarction in the Emergency Department
- Diagnostic Value of a Bedside Test for Cardiac Troponin T in the Patient with Chest Pain Presenting to the Emergency Room
- -0330-DIAGNOSIS OF CAROTID SUNUS SYNDROME BY NON-INVASIVE BLOOD PRESSURE WAVE MONITORING DEVICE
- The Link Between Free Radicals and Myocardial Injury : SYMPOSIUM ON PATHOPHYSIOLOGY IN THE EARLY STAGE OF ACUTE MYOCARDIAL INFARCTION AND ITS TREATMENT : 51th Annual Scientific Session of the Japanese Circulation Society
- P619 ELECTROCARDIOGRAPHIC CHANGE AND SUDDEN CARDIOPULMONARY ARREST IN SUBARACHNOID HEMORRHAGE
- Characteristics of syncopal falls in community-living older people transported to an emergency department
- Ultrasonic Study of the High Temperature Phase of Fe_3O_4
- RESISTANCE AND COMPLIANCE IN PULMONARY HYPERTENSION, WITH REFERENCE TO EFFECTS OF HYPOXIA AND ISOSORBIDE DINITRATE : Pulmonary Circulation, Peripheral Circulation : IVth Auditorium : Proceedings of the 43rd Annual Meeting of the Japanese Circulation Socie
- 7 CPR program in primary and junior high schools : Potential breakthrough promoting bystander CPR(Symposium 6 (SY6) (IHD) : Treatment for CPA : Improving the Current Status?)(Special Program)
- Increased Fibrinolytic Activity and Body Cavity Coagula
- -437- THE MECHANISM OF SECRETION OF ATRIAL NATRIURETIC POLYPEPTIDE : DIFFERENCE OF CARDIAC AND VOLUME OVERLOAD
- Plasma hepatocyte growth factor is increased in early-phase sepsis
- The Incidence of Sickness/trauma in Spectators of Professional Baseball at the Meiji Jingu Baseball Stadium
- OJ-205 Orthostatic Decrease of Cardiac Chaos in Patient with Vasovagal Syncope during Negative Head-up Tilt(Autonomic Nervous System 2 (H) : OJ23)(Oral Presentation (Japanese))
- OJ-161 Respiratory-Related Systolic Arterial Pressure Variability as an Indicator of Blood Loss(Emergency care-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OJ-282 Impact of the Application of the Recent Guidelines for the Mortality of Patients with Syncope in Japanese Emergency Department(Emergency care-2 (H) OJ47,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Cir
- Extension of Ductal Carcinoma in Situ : Histopathological Association with MR Imaging and Mammography
- Antimicrobial-susceptible patterns of Staphylococcus aureus isolated from surgical infections : a new approach
- Sliding Friction of Kr Films Adsorbed on Graphite
- Pulmonary Paragonimiasis with Coincidental Malignant Mesothelioma
- The Natural History of the Systemic Inflammatory Response Syndrome and the Evaluation of SIRS Criteria as a Predictor of Severity in Patients Hospitalized through Emergency Services
- Risk Stratification of Adult Pneumonia in a Tertiary Emergency Center in Japan
- Dissecting Aortic Aneurysm Presenting as Pyrexia of Unknown Origin:Report of a Case
- RIGHT ATRIAL MYXOMA WITH RIGHT TO LEFT SHUNT AND CORONARY ARTERY DISEASE
- Population pharmacokinetics (PK) and pharmacodynamics (PD) of arbekacin in patients infected with methicillin-resistant Staphylococcus aureus (MRSA)
- Efficient Implementations of Molecular Dynamics Simulations for Lennard-Jones Systems(General and Mathematical Physics)
- Role of a critical pathway for door-to-CT-completion interval in the management of acute ischemic stroke patients in the emergency room
- The role of a real-time PCR technology for rapid detection and identification of bacterial and fungal pathogens in whole-blood samples
- ^Mn NMR in Ferromagnetic Perovskites RENi_Mn_O_3 (RE=Rare Earth Element)(Condensed Matter : Electronic Structure, Electrical, Magnetic and Optical Properties)
- Clinical efficacy and safety of intravenous itraconazole in the management of invasive candidiasis in patients of surgery and critical care
- Sliding Friction of Kr Films Adsorbed on Graphite
- Temperature Dependence of the Raman Shift and Raman Width of Solid Parahydrogen: Effect of Vibron–Phonon Scattering
- A Case of Severe Heat Stroke With Abnormal Cardiac Findings
- High incidence of postoperative metabolic alkalosis in surgical patients.