{"created":"2023-10-21T07:22:57.513694+00:00","id":2000050,"links":{},"metadata":{"_buckets":{"deposit":"3ff40d83-63df-4963-aa91-8b768caab334"},"_deposit":{"created_by":17,"id":"2000050","owners":[17],"pid":{"revision_id":0,"type":"depid","value":"2000050"},"status":"published"},"_oai":{"id":"oai:kokushikan.repo.nii.ac.jp:02000050","sets":["928:1337:1338:1401"]},"author_link":["25354","25820","25849","25236","7575","25828","20114"],"control_number":"2000050","item_10002_biblio_info_168":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03-28","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"8","bibliographicPageStart":"1","bibliographicVolumeNumber":"3","bibliographic_titles":[{"bibliographic_title":"国士舘防災・救急救助総合研究","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of disaster management and emergency medical system, Kokushikan University","bibliographic_titleLang":"en"}]}]},"item_10002_description_151":{"attribute_name":"著者ID","attribute_value_mlt":[{"subitem_description":"J-GLOBAL ID : 202001009643996700","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 200901068139604573","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 201901011323029170","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 201301006195731275","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 201401034774114335","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 202301012537997830","subitem_description_type":"Other"},{"subitem_description":"J-GLOBAL ID : 200901029664949748","subitem_description_type":"Other"}]},"item_10002_description_161":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"［目的］ 病院外心停止例では、救急救命士は地域メディカルコントロール協議会の心停止プロトコールに従いアドレナリンの投与が行われているが、脳機能予後に有効であるという臨床的なエビデンスは不十分である。本研究の目的は、心停止プロトコールに従い初期心電図波形別に投与されたアドレナリンが及ぼす影響について検討することである。\n［方法］ 2006年から2012年までの全国ウツタインデータからアドレナリンを投与した40,970症例を抽出し、アドレナリン初回投与時の心電図波形別に傷病者への接触からアドレナリン投与までの時間と、心拍再開率及び社会復帰率の関係を解析した。\n［結果］ 心拍再開率は、VF/VT群 (n ＝ 1,647) 22.4％、PEA群 (n ＝ 4,717) 24.3％、心静止群 (n ＝ 2,918) 20.6％と大きな差異は認められなかった。一方、社会復帰率は、VF/VT群 (n ＝ 504) 6.9％、PEA群 (n ＝ 183) 0.9％、心静止群 (n ＝ 74) 0.5％と大きな差が認められ、VF/VT群を1とした場合、PEA群のオッズ比は 0.16 (95％ Cl 0.16 － 0.17)、心静止群は 0.04 (95％ Cl 0.04 － 0.05) と、心電図波形ごとの社会復帰率の差異を認めた。\n［結論］ 今後、救急救命士は、初期心電図波形の違いに合わせたアドレナリン投与のタイミングについて検討する必要がある。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_description_175":{"attribute_name":"論文ID(CRID)","attribute_value_mlt":[{"subitem_description":"1520853834839238528","subitem_description_type":"Other"}]},"item_10002_description_180":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10002_heading_148":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"論文","subitem_heading_headline":"Articles"}]},"item_10002_publisher_169":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"国士舘大学防災・救急救助総合研究所"}]},"item_10002_relation_173":{"attribute_name":"論文ID(NAID)","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"40021308059","subitem_relation_type_select":"NAID"}}]},"item_10002_relation_178":{"attribute_name":"所蔵情報","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"『国士舘 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timing correspondence with ECG wave form"},{"subitem_textarea_language":"ja","subitem_textarea_value":"受理日 : 2017年2月13日"}]},"item_10002_version_type_181":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"植田, 広樹","creatorNameLang":"ja"},{"creatorName":"ウエタ, ヒロキ","creatorNameLang":"ja-Kana"},{"creatorName":"Ueta, 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