2023/10/31 更新

写真a

トミナガ　ナオキ
富永　直樹
Tominaga Naoki
所属
付属病院 救命救急科 助教
職名
助教
外部リンク

論文

  • Fibrin/fibrinogen degradation products (FDP) at hospital admission predict neurological outcomes in out-of-hospital cardiac arrest patients 査読

    Yuichi Ono, Mineji Hayakawa, Kunihiko Maekawa, Akira Kodate, Yoshihiro Sadamoto, Naoki Tominaga, Hiromoto Murakami, Tomonao Yoshida, Kenichi Katabami, Takeshi Wada, Hisako Sageshima, Atsushi Sawamura, Satoshi Gando

    RESUSCITATION   111   62 - 67   2017年2月

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    記述言語：英語   掲載種別：研究論文（学術雑誌）   出版者・発行元：ELSEVIER IRELAND LTD  

    Objective: This study aimed to test the hypothesis that coagulation, fibrinolytic markers and disseminated intravascular coagulation (DIC) score (International Society on Thrombosis and Haemostasis) at hospital admission of out-of-hospital cardiac arrest (OHCA) patients can predict neurological outcomes 1 month after cardiac arrest.
    Methods: In this retrospective, observational analysis, data were collected from the Sapporo Utstein Registry and medical records at Hokkaido University Hospital. We included patients who experienced OHCA with successful return of spontaneous circulation (ROSC) between 2006 and 2012 and were transferred to Hokkaido University Hospital. From medical records, we collected information about the following coagulation and fibrinolytic factors at hospital admission: platelet count; prothrombin time; activated partial thromboplastin time; plasma levels of fibrinogen, D-dimer, fibrin/fibrinogen degradation products (FDP), and antithrombin; and calculated DIC score. Favorable neurological outcomes were defined as a cerebral performance category 1-2.
    Results: We analyzed data for 315 patients. Except for fibrinogen level, all coagulation variables, fibrinolytic variables, and DIC score were associated with favorable neurological outcomes. In the receiver operating characteristic curve analysis, FDP level had the largest area under the curve (AUC; 0.795). In addition, the AUC of FDP level was larger than that of lactate level.
    Conclusions: All of the coagulation and fibrinolytic markers, except for fibrinogen level, and DIC score at hospital admission, were associated with favorable neurological outcomes. Of all of the variables, FDP level was most closely associated with favorable neurological outcomes in OHCA patients who successfully achieved ROSC. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

    DOI： 10.1016/j.resuscitation.2016.11.017

    Web of Science

    PubMed

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書籍等出版物

  • 外傷の術後管理のスタンダードはこれだ! 〜損傷別管理の申し送りからICU退室まで (Surviving ICUシリーズ)

    清水 敬樹

    羊土社  2016年2月  （ ISBN:4758112061 ）

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    総ページ数：269  

    ASIN

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MISC

  • 詳細な病歴聴取により予測しえたレプトスピラ症の一例

    高橋 慶, 富永 直樹, 瀧口 徹, 川端 真里佐, 土合 昌巳, 五十嵐 豊, 萩原 純, 横堀 將司, 根井 貴人, 小泉 信夫, 増野 智彦, 辻井 厚子, 金 史英, 布施 明, 横田 裕行

    日本救急医学会関東地方会雑誌   39 ( 1 )   110 - 110   2018年1月

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    記述言語：日本語   出版者・発行元：日本救急医学会-関東地方会  

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  • 上行腰静脈へ迷入したextracorporeal membrane oxygenation（ECMO）脱血管の検討

    富永 直樹, 方波見 謙一, 小舘 旭, 定本 圭弘, 村上 博基, 吉田 知由, 丸藤 哲

    日集中医誌   25 ( 2 )   145 - 146   2018年

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    記述言語：日本語   出版者・発行元：一般社団法人 日本集中治療医学会  

    DOI： 10.3918/jsicm.25_145

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  • 【ERでの鎮痛と鎮静-非日常へのレジリエントな対応】鎮痛・鎮静の実際 状態別編 頭蓋内疾患 初期治療を中心に

    富永 直樹, 横堀 將司, 横田 裕行

    救急医学   41 ( 12 )   1646 - 1652   2017年11月

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    記述言語：日本語   出版者・発行元：(株)へるす出版  

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