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COVID-19と非COVID-19によるARDS患者における嚥下障害の比較検討
https://osaka-dent.repo.nii.ac.jp/records/353
https://osaka-dent.repo.nii.ac.jp/records/353786b64cc-9ec1-47f8-bc42-5af21e6bfb22
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論文内容要旨・審査結果要旨 (221.8 kB)
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学位論文 (163 KB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
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| 公開日 | 2023-04-04 | |||||
| 本文言語 | ||||||
| 言語 | eng | |||||
| タイトル | ||||||
| タイトル | Comparative study of dysphagia occurring after acute respiratory distress syndrome in COVID-19 versus non-COVID-19 patients | |||||
| 言語 | en | |||||
| タイトル | ||||||
| タイトル | COVID-19と非COVID-19によるARDS患者における嚥下障害の比較検討 | |||||
| 言語 | ja | |||||
| 著者 |
前田, 圭吾
× 前田, 圭吾 |
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| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Post-extubation dysphagia | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | Mechanical ventilation | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | COVID19 | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題Scheme | Other | |||||
| 主題 | ARDS | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
| 資源タイプ | doctoral thesis | |||||
| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | We compared the clinical characteristics and incidence of dysphagia after mechanical ventilation in patients with acute respiratory distress syndrome (ARDS) occurring with or without coronavirus disease 2019 (COVID19). Sixtyseven patients who were diagnosed with ARDS due to COVID19 and were managed with mechanical entilation between January 2020 to March 2021 were included in the COVID19 group. This group was compared with 32 patients who were diagnosed with ARDS due to diseases other than COVID19 between January 2017 and March 2021 ( the nonCOVID19 group) . Clinical characteristics and dysphagia during the time after being in the intensive care unit and hospital discharge were compared for the two patient groups. The Functional Oral Intake Scale ( FOIS ) was used to evaluate dysphagia. FOIS levels 1 to 5 are defined as dysphagia. There were no statistically significant differences in patient characteristics between the two groups other than their Acute Physiology and Chronic Health Evaluation II scores (18.82±5.949 vs 25.97±6.977, p＜0.001). Multivariate analysis showed that the incidence of dysphagia at hospital discharge in patients with COVID19associated ARDS was statistically significantly lower than in patients with ARDS due to other causes (OR 0.238, 95% CI 0.071−0.798; p＝0.02). | |||||
| 言語 | en | |||||
| 学位名 | ||||||
| 言語 | ja | |||||
| 学位名 | 博士（歯学） | |||||
| 学位授与機関 | ||||||
| 学位授与機関識別子Scheme | kakenhi | |||||
| 学位授与機関識別子 | 34408 | |||||
| 言語 | ja | |||||
| 学位授与機関名 | 大阪歯科大学 | |||||
| 言語 | en | |||||
| 学位授与機関名 | Osaka Dental University | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2023-03-03 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 甲第945号 | |||||
| 権利 | ||||||
| 言語 | en | |||||
| 権利情報 | © 2022 The Author(s) | |||||
| 関連情報 | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.18905/jodu.56.2_209 | |||||
| 関連情報 | ||||||
| 関連名称 | Journal of Osaka Dental University. 2022, 56(2), p. 209-214. | |||||
