{"id":36207,"date":"2023-03-05T19:46:21","date_gmt":"2023-03-05T10:46:21","guid":{"rendered":"https:\/\/www.mcsg.co.jp\/kentatsu\/?p=36207"},"modified":"2023-05-10T21:25:21","modified_gmt":"2023-05-10T12:25:21","slug":"%e3%80%90%e5%b0%82%e9%96%80%e5%ae%b6%e3%82%a4%e3%83%b3%e3%82%bf%e3%83%93%e3%83%a5%e3%83%bc%e3%80%91%e6%82%a3%e8%80%85%e3%81%ae%e8%87%aa%e7%84%b6%e6%b2%bb%e7%99%92%e5%8a%9b%e3%81%ab%e3%82%a2%e3%83%97","status":"publish","type":"post","link":"https:\/\/www.mcsg.co.jp\/kentatsu\/interview\/36207","title":{"rendered":"\u3010\u5c02\u9580\u5bb6\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3011\u60a3\u8005\u306e\u81ea\u7136\u6cbb\u7652\u529b\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3059\u308b\u305f\u3081\u306e\u7814\u7a76"},"content":{"rendered":"

\u7814\u7a76\u5185\u5bb9\u306b\u3064\u3044\u3066<\/span><\/h2>\n

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\u4e2d\u6c38\u69d8\uff1a\u79cb\u7530\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u96c6\u4e2d\u6cbb\u7642\u5ba4\uff08ICU\uff09\u306b\u5165\u5ba4\u3057\u30013\u66a6\u65e5\u4ee5\u4e0a\u4eba\u5de5\u547c\u5438\u5668\u304c\u88c5\u7740\u3055\u308c\u305f169\u4f8b\u3092\u5bfe\u8c61\u3068\u3057\u307e\u3057\u305f\u3002\u4eba\u5de5\u547c\u5438\u5668\u95a2\u9023\u4e8b\u8c61\uff08ventilator-associated events, VAE\uff09\u967d\u6027\u306f16\u4f8b\uff089.5\uff05\uff09\u3067\u3001\u4eba\u5de5\u547c\u5438\u5668\u88c5\u7740\u5ef6\u3079\u65e5\u6570\u306f3,290\u65e5\u3001VAE\u767a\u751f\u7387\u306f4.86\u4f8b\/1,000\u4eba\u5de5\u547c\u5438\u5668\u88c5\u7740\u65e5\u6570\u3067\u3057\u305f\u3002\u4eba\u5de5\u547c\u5438\u5668\u88c5\u7740\u65e5\u6570\u306f\u3001VAE\u967d\u6027\u7fa4\u306f\u9670\u6027\u7fa4\u306b\u6bd4\u3079\u3066\u9577\u304f\u306a\u3063\u3066\u3044\u307e\u3057\u305f\uff0824.9\u00b118.6 \u65e5 vs. 10.4\u00b19.7 \u65e5\u3001P\uff1c0.001\uff09\u3002APACHE\u2161score\u306fVAE\u967d\u6027\u7fa424.6\u00b17.29\u3001\u9670\u6027\u7fa419.2\u00b16.29\u3067\u3057\u305f\uff08P\uff1c0.01\uff09\u3002APACHE\u304b\u3089\u7b97\u51fa\u3057\u305f\u5e73\u5747\u4e88\u6e2c\u6b7b\u4ea1\u7387\u306fVAE\u967d\u6027\u7fa452.1\u00b126.6\uff05\u3001\u9670\u6027\u7fa431.4\u00b121.5\uff05\u3067\u3057\u305f\uff08P\uff1c0.001\uff09\u3002\u75c5\u9662\u5b9f\u6b7b\u4ea1\u7387\u306fVAE\u967d\u6027\u7fa481.3\uff05\uff0816\u4f8b\u4e2d13\u4f8b\uff09\u3001\u9670\u6027\u7fa415.7\uff05\uff08153\u4f8b\u4e2d24\u4f8b\uff09\u3067\u3042\u308a\uff08P\uff1c0.001\uff09\u3001\u6a19 \u6e96 \u5316 \u6b7b \u4ea1 \u6bd4\uff08standardized mortality ratio, SMR\uff09\u306fVAE\u967d \u6027 \u7fa41.6\u3001\u9670 \u6027 \u7fa40.5\u3067\u3057\u305f\u3002\u672c\u7814\u7a76\u304b\u3089\u3001VAE\u306fICU\u5165\u5ba4\u6642\u306e\u91cd\u75c7\u5ea6\u304c\u9ad8\u3044\u5834\u5408\u306b\u967d\u6027\u3068\u306a\u308a\u3001\u307e\u305fICU\u5165\u5ba4\u6642\u306e\u4e88\u6e2c\u4ee5\u4e0a\u306b\u6b7b\u4ea1\u7387\u3092\u9ad8\u304f\u3059\u308b\u53ef\u80fd\u6027\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002<\/span><\/p>\n

\u53c2\u8003\u6587\u732e\uff1ahttps:\/\/www.jstage.jst.go.jp\/article\/jsicm\/25\/2\/25_25_149\/_pdf<\/a><\/span><\/p>\n

 <\/p>\n

\u7de8\u96c6\u90e8\uff1a\u305d\u306e\u7814\u7a76\u3092\u884c\u3063\u305f\u7d4c\u7def\u3092\u6559\u3048\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\n

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\u4e2d\u6c38\u69d8\uff1a\u7c73\u56fd\u75be\u75c5\u7ba1\u7406\u4e88\u9632\u30bb\u30f3\u30bf\u30fc\uff08Centers for Disease Control and Prevention, CDC\uff09\u306e\u533b\u7642\u5b89\u5168\u30cd\u30c3\u30c8\u30ef\u30fc\u30af\uff08National Healthcare Safety Network, NHSN\uff09\u3067\u306f\u3001\u65b0\u305f\u306a\u6307\u6a19\u3067\u3042\u308bVAE\u3092\u7b56\u5b9a\u3057\u30012013\u5e74\u304b\u3089VAE\u30b5\u30fc\u30d9\u30a4\u30e9\u30f3\u30b9\u3092\u904b\u7528\u3057\u3066\u3044\u307e\u3059\u3002\u672c\u7814\u7a76\u306f\uff0cCDC\/NHSN\u306e\u5831\u544a\u69d8\u5f0f\u306b\u5f93\u3063\u3066\u3001\u79cb\u7530\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662ICU\u306eVAE\u767a\u751f\u7387\u3092\u6c42\u3081\u3001VAE\u967d\u6027\u7fa4\u306e\u4e88\u5f8c\u306e\u8a55\u4fa1\u3092\u884c\u3063\u305f\u3082\u306e\u3067\u3059\u3002<\/span><\/p>\n

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\u53c2\u8003\u6587\u732e\uff1ahttp:\/\/www.jsomt.jp\/journal\/pdf\/056040165.pdf<\/a><\/span><\/p>\n

 <\/p>\n

\u7de8\u96c6\u90e8\uff1a<\/span>\u4e2d\u6c38<\/span>\u69d8\u304c\u8003\u3048\u308b\u672c\u7814\u7a76\u306e\u610f\u7fa9\u3092\u6559\u3048\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\n

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\u4eca\u5f8c\u306e\u76ee\u6a19\u306b\u3064\u3044\u3066<\/span><\/h2>\n

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