{"created":"2024-03-11T05:21:54.120115+00:00","id":2000109,"links":{},"metadata":{"_buckets":{"deposit":"a683dfb8-feaa-4c2a-a664-aecbec175c70"},"_deposit":{"created_by":4,"id":"2000109","owner":"4","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2000109"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:02000109","sets":["2:15:17"]},"author_link":[],"control_number":"2000109","item_5_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"頸椎後方除圧術後の内科的合併症の予測因子としての術前予後推定栄養指数: 多施設共同研究","subitem_alternative_title_language":"ja"}]},"item_5_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-04-09","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicNumberOfPages":"6","bibliographicVolumeNumber":"29","bibliographic_titles":[{"bibliographic_title":"Journal of Orthopaedic Surgery","bibliographic_titleLang":"en"}]}]},"item_5_date_granted_17":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2023-03-16"}]},"item_5_degree_grantor_15":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"浜松医科大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"13802","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_5_degree_name_12":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）","subitem_degreename_language":"ja"}]},"item_5_description_13":{"attribute_name":"学位の区分","attribute_value_mlt":[{"subitem_description":"dotoral","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_5_description_14":{"attribute_name":"学位の分野","attribute_value_mlt":[{"subitem_description":"医学系研究科","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_5_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Study design: Retrospective longitudinal cohort study. Objective: To investigate postoperative medical complications in patients with malnutrition after cervical posterior surgery. Methods: A total of 256 patients were participated and divided into PNI<50 group (group L) or PNI≥50 (group H). Patient data, preoperative laboratory data, surgical data, hospitalization data, JOA score, complication data were measured. Results: Group L and group H were 127 and 129 patients, each PNI was L: 44.8±4.3, H: 54.6±4.0, P<0.01. There was significant difference in mean age (L: 72.2 years vs H: 64.8 years, P<0.01), BMI (23.1 vs 24.7, P<0.01), serum albumin (L: 3.9±0.4 g/dl vs H: 4.4±0.3 g/dl, P<0.01), total lymphocyte count (L: 1.3±0.5 10³/μL vs H: 2.1±0.7 103/μL, P<0.01), hospital stay (L: 25.0 days vs H: 18.8 days, P<0.05), discharge to home (87.5% vs 57.5%, P<0.01), delirium (L: 15.9% vs H: 3.9%, P<0.01), medical complications (L: 25.2% vs H: 7.0%, P<0.01), pre- and post- operative JOA score (L: 11.3±2.8 vs H: 12.4±2.6, P<0.01; L: 13.3±3.0 vs H: 14.1±2.4, P=0.02). Multiple logistic regression analysis showed that significant risk factors for medical complications were PNI<50 (P=0.024, odds ratio [OR] 2.746, 95% confidence interval [CI] 1.143–6.600) and age (P=0.005, odds ratio [OR] 1.064, 95% confidence interval [CI] 1.020–1.111). Conclusion: Medical complications are significantly higher in patients with PNI<50 and higher age. The results showed that PNI is a good indicator for perioperative medical complications in cervical posterior surgery. Improvement of preoperative nutritional status is important to avoid medical complications.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_5_dissertation_number_18":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"甲第941号"}]},"item_5_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"SAGE Publications","subitem_publisher_language":"en"}]},"item_5_relation_26":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"33832377","subitem_relation_type_select":"PMID"}}]},"item_5_relation_28":{"attribute_name":"出版社DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1177/23094990211006869","subitem_relation_type_select":"DOI"}}]},"item_5_rights_7":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"(C) The Author(s) 2021.","subitem_rights_language":"en"},{"subitem_rights":"This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).","subitem_rights_language":"en"}]},"item_5_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1022-5536","subitem_source_identifier_type":"PISSN"}]},"item_5_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2309-4990","subitem_source_identifier_type":"EISSN"}]},"item_5_source_id_23":{"attribute_name":"NII書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA11004541","subitem_source_identifier_type":"NCID"}]},"item_5_version_type_32":{"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_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"黒須, 健太","creatorNameLang":"ja"},{"creatorName":"クロス, ケンタ","creatorNameLang":"ja-Kana"},{"creatorName":"Kurosu, Kenta","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-03-11"}],"displaytype":"detail","filename":"DT_941ronbun.pdf","filesize":[{"value":"173 KB"}],"format":"application/pdf","licensetype":"license_3","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/2000109/files/DT_941ronbun.pdf"},"version_id":"bca81623-d57d-463e-81bf-d0b0cec1febb"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"cervical posterior surgery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"malnutrition","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"medical complications","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"prognostic nutritional index","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"risk factors of medical complications","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: a multicenter study","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: a multicenter study","subitem_title_language":"en"}]},"item_type_id":"5","owner":"4","path":["17"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-03-11"},"publish_date":"2024-03-11","publish_status":"0","recid":"2000109","relation_version_is_last":true,"title":["Preoperative prognostic nutritional index as a predictive factor for medical complication after cervical posterior decompression surgery: a multicenter study"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-03-15T03:01:17.216445+00:00"}