{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679615211648.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3995/jstroke.10406"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jstroke/39/1/39_10406/_pdf"}},{"identifier":{"@type":"NAID","@value":"130005297430"}}],"dc:title":[{"@language":"en","@value":"Severity and outcome of subarachnoid hemorrhage analyzed by stress index"},{"@language":"ja","@value":"Stress index からみるくも膜下出血の重症度と転帰"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Purpose: The aim of this study was to examine the relationship between stress index (SI) calculated by dividing blood sugar (BS) concentration by serum potassium (K) level at the time of initial examination and both severity and outcome of subarachnoid hemorrhage (SAH). Methods: We retrospectively analyzed 108 patients with SAH. Severity of SAH was assessed using the World Federation of Neurosurgical Societies (WFNS) classification system. The moderate group included patients with WFNS grade I–III, with all other patients classified into the severe group. Outcomes at the time of discharge were assessed using the Glasgow Outcome Scale. Good outcome group included patients with good recovery or moderate disability, while others were classified to the poor outcome group. Biochemical factors evaluated at the initial examination included K, BS, and SI. Results: BS and SI were significantly higher in the severe group than in the moderate group (p<0.001). These indicators were also significantly higher in the poor outcome group than in the good outcome group (p<0.001). Some patients in the moderate group fell into the poor outcome group. In those patients, SI was significantly high. Conclusion: SI was significantly high in patients with severe SAH and in patients with poor outcome. Patients with high SI who are classified into the moderate group might show poor clinical outcomes."},{"@language":"ja","@value":"【目的】くも膜下出血（SAH）において，初診時に，カテコラミン推移と相関するとされるstress index［SI；血糖（BS）値をカリウム（K）値で除した値］と重症度，転帰との関係を検討すること．【方法】過去4 年間のSAH 108 例を後方視的に検証した．重症度はWFNS 分類で評価し，軽症例をModerate 群，重症例をSevere 群に分けた．転帰は退院・転院時のGOS で評価し，良転帰例をGood群，転帰不良例をPoor 群とした．初診時生化学的因子はK，BS，SI を検討した．【結果】WFNS 分類はSevere 群で，GOS ではPoor 群で有意にBS，SI が高値であった（p<0.001）．Moderate 群の中でもGOS がPoor 群となる症例があり，有意にSI が高値であった．【結論】SAH 重症例や転帰不良例はSIが有意に高値であった．軽症例でもSI 高値例は転帰不良となる可能性があり，注意が必要である．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679615211648","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345328969"}],"foaf:name":[{"@language":"ja","@value":"佐瀬 泰玄"},{"@language":"en","@value":"Sase Taigen"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"聖マリアンナ医科大学横浜市西部病院脳神経外科"},{"@language":"en","@value":"Division of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410290697739652480","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345328970"}],"foaf:name":[{"@language":"en","@value":"Onodera Hidetaka"},{"@language":"ja","@value":"小野寺 英孝"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital"},{"@language":"ja","@value":"聖マリアンナ医科大学横浜市西部病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679615211653","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345328971"}],"foaf:name":[{"@language":"ja","@value":"内田 将司"},{"@language":"en","@value":"Uchida Masashi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital"},{"@language":"ja","@value":"聖マリアンナ医科大学横浜市西部病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679615211649","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345328972"}],"foaf:name":[{"@language":"ja","@value":"松森 隆史"},{"@language":"en","@value":"Matsumori Takashi"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital"},{"@language":"ja","@value":"聖マリアンナ医科大学横浜市西部病院脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, St. Marianna University School of Medicine"},{"@language":"ja","@value":"聖マリアンナ医科大学脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679615211651","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345328973"}],"foaf:name":[{"@language":"ja","@value":"中村 歩希"},{"@language":"en","@value":"Nakamura Homare"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital"},{"@language":"ja","@value":"聖マリアンナ医科大学横浜市西部病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679615211654","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345328974"}],"foaf:name":[{"@language":"ja","@value":"榊原 陽太郎"},{"@language":"en","@value":"Sakakibara Yohtaro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital"},{"@language":"ja","@value":"聖マリアンナ医科大学横浜市西部病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679615211650","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345328975"}],"foaf:name":[{"@language":"ja","@value":"田口 芳雄"},{"@language":"en","@value":"Taguchi Yoshio"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Division of Neurosurgery, St. Marianna University School of Medicine Yokohama City Seibu Hospital"},{"@language":"ja","@value":"聖マリアンナ医科大学横浜市西部病院脳神経外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09120726"},{"@type":"LISSN","@value":"09120726"},{"@type":"EISSN","@value":"18831923"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Stroke"},{"@language":"ja","@value":"脳卒中"},{"@language":"en","@value":"Nosotchu"},{"@language":"en","@value":"Jpn. J. Stroke"},{"@language":"ja","@value":"脳卒中"}],"dc:publisher":[{"@language":"en","@value":"The Japan Stroke Society"},{"@language":"ja","@value":"一般社団法人 日本脳卒中学会"}],"prism:publicationDate":"2017","prism:volume":"39","prism:number":"1","prism:startingPage":"1","prism:endingPage":"5"},"reviewed":"false","dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://www.jstage.jst.go.jp/article/jstroke/39/1/39_10406/_pdf"}],"availableAt":"2017","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Glasgow%20Outcome%20Scale","dc:title":"Glasgow Outcome Scale"},{"@id":"https://cir.nii.ac.jp/all?q=stress%20index","dc:title":"stress index"},{"@id":"https://cir.nii.ac.jp/all?q=subarachnoid%20hemorrhage","dc:title":"subarachnoid hemorrhage"},{"@id":"https://cir.nii.ac.jp/all?q=World%20Federation%20of%20Neurosurgical%20Societies%20grading","dc:title":"World Federation of Neurosurgical Societies grading"},{"@id":"https://cir.nii.ac.jp/all?q=Glasgow%20Outcome%20Scale","dc:title":"Glasgow Outcome Scale"},{"@id":"https://cir.nii.ac.jp/all?q=stress%20index","dc:title":"stress index"},{"@id":"https://cir.nii.ac.jp/all?q=subarachnoid%20hemorrhage","dc:title":"subarachnoid hemorrhage"},{"@id":"https://cir.nii.ac.jp/all?q=World%20Federation%20of%20Neurosurgical%20Societies%20grading","dc:title":"World Federation of Neurosurgical Societies grading"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1361137045586050560","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"A clinicopathological study of patients following a subarachnoid hemorrhage"}]},{"@id":"https://cir.nii.ac.jp/crid/1363107371158830976","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Continuous Intravascular Monitoring of Epinephrine-induced Changes in Plasma Potassium"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001205052090112","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Changes in Biogenic A mines and their Metabolites in Subarachnoid Hemorrhage"},{"@language":"ja","@value":"破裂脳動脈瘤によるクモ膜下出血症例における生理活性アミンの変動とその臨床的意義"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2001725118"},{"@type":"CROSSREF","@value":"10.3995/jstroke.10406"},{"@type":"CIA","@value":"130005297430"},{"@type":"OPENAIRE","@value":"doi_dedup___::e1981eeda3089cf702df31a6193301bf"}]}