Epidemiology of adverse event in surgical patients
| Project/Area Number |
15K21535
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Medical and hospital managemen
Anesthesiology
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| Research Institution | Hyogo Medical University |
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Principal Investigator |
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| Project Period (FY) |
2015-04-01 – 2018-03-31
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| Project Status |
Completed (Fiscal Year 2017)
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| Budget Amount *help |
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2016: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | 医療の質 / 臨床疫学研究 / 手術関連有害事象 / 医原性有害事象 |
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| Outline of Final Research Achievements |
We evaluated the epidemiology of Adverse Event (AE) in the cardiology outpatients and the surgical inpatients. In the cardiology outpatients we identified 144 AEs in 124 patients (16.3%) and 17 fatal or life-threatening AEs. The causes of all AEs were determined, and multiple cases were permitted. Of the 144 AEs, 120 were adverse drug events (ADEs) and 51 were non-ADEs: 17 operation-related AEs, 5 procedure-related AEs, 22 decision-making-related AEs and 7 others. Of the 17 fatal or life-threatening AEs, 7 were ADEs and 13 were non-ADEs including 9 operation-related AEs. We showed non-ADEs were higher risk AEs (p=0.0003). In the surgical inpatients the incidents of AEs was 69 AEs per 1,000 patient-days and the incidence of preventable AEs was 17 per 1,000 patient-days. Operation related-AEs were common and high risk in surgical patients and were especially important.
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Report
(4 results)
Research Products
(20 results)
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[Journal Article] Effect of dexmedetomidine on mortality and ventilator-free days in patients requiring mechanical ventilation with sepsis: A randomized clinical trial.2017
Author(s)
Kawazoe Yu, Miyamoto Kyohei, Morimoto Takeshi, Yamamoto Tomonori, Fuke Akihiro, Hashimoto Atsunori, Koami Hiroyuki, Beppu Satoru, Katayama Yoichi, Itoh Makoto, Ohta Yoshinori, Yamamura Hitoshi, for the Dexmedetomidine for Sepsis in Intensive Care Unit Randomized Evaluation (DESIRE) Trial Investigators.
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Journal Title
JAMA
Volume: 317
Issue: 13
Pages: 1321-1328
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] Dexmedetomidine for ventilated septic patients in ICU: a multicenter randomized controlled trial.2016
Author(s)
Miyamoto K, Kawazoe Y, Morimoto T, Yamamoto T, Fuke A, Hashimoto A, Koami H, Beppu S, Katayama Y, Ito M, Ohta Y, Yamamura H.
Organizer
European Society of Intensive Care Medicine 2016
Place of Presentation
Milan, Italy
Related Report
Int'l Joint Research
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