• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Acute Kidney Injury in Critically Ill Patients - A Multiceltre Cohort Study in Japanese ICUs

Research Project

Project/Area Number 16J10320
Research Category

Grant-in-Aid for JSPS Fellows

Allocation TypeSingle-year Grants
Section国内
Research Field Epidemiology and preventive medicine
Research InstitutionKyoto University

Principal Investigator

藤井 智子  京都大学, 医学研究科, 特別研究員(DC1)

Project Period (FY) 2016-04-22 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥2,500,000 (Direct Cost: ¥2,500,000)
Fiscal Year 2018: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2017: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2016: ¥900,000 (Direct Cost: ¥900,000)
Keywords急性腎傷害 / 集中治療室 / 重症患者 / 集中治療 / 敗血症 / 疫学 / 臨床研究 / 疾患レジストリ
Outline of Annual Research Achievements

平成28, 29年度に日本全国から13の集中治療室の協力を得て、多施設共同AKIレジストリ(JAKID)を構築した。このレジストリにはのべ2421件、2292人のICU入室中のデータ、退院時の転帰データが登録された。
平成30年度はこのデータベースを用いて、重症病態の評価と有効な治療法の探索に関する研究を行い、学術集会、国際学術誌への報告を行った。具体的には、AKI患者へのカルペリチド投与の有効性の検証、重症患者の臓器障害スコア(SOFAスコア)へのAKI国際診断基準の適用の有用性、について、国際学術誌に発表した。また、SOFAスコアへのAKI国際診断基準の適用の有用性、心臓手術術後患者の尿量がAKI診断に与える影響、についてはそれぞれ、欧州集中治療医学会、米国集中治療医学会の年次学術集会で結果を発表した。
さらに、重症患者の血行動態管理によるAKI発症の予防、重症患者に対する造影剤投与の影響、に関する検証研究は、解析を終了しており、今後の国際学会での発表・論文化の準備を進めている。
また、重症患者診療は常に治療制限や積極的治療の手控えなどの倫理的問題を伴う。ICUでは急性期特有の診療スピード、短時間の患者家族との関わり、など、携わる医療者が抱える心理的負担も大きい。急性腎傷害患者に対する血液浄化療法も体外循環を要し、患者への心身の負担は大きく、治療制限が考慮される代表的医療介入のひとつである。本研究では平成29年度に集中治療従事者に対して実施した倫理的苦悩に関する調査研究において得られた調査データを分析・解析し、日本集中治療医学会において発表した。現在論文投稿の準備が進んでいる。

Research Progress Status

平成30年度が最終年度であるため、記入しない。

Strategy for Future Research Activity

平成30年度が最終年度であるため、記入しない。

Report

(3 results)
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • 2016 Annual Research Report
  • Research Products

    (25 results)

All 2019 2018 2017 2016 Other

All Int'l Joint Research (8 results) Journal Article (7 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 7 results,  Open Access: 4 results,  Acknowledgement Compliant: 1 results) Presentation (6 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results) Remarks (4 results)

  • [Int'l Joint Research] Monash University/Alfred Hospital/Austin Hospital(オーストラリア)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] Wellington Hospital(ニュージーランド)

    • Related Report
      2018 Annual Research Report
  • [Int'l Joint Research] University of Alberta/University of British Columbia(Canada)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] Erasme University Hospital(Belgium)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] University of Turin/San Bortolo Hospital(Italy)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] University of Poitiers(France)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] Virginia Commonwealth University(米国)

    • Related Report
      2017 Annual Research Report
  • [Int'l Joint Research] University of Alberta(Canada)

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Modification of sequential organ failure assessment score using acute kidney injury classification2019

    • Author(s)
      Kotani Yuki、Fujii Tomoko、Uchino Shigehiko、Doi Kent
    • Journal Title

      Journal of Critical Care

      Volume: 51 Pages: 198-203

    • DOI

      10.1016/j.jcrc.2019.02.026

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Diagnosis, management, and prognosis of patients with acute kidney injury in Japanese intensive care units: The JAKID study2018

    • Author(s)
      Fujii Tomoko、Uchino Shigehiko、Doi Kent、Sato Tosiya、Kawamura Takashi
    • Journal Title

      Journal of Critical Care

      Volume: 47 Pages: 185-191

    • DOI

      10.1016/j.jcrc.2018.07.007

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Human atrial natriuretic peptide for acute kidney injury in adult critically ill patients: A multicenter prospective observational study2018

    • Author(s)
      Fujii Tomoko、Sato Tosiya、Uchino Shigehiko、Doi Kent、Iwami Taku、Kawamura Takashi
    • Journal Title

      Journal of Critical Care

      Volume: - Pages: 229-235

    • DOI

      10.1016/j.jcrc.2018.11.032

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Women among First Authors in Japanese Cardiovascular Journal2018

    • Author(s)
      T. Fujii, T. Matsuyama, J. Takeuchi, M. Hara, T. Kitamura, K. Yamauchi-Takihara.
    • Journal Title

      International Heart Journal

      Volume: 59 Issue: 2 Pages: 372-377

    • DOI

      10.1536/ihj.17-187

    • NAID

      130006589018

    • ISSN
      1349-2365, 1349-3299
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Polymyxin B-immobilized hemoperfusion and mortality in critically ill adult patients with sepsis/septic shock: a systematic review with meta-analysis and trial sequential analysis2017

    • Author(s)
      Fujii Tomoko、Ganeko Riki、Kataoka Yuki、Furukawa Toshi A.、Featherstone Robin、Doi Kent、Vincent Jean-Louis、Pasero Daniela、Robert Ren?、Ronco Claudio、Bagshaw Sean M.
    • Journal Title

      Intensive Care Medicine

      Volume: 44 Issue: 2 Pages: 167-178

    • DOI

      10.1007/s00134-017-5004-9

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Prehospital intravenous access and adrenaline administration for survival from out-of-hospital cardiac arrest: propensity score matched analyses from a population-based cohort study in Osaka, Japan2017

    • Author(s)
      Fujii T, Kitamura T, Kajino K, Kiyohara K, Nishiyama C, Nishiuchi T, Hayashi Y, Kawamura T, Iwami T
    • Journal Title

      BMJ Open

      Volume: 7(12) Issue: 12 Pages: e015055-e015055

    • DOI

      10.1136/bmjopen-2016-015055

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Polymyxin B-immobilised haemoperfusion and mortality in critically ill patients with sepsis/septic shock: a protocol for a systematic review and meta-analysis.2016

    • Author(s)
      Fujii T, Ganeko R, Kataoka Y, Featherstone R, Bagshaw SM, Furukawa TA.
    • Journal Title

      BMJ Open

      Volume: 6 Issue: 11 Pages: e012908-e012908

    • DOI

      10.1136/bmjopen-2016-012908

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] ICUの医師、看護師の抱える倫理的苦悩、バーンアウトとストレス対処-2018年全国調査より2019

    • Author(s)
      藤井 智子、方山 真朱、梨木 洋、新津 健裕、武居 哲洋、宇都宮 明美、宮崎 貴久子、Peter Dodek, Ann Hamric, 中山 健夫
    • Organizer
      第46回日本集中治療医学会学術集会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] Impact of Urine Output as a Criterion for Acute Kidney Injury after Cardiopulmonary Bypass Surgery2019

    • Author(s)
      Daisuke Kawakami, Tomoko Fujii, Shigehiko Uchino, Kent Doi, Akira Korenaga, Yuki Nakamori, Masafumi Suga.
    • Organizer
      12) 48th Critical Care Congress
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Moral Distress, Burnout, and Coping among Intensive Care Professionals in Japanese ICUs. (Oral)2018

    • Author(s)
      Tomoko Fujii, Shinshu Katayama, Hiroshi Nashiki, Takehiro Niitsu, Tetsuhiro Takei, Akemi Utsunomiya, Kikuko Miyazaki, Peter Dodek, Ann Hamric, Takeo Nakayama:
    • Organizer
      ESICM 31th Annual Congress
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Modification of Sequential Organ Failure Assessment Score Using Acute Kidney Injury Classification.2018

    • Author(s)
      Yuki Kotani, Tomoko Fujii, Shigehiko Uchino, Kent Doi
    • Organizer
      11) ESICM 31st Annual Congress
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Polymyxin B-immobilized Hemoperfusion and Mortality in Critically Ill Patients with Sepsis/Septic Shock: A Systematic Review and Meta-Analysis.2017

    • Author(s)
      Fujii T, Ganeko R, Kataoka Y, Featherstone R, Bagshaw SM, Furukawa TA.
    • Organizer
      The 22nd International Conference on Advances in Critical Care Nephrology, AKI&CRRT2017
    • Place of Presentation
      San Diego, USA
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 日本発多施設共同AKIレジストリから新たな知見を得る.2016

    • Author(s)
      藤井智子
    • Organizer
      第61回日本透析医学会学術集会・総会
    • Place of Presentation
      大阪国際会議場(大阪府、大阪市)
    • Related Report
      2016 Annual Research Report
  • [Remarks] JAKID - Japan AKI Database

    • URL

      http://jakid.sakura.ne.jp/

    • Related Report
      2018 Annual Research Report
  • [Remarks] JAKID - Japan AKI Database 多施設共同AKIレジストリ

    • URL

      http://jakid.sakura.ne.jp/

    • Related Report
      2017 Annual Research Report
  • [Remarks] 集中治療従事者の抱える倫理的苦悩を考える

    • URL

      http://hi.med.kyoto-u.ac.jp/MDS.html

    • Related Report
      2017 Annual Research Report
  • [Remarks] JAKID ―Japan AKI Database 多施設共同AKIレジストリ

    • URL

      http://jakid.sakura.ne.jp/

    • Related Report
      2016 Annual Research Report

URL: 

Published: 2016-05-17   Modified: 2024-03-26  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi