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25 results on '"Oi, Yasufumi"'

9. Quantitative capillary refill time predicts sepsis in patients with suspected infection in the emergency department: an observational study

Author

Oi Yasufumi, Naoto Morimura, Aya Shirasawa, Hiroshi Honzawa, Yutaro Oyama, Shoko Niida, Takeru Abe, Shouhei Imaki, and Ichiro Takeuchi

Subjects
Sepsis, Organ dysfunction scores, Systemic inflammatory response syndrome, Emergency service, Triage, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9
Abstract

Abstract Background Outcomes in emergent patients with suspected infection depend on how quickly clinicians evaluate the patients and start treatment. This study was performed to compare the predictive ability of the quantitative capillary refill time (Q-CRT) as a new rapid index versus the quick sequential organ failure assessment (qSOFA) score and the systemic inflammatory response syndrome (SIRS) score for sepsis screening in the emergency department. Methods This was a multicenter, observational, retrospective study of adult patients with suspected infection. The area under the curve (AUC) of receiver operating characteristic curve analyses and multivariate analyses were used to explore associations of the Q-CRT with the qSOFA score, SIRS score, and lactate concentration. Results Of the 75 enrolled patients, 48 had sepsis. The AUC, sensitivity, and specificity of Q-CRT were 0.74, 58%, and 81%, respectively; those for the qSOFA score were 0.83, 66%, and 100%, respectively; those for the SIRS score were 0.61, 81%, and 40%, respectively, for SIRS score; and those for the lactate concentration were 0.76, 72%, and 81%, respectively. We found no statistically significant differences in the AUC between the scores. We then combined the Q-CRT and qSOFA score (Q-CRT/qSOFA combination) for sepsis screening. The AUC, sensitivity, and specificity of Q-CRT/qSOFA combination were 0.82, 83%, and 81%, respectively. Conclusions In this study, Q-CRT/qSOFA combination had better sensitivity than the qSOFA score alone and better specificity than the SIRS score alone. There was no significant difference in accuracy between Q-CRT/qSOFA combination and the qSOFA score or lactate concentration. The ability of the Q-CRT to predict sepsis may be similar to that of the qSOFA score or serum lactate concentration; therefore, measurement of the Q-CRT may be an alternative for invasive measurement of the blood lactate concentration in evaluating patients with suspected sepsis.

Published
2019
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12. Combining IL-6 and SARS-CoV-2 RNAaemia-based risk stratification for fatal outcomes of COVID-19

Author

Saji, Ryo, primary, Nishii, Mototsugu, additional, Sakai, Kazuya, additional, Miyakawa, Kei, additional, Yamaoka, Yutaro, additional, Ban, Tatsuma, additional, Abe, Takeru, additional, Ohyama, Yutaro, additional, Nakajima, Kento, additional, Hiromi, Taro, additional, Matsumura, Reo, additional, Suzuki, Naoya, additional, Taniguchi, Hayato, additional, Otsuka, Tsuyoshi, additional, Oi, Yasufumi, additional, Ogawa, Fumihiro, additional, Uchiyama, Munehito, additional, Takahashi, Kohei, additional, Iwashita, Masayuki, additional, Kimura, Yayoi, additional, Fujii, Satoshi, additional, Furuya, Ryosuke, additional, Tamura, Tomohiko, additional, Ryo, Akihide, additional, and Takeuchi, Ichiro, additional

Published
2021
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13. Real-world evaluation of a computed tomography-first triage strategy for suspected Coronavirus disease 2019 in outpatients in Japan

Author

Miyake, Shigeta, primary, Higurashi, Takuma, additional, Jono, Takashi, additional, Akimoto, Taisuke, additional, Ogawa, Fumihiro, additional, Oi, Yasufumi, additional, Tanaka, Katsushi, additional, Hara, Yu, additional, Kobayashi, Nobuaki, additional, Kato, Hideaki, additional, Yamashiro, Tsuneo, additional, Utsunomiya, Daisuke, additional, Nakajima, Atsushi, additional, Yamamoto, Tetsuya, additional, Maeda, Shin, additional, Kaneko, Takeshi, additional, and Takeuchi, Ichiro, additional

Published
2021
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14. Annual Changes in Serum Syndecan-1 as a Therapeutic Target and a Biomarker for the Severity Classification of COVID-19

Author

Ogawa, Fumihiro, primary, Oi, Yasufumi, additional, Nakajima, Kento, additional, Matsumura, Reo, additional, Nakagawa, Tomoki, additional, Miyagawa, Takao, additional, Sakai, Kazuya, additional, Saji, Ryo, additional, Taniguchi, Hayato, additional, Takahashi, Kohei, additional, Abe, Takeru, additional, Iwashita, Masayuki, additional, Nishii, Mototsugu, additional, and Takeuchi, Ichiro, additional

Published
2021
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15. The U-shaped association of serum iron level with disease severity in adult hospitalized patients with COVID-19

Author

Tojo, Kentaro, primary, Sugawara, Yoh, additional, Oi, Yasufumi, additional, Ogawa, Fumihiro, additional, Higurashi, Takuma, additional, Yoshimura, Yukihiro, additional, Miyata, Nobuyuki, additional, Hayami, Hajime, additional, Yamaguchi, Yoshikazu, additional, Ishikawa, Yoko, additional, Takeuchi, Ichiro, additional, Tachikawa, Natsuo, additional, and Goto, Takahisa, additional

Published
2021
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17. Real-world evaluation of a computed tomography-first triage strategy for suspected coronavirus disease 2019 in emergency outpatients in Japan: an observational cohort study

Author

Miyake, Shigeta, primary, Higurashi, Takuma, additional, Jono, Takashi, additional, Akimoto, Taisuke, additional, Ogawa, Fumihiro, additional, Oi, Yasufumi, additional, Tanaka, Katsushi, additional, Hara, Yu, additional, Kobayashi, Nobuaki, additional, Kato, Hideaki, additional, Yamashiro, Tsuneo, additional, Utsunomiya, Daisuke, additional, Nakajima, Atsushi, additional, Yamamoto, Tetsuya, additional, Maeda, Shin, additional, Kaneko, Takeshi, additional, and Takeuchi, Ichiro, additional

Published
2020
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19. Real-world evaluation of a computed tomography-first triage strategy for suspected Coronavirus disease 2019 in outpatients with fever in Japan: an observational cohort study

Author

Miyake, Shigeta, primary, Higurashi, Takuma, additional, Jono, Takashi, additional, Akimoto, Taisuke, additional, Ogawa, Fumihiro, additional, Oi, Yasufumi, additional, Tanaka, Katsushi, additional, Hara, Yu, additional, Kobayashi, Nobuaki, additional, Kato, Hideaki, additional, Yamashiro, Tsuneo, additional, Utsunomiya, Daisuke, additional, Nakajima, Atsushi, additional, Yamamoto, Tetsuya, additional, Maeda, Shin, additional, and Kaneko, Takeshi, additional

Published
2020
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21. Quantitative capillary refill time predicts sepsis in patients with suspected infection in the emergency department: an observational study

Author

Naoto Morimura, Shouhei Imaki, Yutaro Oyama, Hiroshi Honzawa, Takeru Abe, Oi Yasufumi, Aya Shirasawa, Shoko Niida, and Ichiro Takeuchi

Subjects
medicine.medical_specialty, Critical Care and Intensive Care Medicine, Sepsis, 03 medical and health sciences, 0302 clinical medicine, Organ Dysfunction Scores, Internal medicine, medicine, Organ dysfunction scores, medicine.diagnostic_test, Receiver operating characteristic, business.industry, Research, Area under the curve, lcsh:Medical emergencies. Critical care. Intensive care. First aid, 030208 emergency & critical care medicine, Retrospective cohort study, Emergency department, lcsh:RC86-88.9, Capillary refill, medicine.disease, Systemic inflammatory response syndrome, 030228 respiratory system, Triage, business, Emergency service
Abstract

Background Outcomes in emergent patients with suspected infection depend on how quickly clinicians evaluate the patients and start treatment. This study was performed to compare the predictive ability of the quantitative capillary refill time (Q-CRT) as a new rapid index versus the quick sequential organ failure assessment (qSOFA) score and the systemic inflammatory response syndrome (SIRS) score for sepsis screening in the emergency department. Methods This was a multicenter, observational, retrospective study of adult patients with suspected infection. The area under the curve (AUC) of receiver operating characteristic curve analyses and multivariate analyses were used to explore associations of the Q-CRT with the qSOFA score, SIRS score, and lactate concentration. Results Of the 75 enrolled patients, 48 had sepsis. The AUC, sensitivity, and specificity of Q-CRT were 0.74, 58%, and 81%, respectively; those for the qSOFA score were 0.83, 66%, and 100%, respectively; those for the SIRS score were 0.61, 81%, and 40%, respectively, for SIRS score; and those for the lactate concentration were 0.76, 72%, and 81%, respectively. We found no statistically significant differences in the AUC between the scores. We then combined the Q-CRT and qSOFA score (Q-CRT/qSOFA combination) for sepsis screening. The AUC, sensitivity, and specificity of Q-CRT/qSOFA combination were 0.82, 83%, and 81%, respectively. Conclusions In this study, Q-CRT/qSOFA combination had better sensitivity than the qSOFA score alone and better specificity than the SIRS score alone. There was no significant difference in accuracy between Q-CRT/qSOFA combination and the qSOFA score or lactate concentration. The ability of the Q-CRT to predict sepsis may be similar to that of the qSOFA score or serum lactate concentration; therefore, measurement of the Q-CRT may be an alternative for invasive measurement of the blood lactate concentration in evaluating patients with suspected sepsis. Electronic supplementary material The online version of this article (10.1186/s40560-019-0382-4) contains supplementary material, which is available to authorized users.

Published
2019

24. Pediatric Mumps With Laryngeal Edema

Author

Hattori, Yujiro, primary, Oi, Yasufumi, additional, Matsuoka, Ryo, additional, Daimon, Yumi, additional, Ito, Asami, additional, Kubota, Wataru, additional, Konishi, Kyoko, additional, Onguchi, Toshimi, additional, Sato, Akihiro, additional, Yamashita, Yukio, additional, and Ishihara, Jun, additional

Published
2013
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25. Nihon Shuchu Chiryo Igakukai zasshi

Author

Takaki, Shunsuke, primary, Iwashita, Masayuki, additional, Okawa, Takumi, additional, Oi, Yasufumi, additional, Matsuzaki, Shoichi, additional, Shimoyama, Akira, additional, Tahara, Yoshio, additional, and Suzuki, Noriyuki, additional

Published
2011
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