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大学院医学系研究科(医学専攻等) 医学専攻 病態制御医学系 救急・集中治療医学講座 |
職務経歴(学内) 【 表示 / 非表示 】
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2022年07月-継続中
秋田大学 大学院医学系研究科(医学専攻等) 医学専攻 病態制御医学系 救急・集中治療医学講座 助教
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2021年02月-2022年06月
秋田大学 附属病院 総合診療医センター 特任助教
研究等業績 【 表示 / 非表示 】
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Safety of jidabokuippo administration based on adverse event rate
Toshiharu Kitamura, Hajime Nakae, Yasuhito Irie, Kasumi Satoh, Nobuhisa Hirasawa, Koumei Kameyama, Yuya Suzuki, Kyohei Maeno, Kenji Yoshida, Manabu Okuyama
Traditional & Kampo Medicine ( Wiley ) 2022年01月
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Baclofen Withdrawal With Reversible Posterior Leukoencephalopathy Syndrome: Bacterial Meningitis Mimicker
Kasumi Satoh, Nobuhisa Hirasawa, Kenji Yoshida, Manabu Okuyama, Hajime Nakae
The Journal of Emergency Medicine ( Elsevier BV ) 2022年01月
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Yasuhito Irie, Tasuku Nara, Kasumi Satoh, Koumei Kameyama, Toshiharu Kitamura, Manabu Okuyama, Hajime Nakae
Traditional & Kampo Medicine ( Wiley ) 8 ( 3 ) 247 - 250 2021年12月
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Kasumi Satoh, Kyoko Nomura, Hajime Nakae, Daisuke Kudo, Shigeki Kushimoto, Masatsugu Hasegawa, Fumihito Ito, Satoshi Yamanouchi, Hiroyuki Honda, Kohkichi Andoh, Hajime Furukawa, Yasuo Yamada, Yuta Tsujimoto, Manabu Okuyama
Renal Replacement Therapy ( Springer Science and Business Media LLC ) 7 ( 1 ) 2021年12月
<title>Abstract</title><sec>
<title>Background</title>
Sepsis is associated with life-threatening organ dysfunction caused by a dysregulated host response to infection. However, no specific therapy has been shown to improve mortality in patients with sepsis. We conducted a study to clarify the utilization status of various BPTs and the clinical characteristics of patients who received BPTs in northern Japan. In addition, the association of various BPTs with clinical outcomes was examined.
</sec><sec>
<title>Methods</title>
This is a sub-analysis of the Tohoku Sepsis Registry, a multicenter, prospective, observational cohort study. To determine whether BPT was independently associated with in-hospital mortality in patients with severe sepsis, the following analyses were performed. Differences between survivors and non-survivors were assessed using Wilcoxon rank sum tests for continuous variables and Chi-square tests for categorical variables. Univariate logistic regression analysis was used to evaluate the factors associated with in-hospital mortality. In the multivariate logistic regression analysis, adjustments were made for the variables that were significant in the univariate logistic regression analysis. Clinical factors associated with mortality were analyzed.
</sec><sec>
<title>Results</title>
We enrolled 616 consecutive patients (≥ 18 years) with median Sequential Organ Failure Assessment scores of 8.0. During median of 22 days hospitalization, 139 patients died (mortality 22.6%). 20.7% of patients with severe sepsis received any type of BPT (mortality 38.6%). BPT consisted of 65.1% continuous renal replacement therapy (CRRT) with renal indication (mortality 48.8%), 26.0% CRRT with non-renal indication (mortality 21.2%), 22.2% intermittent renal replacement therapy (mortality 32.1%), and 33.1% polymyxin B-immobilized fiber column-direct hemoperfusion (mortality 42.9%). Meanwhile, no BPT group (mortality 18.5%) showed a significantly lower mortality than any BPT group. Besides, in multivariate analyses, all BPT modes were not independently associated with all-cause mortality.
</sec><sec>
<title>Conclusions</title>
This study suggested the clinical status of BPTs for severe sepsis patients in northern Japan. Among all types of BPT, continuous renal replacement therapy (CRRT) for renal indication was most frequently selected. Severe sepsis patients received BPT had a higher mortality and severity; however, the BPT implementation may not be associated with mortality.
<italic>Trial registration</italic> UMIN-CTR, UMIN000010297, Registered on 22 March 2013, <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012055">https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000012055</ext-link>).
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Plasma adiponectin levels in acute liver failure patients treated with plasma exchange with dialysis
Hajime Nakae, Kasumi Satoh, Manabu Okuyama
Therapeutic Apheresis and Dialysis ( Wiley ) 2021年11月
◆その他【 表示 / 非表示 】
学会等発表 【 表示 / 非表示 】
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新しい血液浄化療法continuous PEDがaHUSのよい適応であることを示した一例
佐藤佳澄, 奥山学, 入江康仁, 北村俊晴, 亀山孔明, 平澤暢史, 鈴木悠也, 前野恭平, 吉田健二, 中永士師明
第49回日本集中治療医学会学術集会 2022年03月 - 2022年03月
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オープンICUで標準化を進めていくには
奥山学, 佐藤佳澄, 入江康仁, 菅広信, 工藤光生, 佐藤博昭, 大倉和貴, 中永士師明
第49回日本集中治療医学会学術集会 2022年03月 - 2022年03月
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災害派遣 ダイヤモンドプリンセス号
佐藤佳澄
第14回レジデント・スキルアップキャンプ 2020年11月 - 2020年11月
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症急性膵炎診療の変遷 ガイドライン改訂に向けて
古屋 智規, 中永 士師明, 奥山 学, 入江 康仁, 佐藤 佳澄
第56回日本腹部救急医学会総会 2020年10月 - 2020年10月
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血栓性微小血管症に対するcontinuous Plasma Exchange with Dialysis(cPED) 療法の早期開始
佐藤 佳澄, 奥山 学, 古屋 智規, 入江 康仁, 亀山 孔明, 北村 俊晴, 中永 士師明
第41回アフェレシス学会学術大会 2020年10月 - 2020年10月