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A Learning Curve in Aortic Dissection Surgery with the Use of Cumulative Sum Analysis
https://doi.org/10.18999/nagjms.76.1-2.51
https://doi.org/10.18999/nagjms.76.1-2.5159b07aea-68be-449d-b069-97d5a1ef9008
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2014-03-03 | |||||
タイトル | ||||||
タイトル | A Learning Curve in Aortic Dissection Surgery with the Use of Cumulative Sum Analysis | |||||
言語 | en | |||||
著者 |
SONG, MIN-HO
× SONG, MIN-HO |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | aortic dissection | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | surgery | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | learning curve | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | cumulative sum | |||||
抄録 | ||||||
内容記述 | This study demonstrates the risk adjusted cumulative sum analysis of an individual surgical learning curve for acute type A aortic dissection surgery. Thirty consecutive patients were operated by a single surgeon for acute type A aortic dissection from April 2001 to March 2008. Operative variables, mortality, and major morbidities were analyzed. The learning curve was calculated by cumulative sum analysis. The anticipated 30-day operative mortality rate was 20.2±12.7% (range, 3.3–56.7%) and the expected 30-day mortality and morbidity rate was 47.0±13.3 % (range, 21.7–70.6%) according to the Japan SCORE calculator. The observed operative and in-hospital mortality rate was 6.67% (two patients), and the observed major postoperative morbidity rate was 10.0% (three patients). Risk-adjusted cumulative sum analysis revealed that no excess deaths occurred beginning at the seventh case and thereafter. The surgeries for acute type A aortic dissection could be performed at the professionally permissive level from the beginning. Riskadjusted cumulative sum analysis was a useful tool to monitor the performance of the surgical procedure. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Nagoya University School of Medicine | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
ID登録 | ||||||
ID登録 | 10.18999/nagjms.76.1-2.51 | |||||
ID登録タイプ | JaLC | |||||
関連情報 | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | URI | |||||
関連識別子 | http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7612/7612.html | |||||
ISSN(print) | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 76, 号 1-2, p. 51-57, 発行日 2014-02 |
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著者版フラグ | ||||||
値 | publisher | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/19483 | |||||
識別子タイプ | HDL |