Clinical Features and Outcomes of Shoshin Beriberi.

IF 1.2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS International heart journal Pub Date : 2024-03-30 Epub Date: 2024-03-12 DOI:10.1536/ihj.23-459
Yoshiki Mizuguchi, Hideyuki Mouri, Taisuke Jo, Yohei Hashimoto, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga, Takumi Taniguchi
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Abstract

Shoshin beriberi is a fulminant form of wet beriberi, but there are no large-scale studies detailing the clinical features of this disease. We investigated the clinical features and outcomes of Shoshin beriberi using data from a nationwide database in Japan.Using the Diagnosis Procedure Combination database, we identified patients with Shoshin beriberi between July 2010 and March 2021. We retrospectively investigated the characteristics, comorbidities, treatment, and in-hospital mortality of patients with Shoshin beriberi. The chi-square test or Fisher's exact test was used for categorical variables, and the Mann-Whitney U-test was used for continuous variables.We identified 62 patients with Shoshin beriberi. The median (interquartile range) age was 63 (48-69) years. Furthermore, 54 patients were male (87%). The most common comorbidity was alcohol-related disorder (34%). The median (interquartile range) length of hospital and intensive care unit stays were 17 (range, 10-35) and 5 (range, 1-9) days, respectively. The proportion of patients who received venoarterial extracorporeal membrane oxygenation, intra-aortic balloon pump, continuous renal replacement therapy, and mechanical ventilation was 11, 5, 29, and 63%, respectively. Among the patients with Shoshin beriberi, 53% received 2 or more catecholamines or inotropes. The in-hospital mortality was 23%. Impaired consciousness at admission was significantly related to in-hospital death (P < 0.001).The present study is the first and largest to describe the clinical features of patients with Shoshin beriberi using a nationwide database. Impaired consciousness at admission was significantly associated with in-hospital death.

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Shoshin Beriberi 的临床特征和疗效。
少信脚气病是湿性脚气病的一种暴发性形式,但目前还没有大规模研究详细说明这种疾病的临床特征。我们利用日本全国性数据库中的数据研究了庄信脚气病的临床特征和预后。我们利用诊断程序组合数据库,确定了2010年7月至2021年3月期间的庄信脚气病患者。我们利用诊断程序组合数据库,确定了2010年7月至2021年3月期间的手足口病患者,并对手足口病患者的特征、合并症、治疗和院内死亡率进行了回顾性调查。对分类变量采用卡方检验或费雪精确检验,对连续变量采用曼-惠特尼U检验。中位数(四分位数间距)年龄为 63(48-69)岁。此外,54 名患者为男性(87%)。最常见的合并症是酒精相关疾病(34%)。住院时间和重症监护室住院时间的中位数(四分位距)分别为 17 天(10-35 天)和 5 天(1-9 天)。接受静脉体外膜氧合、主动脉内球囊泵、持续肾脏替代治疗和机械通气的患者比例分别为 11%、5%、29% 和 63%。在患有 Shoshin beriberi 的患者中,53% 接受了 2 种或 2 种以上儿茶酚胺或肌注。院内死亡率为 23%。入院时意识障碍与院内死亡明显相关(P < 0.001)。入院时意识障碍与院内死亡密切相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International heart journal
International heart journal 医学-心血管系统
CiteScore
2.50
自引率
6.70%
发文量
148
审稿时长
6-12 weeks
期刊介绍: Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.
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