| Item type |
デフォルトアイテムタイプ（フル）fmu(1) |
| 公開日 |
2026-01-07 |
| タイトル |
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|
タイトル |
Comparison of American Association for the Surgery of Trauma (AAST) and Japanese Association for the Surgery of Trauma (JAST) classification systems for predicting mortality in surgically managed liver trauma: A single-center experience |
|
言語 |
en |
| 作成者 |
Chiba, Hiroto
Ozeki, Atsushi
Sugawara, Ryota
Ueno, Satoshi
Azuma, Takayasu
Tsukida, Shigeyuki
Muto, Makoto
Sato, Naoya
Kofunato, Yasuhide
Ishigame, Teruhide
Kimura, Takashi
Kenjo, Akira
Marubashi, Shigeru
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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 |
| 権利情報 |
|
|
権利情報Resource |
https://creativecommons.org/licenses/by-nc-sa/4.0/ |
|
権利情報 |
© 2026 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Advances in treatment strategies and interventional radiology have led to the widespread adoption of nonoperative management for liver trauma;however, severe cases still require surgery, and are associated with high mortality. While the widely used American Association for the Surgery of Trauma (AAST) Liver Injury Scale is regularly updated and includes computed tomography (CT) findings, the Japanese Association for the Surgery of Trauma (JAST) Liver Injury Classification is also utilized in Japan but may have limitations in predicting prognosis based solely on imaging. Few studies have compared the prognostic utility of the two systems. Methods: This retrospective study analyzed patients who underwent laparotomy for liver injury at Fukushima Medical University Hospital (2013-2023). Liver injury-related mortality cases were compared with survivors to assess the predictive accuracy of the AAST and JAST classifications. Results: Among 23 patients, the overall mortality rate was 34.8%, with 5 liver injury-related deaths. AAST grades IV-V yielded 100% sensitivity and 80% specificity for predicting mortality (p=0.001), whereas JAST had lower sensitivity (60.0%) and specificity (86.7%, p=0.073). Conclusion: AAST grading may be more effective than the JAST classification for predicting liver injury-related mortality. Future JAST revisions should integrate imaging findings and treatment strategies to enhance its prognostic accuracy. |
| 出版者 |
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|
出版者 |
The Fukushima Society of Medical Science |
| 言語 |
|
|
言語 |
eng |
| 書誌情報 |
en : Fukushima journal of medical science
巻 72,
号 1,
p. 23-30,
発行日 2026
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| 関連情報 |
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関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.5387/fms.25-00014 |
| 関連情報 |
|
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|
識別子タイプ |
PMID |
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|
関連識別子 |
40603059 |
| 資源タイプ |
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|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
0016-2590 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2185-4610 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA0065246X |
| 主題 |
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|
主題Scheme |
Other |
|
主題 |
liver injury-related mortality |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
American Association for the Surgery of Trauma (AAST) Liver Injury Scale |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Japanese Association for the Surgery of Trauma (JAST) Liver Injury Classification |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Roman numeral grades I, II, III, IV, and V have been rendered as 1, 2, 3, 4 and 5 |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Humans |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Liver |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Male |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Female |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Retrospective Studies |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Middle Aged |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Adult |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Aged |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Tomography, X-Ray Computed |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Societies, Medical |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Japan |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
Prognosis |
| 主題 |
|
|
主題Scheme |
MeSH |
|
主題 |
East Asian People |
FksmJMedSci_72_p23.pdf (231.7 KB)
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