Fujita Medical Journal最新文献

{"title":"Investigating the nutritional status characteristics of terminal cancer patients by the type of cancer.","authors":"Norimasa Tsuzuki, Masanobu Usui, Akihiko Futamura, Miyo Murai, Akihiro Ito","doi":"10.20407/fmj.2024-007","DOIUrl":"10.20407/fmj.2024-007","url":null,"abstract":"<p><strong>Objective: </strong>Patients with terminal cancer experience malnutrition due to cachexia and other problems associated with the disease's progression. Particularly, patients with gastrointestinal cancers often experience malnutrition because of gastrointestinal symptoms; however, there are few reports evaluating nutritional status based on cancer type up to the prediction of prognosis. In the present study, we examined nutritional evaluation and prognosis based on cancer type.</p><p><strong>Methods: </strong>In 2019, 234 patients were admitted to Fujita Health University Nanakuri Memorial Hospital and subsequently died before being discharged. Of these patients, 210 were included in the study. Twenty-four patients who were determined to have refractory cachexia on admission were excluded. The 210 patients were divided into two groups, 94 and 116 patients with gastrointestinal cancers and non-gastrointestinal cancers, respectively. Subsequently, data, such as age, sex, presence or absence of metastasis, whether the cancer was initial or recurrent, serum albumin (Alb) and transthyretin (TTR) levels on admission, and survival time were examined. Moreover, for further analysis, the 94 patients with gastrointestinal cancers were classified into 51 and 43 with hepato-biliary-pancreas cancer and gastrointestinal tract cancers, respectively.</p><p><strong>Results: </strong>Alb and TTR values were significantly lower in patients with gastrointestinal cancer than in patients with non-gastrointestinal cancer (p=0.015 and 0.002, respectively), and Alb values were significantly lower in patients with gastrointestinal tract cancer than in patients with hepato-biliary-pancreas cancer (p=0.049).</p><p><strong>Conclusion: </strong>Patients with terminal cancer having poor nutritional status exhibit poor prognosis. Particularly, among patients with gastrointestinal tract cancer have exceptionally poor nutritional status. Therefore, providing nutritional management that combines intravenous nutrition with appropriate adjustments to each patient's gastrointestinal and absorptive condition is important.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 3","pages":"105-110"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing the frequency of hand hygiene to maintain skin integrity among nurses in the growing care unit: A pilot study.","authors":"Masami Tano, Masushi Kohta, Yoshiko Yano, Junko Sugama","doi":"10.20407/fmj.2024-029","DOIUrl":"10.20407/fmj.2024-029","url":null,"abstract":"<p><strong>Objectives: </strong>Consistent hand hygiene practice is required to reduce the prevalence of healthcare-associated infections. However, frequent hand hygiene compromises the skin barrier, causing hand eczema. Consequently, compliance with this practice can be reduced. This study aimed to determine the safety of reducing the frequency of hand hygiene by nurses, focusing on the de-implementation of the current excessive hand hygiene protocol.</p><p><strong>Methods: </strong>A single-group, pretest-post-test pilot study was conducted in three nurses at a growing care unit (level 2 neonatal intensive care unit) in a Japanese university hospital. The developed intervention was performed four times and the current hand hygiene protocol was performed six times in each nurse. The number of microbial contaminations on the hands at each time point was the primary outcome. Impairment of the skin barrier (changes in the stratum corneum water content, transepidermal water loss, and skin pH) was the secondary outcome.</p><p><strong>Results: </strong>The pre- and post-test residual bacterial contamination at each time point was not significantly different (<i>p</i>=0.99). The amount of change in skin physiology was also not significantly different between the pre- and post-tests.</p><p><strong>Conclusions: </strong>Hand hygiene effects, such as a reduction in bacterial contamination and impairment of skin physiology, were significantly different between before and after the intervention of reducing the frequency of hand hygiene by nurses. To confirm this finding, we will focus on resistant bacteria and test this intervention in randomized, controlled trials.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 3","pages":"135-141"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cell-free and concentrated pleural effusion reinfusion therapy with aggressive nutritional support improved refractory pleural effusion in a patient with malnutrition after distal gastrectomy for gastric cancer.","authors":"Masanobu Usui, Manami Matsumoto, Yoshinori Itani, Norimasa Tsuzuki, Miyo Murai, Akihiro Ito, Akihiko Futamura","doi":"10.20407/fmj.2024-030","DOIUrl":"10.20407/fmj.2024-030","url":null,"abstract":"<p><p>An 82-year-old man underwent distal gastrectomy for gastric cancer 6 months before admission to our hospital. His postoperative food intake was reduced to less than half of the preoperative amount. Two months postsurgery, he fell and fractured his leg and was bedridden. Furthermore, hypoalbuminemia and bilateral pleural effusions persisted. Despite repeated administration of an albumin preparation and pleural drainage, he showed no improvement for 3 months and was referred to our hospital. On admission, his height was 171 cm, weight 52.8 kg, and body mass index 18.1 kg/m². Moreover, he was clearly undernourished and had difficulty maintaining a standing position. In terms of nutritional enrichment, his diet was adjusted to meet the needs of an older adult patient postgastrectomy. A protein-enriched supplemental diet of approximately 1800 kcal was planned, and he could consume almost the entire amount. His refractory pleural effusion was resolved by performing concentrated pleural effusion reinfusion therapy, and he continued to receive aggressive nutritional support and rehabilitation. The patient's general condition and activities of daily living improved markedly. Subsequently, he was discharged and could walk independently on day 64 of hospitalization. Summary: We experienced a successful case of refractory pleural effusion due to malnutrition treated with aggressive nutritional support combined with concentrated pleural fluid filtration reinfusion therapy.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 3","pages":"146-150"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advanced machine learning models for prediction of readmission and mortality risks in patients with chronic obstructive pulmonary disease using routine clinical data.","authors":"Yasuhiro Goto, Daisuke Niwa, Shuhei Shibata, Ryoma Nishimoto, Masami Miyata, Takashi Kanno, Toshiyuki Washizawa, Masashi Kondo, Kazuyoshi Imaizumi","doi":"10.20407/fmj.2024-027","DOIUrl":"10.20407/fmj.2024-027","url":null,"abstract":"<p><strong>Objectives: </strong>To develop a comprehensive machine learning model incorporating various clinical factors, including frailty and comorbidities, to predict 30-day readmission and mortality risk in patients with chronic obstructive pulmonary disease (COPD).</p><p><strong>Methods: </strong>This retrospective cohort study used electronic health records (EHR) from Fujita Health University Hospital (2004-2019) for 1294 patients with COPD and 3499 hospitalization or death events. The EHR contained longitudinal patient data (demographics, diagnoses, test results, clinical records). We developed two eXtreme Gradient Boosting models, the comprehensive Top64 and practical 11-feature models. We compared these with the Comorbidity, Obstruction, Dyspnea, and Previous Exacerbations index (CODEX) model, a widely used tool for predicting hospital readmission or death in patients with COPD. The area under the receiver operating characteristic curve (AUC) with 95% confidence interval (CI), sensitivity, and specificity were used to evaluate the model performance.</p><p><strong>Results: </strong>The Top64 (AUC: 0.769, 95% CI: 0.747-0.791) and practical 11-feature (AUC: 0.746, 95% CI: 0.730-0.762) models performed better than the CODEX model (AUC: 0.587, 95% CI: 0.563-0.611). The Top64 model showed 0.978 sensitivity and 0.341 specificity, and the practical 11-feature model achieved 0.955 sensitivity and 0.361 specificity. The calibration curves showed good agreement between the observed and predicted results for both models.</p><p><strong>Conclusions: </strong>A machine learning approach based on clinical data readily available from the EHR performed better than existing models in predicting 30-day readmission and mortality risks in patients with COPD. A comprehensive risk prediction tool may enhance individualized care strategies and improve patient outcomes in COPD management.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 3","pages":"121-128"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between social participation and quality of life in individuals with traumatic brain injury.","authors":"Toshinori Watanabe, Megumi Suzuki, Kouji Yamada, Naoki Aizu, Kikuo Ota","doi":"10.20407/fmj.2024-016","DOIUrl":"10.20407/fmj.2024-016","url":null,"abstract":"<p><strong>Objective: </strong>To elucidate the relationship between social participation and quality of life (QOL) in patients with traumatic brain injury.</p><p><strong>Methods: </strong>This study included 128 community-dwelling patients with head injuries (average age: 41.8 years; average time since injury: 3126 days). We employed the Community Integration Questionnaire (CIQ; scoring range 0-29), a disease-specific scale for head injury patients, along with the Quality of Life after Brain Injury (QOLIBRI; scoring range 0-100%). An adjusted nonlinear regression analysis was used to explore the relationships between the CIQ (total score and subscales: home integration, social integration, productivity) and QOLIBRI (total score and subscales).</p><p><strong>Results: </strong>A significant relationship was observed only between the Total CIQ and the Self subscale of the QOLIBRI (p=0.006). The Self subscale score of the QOLIBRI increased with the Total CIQ score up to 15, after which it plateaued. Additionally, a significant positive relationship was found between the Social Integration subscale of the CIQ and the Self subscale of the QOLIBRI (p=0.018). The QOLIBRI Self score increased with the CIQ Social Integration score up to 8, beyond which it remained stable. No associations were found between the CIQ's Home Integration and Productivity subscales and the QOLIBRI scores.</p><p><strong>Conclusion: </strong>The findings indicate that for individuals with traumatic brain injury, an increase in social participation, particularly in social integration, correlates with an enhanced sense of self-satisfaction up to a certain point. However, beyond this level, further advances in social participation do not yield additional gains, suggesting that factors other than social participation play a role in enhancing QOL. This underscores the multifaceted nature of QOL in this context.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 3","pages":"111-120"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12327209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eosinophilic gastrointestinal disorders: variations in eosinophilic counts among investigators and staining methods.","authors":"Mina Ikeda, Satoshi Arakawa, Takashi Kobayashi, Ken-Ichi Inada, Yuka Kiriyama, Takahiko Sakuma, Takuma Ishihara, Akiko Yagami, Kayoko Suzuki, Kyoko Futamura, Senju Hashimoto, Hironao Miyoshi, Satoshi Yamamoto, Haruhiko Tachino, Yoshihiro Imaeda, Hiroyuki Kato, Yukio Asano, Yoshiaki Katano, Akihiko Horiguchi","doi":"10.20407/fmj.2024-019","DOIUrl":"https://doi.org/10.20407/fmj.2024-019","url":null,"abstract":"<p><strong>Objective: </strong>Eosinophilic gastrointestinal disorders (EGIDs) are pathologically diagnosed by manually counting the eosinophils in biopsy tissue under microscopy. However, the skill of the individual examiner is considered to influence the accuracy of the resulting eosinophil count (EC). This study aimed to examine the effects of different examiners and histopathological staining types on the EC results of pathological tissues from patients with EGIDs.</p><p><strong>Methods: </strong>Infiltrating eosinophils in lesion tissues from 10 eosinophilic esophagitis and 28 eosinophilic gastroenteritis cases were counted by three pathologists and one cytotechnologist. The intra- and inter-observer variabilities in ECs related to hematoxylin-eosin (HE), May-Grünwald Giemsa (MG), and direct fast scarlet (DFS) staining were investigated. The effects of examiner expertise and staining method on ECs were analyzed using a linear mixed effects model. The difference in color value (ΔE) for each staining method was obtained using the Commission International de l'Eclairage luminance-a-b model (L*a*b*).</p><p><strong>Results: </strong>There was no significant intra-observer variability in eosinophil counting. Regarding inter-observer agreement, the examiner with the most EGIDs experience reported higher ECs than the other examiners for all three staining types (<i>P</i><0.001). ECs were significantly higher with MG and DFS staining than with HE staining, regardless of the examiner (both <i>P</i><0.001). Additionally, the ΔE values with DFS were higher than those with MG and HE.</p><p><strong>Conclusions: </strong>DFS staining offered the most selective visualization of eosinophils. ECs may vary depending on both the skill of the examiner and the staining method.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 2","pages":"70-77"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of docetaxel administration on fluid dynamics in mice.","authors":"Ayana Mawaki, Masushi Kohta, Aya Yoshimura, Toshio Nakatani, Shizuko Nagao, Junko Sugama","doi":"10.20407/fmj.2024-023","DOIUrl":"https://doi.org/10.20407/fmj.2024-023","url":null,"abstract":"<p><strong>Objectives: </strong>The taxane chemotherapeutic agent docetaxel has been used as a therapy for various cancers. Some patients receiving docetaxel develop serious problems with fluid retention, which leads to peripheral edema formation, reducing the patient's quality of life. This study investigated the effect of docetaxel administration on fluid dynamics in mice as a step toward developing advanced preventive measures in nursing.</p><p><strong>Methods: </strong>Mice were administered 10 mg/kg/day of docetaxel intravenously for 5 days as the intervention group or with normal saline as the control group. To investigate fluid dynamics on day 5, the leakage of blood plasma, interstitial fluid volume, and fluid transportation capacity into lymph vessels were evaluated and compared between the two groups.</p><p><strong>Results: </strong>The Miles assay with Evans Blue, an albumin-binding dye, revealed that leakage of blood plasma was significantly increased in the control group compared with the intervention group (p<0.01). Results of the interstitial fluid volume and fluid transportation capacity were similar between the two groups, but the fluid transportation capacity tended to be higher in the intervention group.</p><p><strong>Conclusions: </strong>Docetaxel administration in our mouse model caused the leakage of blood plasma without proteins from the blood vessels into the interstitial tissues, which appeared at the initial stage of edema formation. This model might be useful for assessing the leakage of blood plasma and, subsequently, the development of preventive measures against edema formation.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 2","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Draft of the self-regulated learning scale items for learning nursing skills based on the cyclical phase model and evaluation of their content validity.","authors":"Harumi Kato, Yumiko Miyoshi, Kimie Takehara","doi":"10.20407/fmj.2024-025","DOIUrl":"https://doi.org/10.20407/fmj.2024-025","url":null,"abstract":"<p><strong>Objectives: </strong>Extant studies report that self-regulated learning affects academic achievement and performance. Therefore, this study aimed to prepare a draft of a self-regulated learning scale to evaluate nursing skills learning based on the cyclical phase model, and to determine its content validity.</p><p><strong>Methods: </strong>Nine nursing students were interviewed to create an item pool. Next, focus group interviews were held with 6 nursing faculty members and 10 nursing students to refine the item pool and complete the drafting of scale items. Scores on the item-level content validity index (I-CVI) were obtained using a questionnaire survey of 11 nursing faculty members. Subsequently, an expert meeting was held to discuss the results. This study was approved by our university's Research Ethics Review Committee.</p><p><strong>Results: </strong>From the initial 175-item pool, 216 draft items were selected. Of these, 134 items had I-CVI values of 0.78 or higher. After further evaluation in the expert panel meeting, the validity of 141 items (23 in the forethought phase, 99 in the performance phase, and 19 in the self-reflection phase) was finally confirmed.</p><p><strong>Conclusions: </strong>A draft of a self-regulated learning scale for nursing skills was created for nursing students, and the validity of its 141 items was confirmed.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 2","pages":"78-85"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cross-sectional study of self-esteem, psychological factors, and academic performance among occupational therapy students in Japan.","authors":"Risa Kayama, Shota Suzumura, Soichiro Koyama, Kazuya Takeda, Kenta Fujimura, Takuma Ii, Hirofumi Ota, Shigeo Tanabe, Hiroaki Sakurai, Yoshikiyo Kanada","doi":"10.20407/fmj.2024-018","DOIUrl":"https://doi.org/10.20407/fmj.2024-018","url":null,"abstract":"<p><strong>Objectives: </strong>With the recent progression of a super-aging society in Japan, demand for medical and welfare professionals has increased, and occupational therapists are in great demand. Academic performance is important for occupational therapy and rehabilitation students. The current study aimed to determine the influence of self-esteem and psychological factors on academic performance in Japanese occupational therapy students.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 60 first-year occupational therapy students (16 male and 44 female) at a private medical university in Japan in June 2022. The State-Trait Anxiety Inventory (STAI) and Beck Depression Inventory Second Edition (BDI-II) were used to assess anxiety and depression symptoms, respectively, and the Rosenberg Self-Esteem Scale (RSES) was used to assess self-esteem.</p><p><strong>Results: </strong>We identified several factors affecting the examination performance of Japanese occupational therapy students. Self-esteem was significantly associated with examination performance in anatomy 1 (p=0.02, β=0.40). RSES-J social work (p=0.07, β=0.31) and anatomy 2 (p=0.08, β=0.30), STAI-JYZ (p=0.09, β=0.38), and STAI-JYZ rehabilitation medicine (p=0.06, β=0.44), and BDI-II (p=0.08, β=-0.43) showed no significant effects but exhibited a trend toward an association.</p><p><strong>Conclusions: </strong>Understanding the role of psychological aspects and self-esteem is important for constructing systems to support first-year university students. Furthermore, the development of psychological aspects and self-esteem is essential for improving the academic performance of occupational therapy students, and it is crucial to establish educational programs and support systems.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 2","pages":"91-97"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical utility of right atrial strain to estimate pulmonary hypertension in comparison with right ventricular free wall longitudinal strain.","authors":"Shinji Jinno, Akira Yamada, Maho Kawashima, Hideo Izawa","doi":"10.20407/fmj.2024-022","DOIUrl":"https://doi.org/10.20407/fmj.2024-022","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to measure right atrial (RA) strain in the reservoir, conduit, and contraction phases and examine its clinical utility in detecting pulmonary hypertension (PH).</p><p><strong>Methods: </strong>One hundred and thirteen patients hospitalized in the intensive or coronary care units of our institution who underwent echocardiography and measurements of RA/right ventricular (RV) strain were retrospectively examined. RA strain was measured in the reservoir, conduit, and contraction phases of one cardiac cycle. PH was defined as peak tricuspid regurgitation velocity >2.8 m/s. Patients were grouped according to PH status (PH, no PH) and statistically compared. Logistic regression and receiver operating characteristic analyses were also performed.</p><p><strong>Results: </strong>Mean age was 71.1±15.4 years and 72 were men (63.7%). The PH and no PH groups comprised 40 and 73 patients, respectively. Among the RA strain parameters, RA strain in the conduit phase was significantly lower in the PH group (-8.1±4.2% vs. -17.4±7.7%; p<0.001). In the receiver operating characteristic analysis for PH, RA strain in the conduit phase had the highest area under the curve among the RA/RV strain parameters (area under the curve, 0.88; sensitivity, 92.5%; specificity, 71.2%; p<0.001).</p><p><strong>Conclusions: </strong>RA strain is an echocardiographic parameter that can detect PH and should be considered when RV strain parameters are not measurable.</p>","PeriodicalId":33657,"journal":{"name":"Fujita Medical Journal","volume":"11 2","pages":"86-90"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}