Glasgow-Pittsburgh cerebral performance category

同

GP-CPC, CPC, Pittsburgh cerebral performance category, Glasgow outcome scale?

GP-CPC 1: conscious, alert, and oriented with normal cognitive functions

GP-CPC 2: conscious and alert with moderate cerebral disability

GP-CPC 3: conscious with severe disability

GP-CPC 4: comatose or in persistent vegetative state

GP-CPC 5: certified brain death or dead by traditional criteria.

参考1

	CPC	OPC
1	Good cerebral performance: Conscious, alert, able to work, might have mild neurologic or psycholgic deficit.	Good overall performance: Healthy, alert, capable of normal life, CPC 1.
2	Moderate cerebral disability: Conscious, sufficient cerebral function for independent activities of daily life. Able to work in sheltered environment.	Moderate overall disability: -Conscious (CPC 2), or moderate disability from noncerebral systems dysfunction alone (CPC 1), or both. -Performs independent activities of daily life, but is disabled for competitive work.
3	Severe cerebral disability: Conscious, dependent on others for daily support because of impaired brain function. Ranges from ambulatory state to severe dementia or paralysis.	Severe overall disability: -Conscious (CPC 3), or severe disability from non-cerebral organ systems dysfunction alone (CPC 1 or 2), or both. -Dependent on others for daily support.
4	Coma or vegetative state: Any degree of coma without the presence of all brain death criteria. Unawareness, even if appears awake (vegetative state) without interaction with environment; may have spontaneous eye opening and sleep-awake cycles. Cerebral unresponsiveness.	Coma or vegetative state: Same as CPC 4.
5	Brain death. Apnea, areflexia, EEG silence, etc.	Brain death:

参考

• 1.

http://www.mplsheart.org/sites/all/default/userfiles/file/10%20Sendelbach%20-%20Neurocognitive%20090810.pdf

• 2. Assessment of outcome after severe brain damage.

• Jennett B, Bond M.
• Lancet.Lancet.1975 Mar 1;1(7905):480-4.
• Persisting disability after brain damage usually comprises both mental and physical handicap. The mental component is often the more important in contributing to overall social disability. Lack of an objective scale leads to vague and over-optimistic estimates of outcome, which obscure the ultimat
• PMID 46957

• 3

http://www.fdma.go.jp/neuter/topics/houdou/h21/2112/01_houdoushiryou.pdf

WordNet

1. the act of performing; of doing something successfully; using knowledge as distinguished from merely possessing it; "they criticised his performance as mayor"; "experience generally improves performance" (同)execution, carrying out, carrying into action
2. any recognized accomplishment; "they admired his performance under stress"; "when Roger Maris powered four home runs in one game his performance merits awe"
3. the act of presenting a play or a piece of music or other entertainment; "we congratulated him on his performance at the rehearsal"; "an inspired performance of Mozarts C minor concerto"
4. a dramatic or musical entertainment; "they listened to ten different performances"; "the play ran for 100 performances"; "the frequent performances of the symphony testify to its popularity" (同)public presentation
5. of or relating to the cerebrum or brain; "cerebral hemisphere"; "cerebral activity"
6. involving intelligence rather than emotions or instinct; "a cerebral approach to the problem"; "cerebral drama" (同)intellectual
7. a general concept that marks divisions or coordinations in a conceptual scheme
8. a city in southwestern Pennsylvania where the confluence of the Allegheny River and Monongahela River forms the Ohio River; long an important urban industrial area; site of Carnegie Mellon University and the University of Pittsburgh
9. largest city in Scotland; a port on the Clyde in west central Scotland; one of the great shipbuilding centers of the world

PrepTutorEJDIC

1. 〈U〉(…の)『遂行』,実行,履行《+『of』+『名』》 / 〈C〉(劇・音楽などの)『公演』,上演,演奏《+『of』+『名』》 / 〈C〉〈U〉(人の)腕前;(機械の)性能 / 〈C〉(…の)(すぐれた)成果,業績《+『of』+『名』》
2. 大脳の,脳の / 頭脳的な,知的な
3. (論理学・哲学で)範疇(はんちゅう)(ある体系の中でその内容特質に応じて分けた部門)
4. ピッツバーグ(米国Pennsylvania州の都市)
5. グラスゴー(Scotland南西部の港市)

UpToDate Contents

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English Journal

• Clinical Characteristics and Vital and Functional Prognosis of Out-of-hospital Cardiac Arrest Survivors Admitted to Five Cardiac Intensive Care Units.

• Loma-Osorio P, Aboal J, Sanz M, Caballero A, Vila M, Lorente V, Sánchez-Salado JC, Sionis A, Curós A, Lidón RM.Author information Servicio de Cardiología, Hospital Universitario Josep Trueta, Girona, España. Electronic address: plomaosorio@gmail.com.AbstractINTRODUCTION AND OBJECTIVES: Survivors of out-of-hospital cardiac arrest constitute an increasing patient population in cardiac intensive care units. Our aim was to characterize these patients and determine their vital and functional prognosis in accordance with the latest evidence.
• Revista española de cardiología.Rev Esp Cardiol.2013 Aug;66(8):623-8. doi: 10.1016/j.recesp.2013.03.013. Epub 2013 Jul 5.
• INTRODUCTION AND OBJECTIVES: Survivors of out-of-hospital cardiac arrest constitute an increasing patient population in cardiac intensive care units. Our aim was to characterize these patients and determine their vital and functional prognosis in accordance with the latest evidence.METHODS: A multic
• PMID 23830835

• Prediction protocol for neurological outcome for survivors of out-of-hospital cardiac arrest treated with targeted temperature management.

• Okada K, Ohde S, Otani N, Sera T, Mochizuki T, Aoki M, Ishimatsu S.Author information Department of Emergency and Critical Care Medicine, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan. okaka.jp@gmail.comAbstractAIM: To identify patients who can obtain the full benefit from targeted temperature management (TTM) after out-of-hospital cardiac arrest.
• Resuscitation.Resuscitation.2012 Jun;83(6):734-9. doi: 10.1016/j.resuscitation.2011.12.036. Epub 2012 Jan 25.
• AIM: To identify patients who can obtain the full benefit from targeted temperature management (TTM) after out-of-hospital cardiac arrest.METHODS: We performed a retrospective observational study of comatose patients treated with TTM after an out-of-hospital cardiac arrest from January 2006 to Febru
• PMID 22281226

• Plasma tau protein in comatose patients after cardiac arrest treated with therapeutic hypothermia.

• Mörtberg E, Zetterberg H, Nordmark J, Blennow K, Catry C, Decraemer H, Vanmechelen E, Rubertsson S.Author information Department of Surgical Sciences, Anaesthesia and Intensive Care, Uppsala University, Uppsala University Hospital, Uppsala, Sweden. erik.mortberg@surgsci.uu.seAbstractBACKGROUND: Neurological outcome after cardiac arrest (CA) is difficult to predict in the acute phase. In this pilot study, we assessed blood levels of tau protein as a prognostic marker for the neurological outcome after 6 months in patients treated with hypothermia after resuscitation from CA.
• Acta anaesthesiologica Scandinavica.Acta Anaesthesiol Scand.2011 Oct;55(9):1132-8. doi: 10.1111/j.1399-6576.2011.02505.x. Epub 2011 Sep 8.
• BACKGROUND: Neurological outcome after cardiac arrest (CA) is difficult to predict in the acute phase. In this pilot study, we assessed blood levels of tau protein as a prognostic marker for the neurological outcome after 6 months in patients treated with hypothermia after resuscitation from CA.ME
• PMID 22092212

• Usefulness of mild therapeutic hypothermia for hospitalized comatose patients having out-of-hospital cardiac arrest.

• Laish-Farkash A, Matetzky S, Oieru D, Sandach A, Levi N, Or J, Rieck J, Barsheshet A, Hod H.Author information ICCU-Leviev Heart Center, Sheba Medical Center, Tel Hashomer, Israel.AbstractMild therapeutic hypothermia has proved beneficial after out-of-hospital cardiac arrest in the adult population, when the initial rhythm is ventricular fibrillation (VF). In this study, data from 110 consecutive patients with out-of-hospital cardiac arrest due to VF (n = 86) or to non-VF rhythm (n = 24), admitted to an intensive cardiac care unit with restoration of spontaneous circulation and who remained unconscious on admission, were analyzed. Patients were cooled using an external cooling system. Of the patients with VF, 66% had favorable outcomes (Glasgow-Pittsburgh Cerebral Performance Category 1 or 2), and 30% died. Of the patients with non-VF, 8% had favorable outcomes (p <0.001 vs VF), and 63% died (p = 0.004 vs VF). In patients with VF, those with poor outcomes were older than those with favorable outcomes (odds ratio [OR] 1.61, 95% confidence interval [CI] 1.03 to 2.7, p = 0.001) and had previous ejection fractions <35% (OR 7.72, 95% CI 1.8 to 33, p = 0.002). Outcomes were also worse when patients presented to the emergency room with seizures (OR 20.96, 95% CI 2.48 to 177.42, p = 0.003) or hemodynamic instability (OR 14.4, 95% CI 3.47 to 60, p <0.0001). In the non-VF group, the 2 patients with good outcomes were younger than those with unfavorable outcomes (39 ± 16 vs 65 ± 12 years, respectively, p = 0.04), with good left ventricular function on presentation (100% vs 4.5%, p = 0.0001) and with short asystole and/or short time from collapse to restoration of spontaneous circulation. In conclusion, mild therapeutic hypothermia in the adult population is more effective in patients with VF compared to those with non-VF. Good prognostic factors for patients with non-VF could be young age, good left ventricular function, and short anoxic time.
• The American journal of cardiology.Am J Cardiol.2011 Jul 15;108(2):173-8. doi: 10.1016/j.amjcard.2011.03.021. Epub 2011 May 3.
• Mild therapeutic hypothermia has proved beneficial after out-of-hospital cardiac arrest in the adult population, when the initial rhythm is ventricular fibrillation (VF). In this study, data from 110 consecutive patients with out-of-hospital cardiac arrest due to VF (n = 86) or to non-VF rhythm (n =
• PMID 21545984

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★リンクテーブル★

リンク元	「cerebral performance category」「Pittsburgh cerebral performance category」
関連記事	「category」「performance」「cerebral」

「cerebral performance category」

　　[★]

同

CPC

• Glasgow-Pittsburgh cerebral performance categoryで定められたカテゴリ。

「Pittsburgh cerebral performance category」

　　[★] Glasgow-Pittsburgh cerebral performance category

「category」

　　[★]

• n.

• カテゴリー、範疇、部類、分類

関

assortment、categorical、categorization、categorize、class、classification、classifier、classify、group、grouping、sort、systematization、typing

　 　

「performance」

　　[★]

• n.

• 実行、遂行、成績、性能、パフォーマンス

関

ability、capability、carry out、execute、execution、implement、implementation、outcome、perform、practice、result、run

　 　 　 　 　

「cerebral」

　　[★]

• adj.

• 大脳の、大脳性の、脳性の、脳の

関

brain、cerebri、cerebro、cerebrum、encephalic、encephalo、encephalon