{"id":2776,"date":"2015-10-16T11:28:20","date_gmt":"2015-10-16T02:28:20","guid":{"rendered":"http:\/\/aihara.la.coocan.jp\/?p=2776"},"modified":"2015-10-17T17:48:32","modified_gmt":"2015-10-17T08:48:32","slug":"aha-2015-guideline%e3%81%af%e3%80%81grade%e6%94%b9%e5%a4%89%e3%82%b7%e3%82%b9%e3%83%86%e3%83%a0","status":"publish","type":"post","link":"http:\/\/aihara.la.coocan.jp\/?p=2776","title":{"rendered":"AHA 2015 guideline\u306f\u3001GRADE\u6539\u5909\u30b7\u30b9\u30c6\u30e0"},"content":{"rendered":"<p><a href=\"http:\/\/www.ilcor.org\/home\/\">ILCOR web\u30b5\u30a4\u30c8<\/a>\u3067\u300110\/14\u306b\u3001guidelines (<a href=\"http:\/\/www.cprguidelines.eu\/\">ERC 2015<\/a>, <a href=\"http:\/\/circ.ahajournals.org\/content\/132\/18_suppl_2.toc\">AHA 20<\/a>15)\u304c\u516c\u958b\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p><\/p>\n<p>AHA 2015 guidelines\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3084\u63a8\u5968\u306e\u5f37\u3055\u3092GRADE\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u3063\u3066\u8a55\u4fa1\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u6700\u7d42\u7684\u306b\u306fAHA\u306e\u5206\u985e\u306b\u5909\u63db\u3059\u308b\u3068\u3044\u3046\u8907\u96d1\u306a\u3082\u306e\u3067\u3059\u3002<\/p>\n<p><b>\u25cfAHA\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\uff1a<\/b><br \/>\nGRADE\u306e\uff14\u3064\u306e\u30ab\u30c6\u30b4\u30ea\uff08\u9ad8\u3001\u4e2d\u3001\u4f4e\u3001\u975e\u5e38\u306b\u4f4e\uff09\u3092\u3001AHA LOE(level of evidence)= A, B-R, B-NR, C-LD, C-EO\u306b\u5909\u63db\u3057\u307e\u3059\uff08\u4e0b\u8868\uff09\u3002<\/p>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/converting-grade-to-AHA.jpg\"><img decoding=\"async\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/converting-grade-to-AHA.jpg\" alt=\"co\nnverting grade to AHA\" width=\"100%\" class=\"alignnone size-full wp-image-2777\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/converting-grade-to-AHA.jpg 1166w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/converting-grade-to-AHA-300x187.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/converting-grade-to-AHA-1024x638.jpg 1024w\" sizes=\"(max-width: 1166px) 100vw, 1166px\" \/><\/a><br \/>\n<\/p>\n<p><b>\u25cfAHA\u306e\u63a8\u5968\u306e\u5f37\u3055\u3068\u65b9\u5411\uff1a<\/b><br \/>\n\u63a8\u5968\u306e\u5206\u985e\u306f\u3001\uff15\u7a2e\u985e\uff08Class I, IIa, IIb, III:No benefit, III:Harm\uff09\u3067\u3059\uff08\u4e0b\u56f3\uff09\u3002\u63a8\u5968\u306e\u5f37\u3055\u3068\u3057\u3066\u306f\u3001strong, moderate, weak, \u306e3\u7a2e\u985e\u3067\u3042\u308a\u3001GRADE\u306e\u57fa\u672c\u3068\u306f\u7570\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/AHA_rec.jpg\"><img decoding=\"async\" loading=\"lazy\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/AHA_rec.jpg\" alt=\"AHA_rec\" width=\"336\" height=\"734\" class=\"aligncenter size-full wp-image-2779\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/AHA_rec.jpg 336w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/AHA_rec-137x300.jpg 137w\" sizes=\"(max-width: 336px) 100vw, 336px\" \/><\/a><br \/>\n<\/p>\n<p><b>\u25cf\u5177\u4f53\u7684\u306aGRADE\u8a55\u4fa1\u306e\u8a18\u8f09\u5185\u5bb9\u306f\u9069\u5207\u3060\u308d\u3046\u304b\uff1f<\/b><\/p>\n<p>\u4f8b\u3001Part 9: Acute Coronary Syndromes<\/P><\/p>\n<table summary=\"aha\" border=\"1\" style=\"border-collapse:collapse;border:none;\">\n<tr>\n<td style=\"border:1px solid #000000;\">\n<a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_cq.jpg\"><img decoding=\"async\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_cq.jpg\" alt=\"aha_cq\" width=\"100%\" class=\"alignnone size-full wp-image-2789\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_cq.jpg 1030w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_cq-300x74.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_cq-1024x254.jpg 1024w\" sizes=\"(max-width: 1030px) 100vw, 1030px\" \/><\/a>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_consensus.jpg\"><img decoding=\"async\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_consensus.jpg\" alt=\"aha_consensus\" width=\"100%\" class=\"alignnone size-full wp-image-2790\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_consensus.jpg 1049w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_consensus-300x109.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/aha_consensus-1024x372.jpg 1024w\" sizes=\"(max-width: 1049px) 100vw, 1049px\" \/><\/a><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000;\">\n<p>Evidence profile<\/p>\n<p>\n<a href=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/340_ep.jpg\"><img decoding=\"async\" src=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/340_ep.jpg\" alt=\"340_ep\" width=\"100%\" class=\"alignnone size-full wp-image-2791\" srcset=\"http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/340_ep.jpg 1147w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/340_ep-300x170.jpg 300w, http:\/\/aihara.la.coocan.jp\/blog\/wp-content\/uploads\/2015\/10\/340_ep-1024x579.jpg 1024w\" sizes=\"(max-width: 1147px) 100vw, 1147px\" \/><\/a><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"border:1px solid #000000; padding:5px; background:#FFDAB9;\">\n<b>\u89b3\u5bdf\u7814\u7a76\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092\u8a55\u4fa1\u3059\u308b\u5834\u5408\u306f\u3001\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u306e\uff15\u8981\u56e0\u306b\u95a2\u3057\u3066\u554f\u984c\u304c\u306a\u3044\u5834\u5408\u306b\u9650\u308a\u3001\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u306b\u3064\u3044\u3066\u691c\u8a0e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3001\u3068\u3044\u3046\u306e\u304cGRADE\u306e\u30eb\u30fc\u30eb\u3067\u3042\u308b\u3002RoB\u3084inconsistecy\u306b\u6df1\u523b\u306a\u9650\u754c\u304c\u3042\u3063\u3066\u30b0\u30ec\u30fc\u30c9\u30c0\u30a6\u30f3\u3068\u306a\u3063\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3092\uff08\u52b9\u679c\u304c\u5927\u304d\u3044\u304b\u3089\u3068\u3057\u3066\uff09\u3001\u30b0\u30ec\u30fc\u30c9\u30a2\u30c3\u30d7\u3057\u3066\u306f\u306a\u3089\u306a\u3044\u3002<br \/>\n\u95a2\u9023Evidence profile\u306b\u306fGRADE\u306e\u8cea\u304c\u63d0\u793a\u3055\u308c\u3066\u3044\u307e\u305b\u3093\u304c\u3001\uff08\u672c\u6587\u306b\u5408\u308f\u305b\u3066\uff09very low\u3068\u3059\u3079\u304d\u3067\u3059\u3002<\/b><br \/>\n<\/table>\n<p><\/p>\n<p>\u4ed6\u306b\u3082\u3001\u540c\u3058\u3088\u3046\u306a\u5224\u65ad\u8a18\u8f09\u3084\u3001\u5404\u30a2\u30a6\u30c8\u30ab\u30e0\u306b\u95a2\u9023\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3068\u63a8\u5968\u306b\u3064\u306a\u304c\u3089\u6700\u7d42\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u4e00\u81f4\u3057\u306a\u3044\u3082\u306e\u304c\u3042\u308b\u3088\u3046\u3067\u3059\u3002<\/p>\n<p><\/p>\n<p>JJRC\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u3001\u672c\u65e5\u516c\u958b\u3055\u308c\u307e\u3059\u304c\u3001\u3069\u3046\u3060\u308d\u3046\u304b\u30fb\u30fb\u30fb\u30fb\u30fb\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ILCOR web\u30b5\u30a4\u30c8\u3067\u300110\/14\u306b\u3001guidelines (ERC 2015, AHA 2015)\u304c\u516c\u958b\u3055\u308c\u307e\u3057\u305f\u3002 AHA 2015 guidelines\u306f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u8cea\u3084\u63a8\u5968\u306e\u5f37\u3055\u3092GRADE\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u3063\u3066 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,126],"tags":[],"_links":{"self":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/2776"}],"collection":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2776"}],"version-history":[{"count":17,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/2776\/revisions"}],"predecessor-version":[{"id":2802,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=\/wp\/v2\/posts\/2776\/revisions\/2802"}],"wp:attachment":[{"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2776"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2776"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/aihara.la.coocan.jp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2776"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}