The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016)

被引：63

作者：

Nishida, Osamu ^{[1
]}

Ogura, Hiroshi ^{[2
]}

Egi, Moritoki ^{[3
]}

Fujishima, Seitaro ^{[4
]}

Hayashi, Yoshiro ^{[5
]}

Iba, Toshiaki ^{[6
]}

Imaizumi, Hitoshi ^{[7
]}

Inoue, Shigeaki ^{[8
]}

Kakihana, Yasuyuki ^{[9
]}

Kotani, Joji ^{[10
]}

Kushimoto, Shigeki ^{[11
]}

Masuda, Yoshiki ^{[12
]}

Matsuda, Naoyuki ^{[13
]}

Matsushima, Asako ^{[14
]}

Nakada, Taka-aki ^{[15
]}

Nakagawa, Satoshi ^{[16
]}

Nunomiya, Shin ^{[17
]}

Sadahiro, Tomohito ^{[18
]}

Shime, Nobuaki ^{[19
]}

Yatabe, Tomoaki ^{[20
]}

Hara, Yoshitaka ^{[1
]}

Hayashida, Kei ^{[21
]}

Kondo, Yutaka ^{[22
]}

Sumi, Yuka ^{[23
]}

Yasuda, Hideto ^{[5
]}

Aoyama, Kazuyoshi ^{[24
,25
]}

Azuhata, Takeo ^{[26
]}

Doi, Kent ^{[27
]}

Doi, Matsuyuki ^{[28
]}

Fujimura, Naoyuki ^{[29
]}

Fuke, Ryota ^{[30
]}

Fukuda, Tatsuma ^{[31
]}

Goto, Koji ^{[32
]}

Hasegawa, Ryuichi ^{[33
]}

Hashimoto, Satoru ^{[34
]}

Hatakeyama, Junji ^{[35
]}

Hayakawa, Mineji ^{[36
]}

Hifumi, Toru ^{[37
]}

Higashibeppu, Naoki ^{[38
]}

Hirai, Katsuki ^{[39
]}

Hirose, Tomoya ^{[40
]}

Ide, Kentaro ^{[16
]}

Kaizuka, Yasuo ^{[41
]}

Kan'o, Tomomichi ^{[42
]}

Kawasaki, Tatsuya ^{[43
]}

Kuroda, Hiromitsu ^{[44
]}

Matsuda, Akihisa ^{[45
]}

Matsumoto, Shotaro ^{[16
]}

Nagae, Masaharu ^{[3
]}

Onodera, Mutsuo ^{[46
]}

机构：

[1] Fujita Hlth Univ, Sch Med, Dept Anesthesiol & Crit Care Med, 1-98 Dengakugakubo,Kutsukake Cho, Toyoake, Aichi 4701192, Japan

[2] Osaka Univ, Grad Sch Med, Dept Traumatol & Acute Crit Med, Suita, Osaka, Japan

[3] Kobe Univ Hosp, Dept Anesthesiol, Kobe, Hyogo, Japan

[4] Keio Univ, Sch Med, Ctr Gen Med Educ, Tokyo, Japan

[5] Kameda Med Ctr, Dept Intens Care Med, Kamogawa, Japan

[6] Juntendo Univ, Dept Emergency & Disaster Med, Tokyo, Japan

[7] Tokyo Med Univ, Sch Med, Dept Anesthesiol & Crit Care Med, Tokyo, Japan

[8] Tokai Univ, Hachioji Hosp, Dept Emergency & Crit Care Med, Hachioji, Tokyo, Japan

[9] Kagoshima Univ, Grad Sch Med & Dent Sci, Dept Emergency & Intens Care Med, Kagoshima, Japan

[10] Kobe Univ, Grad Sch Med, Dept Disaster & Emergency Med, Kobe, Hyogo, Japan

[11] Tohoku Univ, Grad Sch Med, Div Emergency & Crit Care Med, Sendai, Miyagi, Japan

[12] Sapporo Med Univ, Sch Med, Dept Intens Care Med, Sapporo, Hokkaido, Japan

[13] Nagoya Univ, Grad Sch Med, Dept Emergency & Crit Care Med, Nagoya, Aichi, Japan

[14] Nagoya City Univ, Grad Sch Med Sci, Dept Adv Acute Med, Nagoya, Aichi, Japan

[15] Chiba Univ, Grad Sch Med, Dept Emergency & Crit Care Med, Chiba, Japan

[16] Natl Ctr Child Hlth & Dev, Crit Care Med, Tokyo, Japan

[17] Jichi Med Univ, Sch Med, Dept Anesthesiol & Intens Care Med, Div Intens Care, Shimotsuke, Japan

[18] Tokyo Womens Med Univ, Yachiyo Med Ctr, Dept Emergency & Crit Care Med, Tokyo, Japan

[19] Hiroshima Univ, Inst Biomed & Hlth Sci, Dept Emergency & Crit Care Med, Higashihiroshima, Japan

[20] Kochi Med Sch, Dept Anesthesiol & Intens Care Med, Ernakulam, Kerala, India

[21] Keio Univ, Sch Med, Dept Emergency & Crit Care Med, Tokyo, Japan

[22] Beth Israel Deaconess Med Ctr, Harvard Med Sch, Dept Surg, Boston, MA 02215 USA

[23] Kanagawa Prefectural Govt, Healthcare New Frontier Promot Headquarters Off, Yokohama, Kanagawa, Japan

[24] Hosp Sick Children, Dept Anesthesia & Pain Med, Toronto, ON, Canada

[25] Univ Toronto, Dept Anesthesia, Fac Med, Toronto, ON, Canada

[26] Nihon Univ, Sch Med, Dept Acute Med, Div Emergency & Crit Care Med, Tokyo, Japan

[27] Univ Tokyo, Dept Acute Med, Tokyo, Japan

[28] Hamamatsu Univ Sch Med, Dept Anesthesiol & Intens Care, Hamamatsu, Shizuoka, Japan

[29] St Marys Hosp, Dept Anesthesiol, Fukuoka, Japan

[30] Tohoku Med & Pharmaceut Univ Hosp, Div Infect Dis & Infect Control, Sendai, Miyagi, Japan

[31] Beth Israel Deaconess Med Ctr, Harvard Med Sch, Dept Emergency Med, Boston, MA 02215 USA

[32] Oita Univ, Dept Anesthesiol & Intens Care, Fac Med, Oita, Japan

[33] Tsukuba Univ Hosp, Mito Kyodo Gen Hosp, Mito Clin Educ & Training Ctr, Dept Emergency & Intens Care Med, Mito, Ibaraki, Japan

[34] Kyoto Prefectural Univ Med, Dept Anesthesiol & Intens Care Med, Kyoto, Japan

[35] Yokohama City Minato Red Cross Hosp, Dept Intens Care Med, Yokohama, Kanagawa, Japan

[36] Hokkaido Univ Hosp, Emergency & Crit Care Ctr, Sapporo, Hokkaido, Japan

[37] Kagawa Univ Hosp, Emergency Med Ctr, Kita, Japan

[38] Kobe City Hosp Org, Kobe City Med Ctr, Gen Hosp, Dept Anesthesia & Crit Care, Kobe, Hyogo, Japan

[39] Kumamoto Red Cross Hosp, Dept Pediat, Kumamoto, Japan

[40] Osaka Police Hosp, Emergency & Crit Care Med Ctr, Osaka, Japan

[41] Steel Mem Yawata Hosp, Dept Emergency & ICU, Kitakyushu, Fukuoka, Japan

[42] Kitasato Univ, Dept Emergency & Crit Care Med, Tokyo, Japan

[43] Shizuoka Childrens Hosp, Dept Pediat Crit Care, Shizuoka, Japan

[44] Obihiro Kosei Hosp, Dept Anesthesia, Obihiro, Hokkaido, Japan

[45] Chiba Hokusoh Hosp, Nippon Med Sch, Dept Surg, Inzai, Japan

[46] Tokushima Univ Hosp, Dept Emergency & Crit Care Med, Tokushima, Japan

[47] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC USA

[48] Gunma Univ, Grad Sch Med, Dept Emergency Med, Maebashi, Gunma, Japan

[49] Chiba Hokusoh Hosp, Nippon Med Sch, Shock & Trauma Ctr, Inzai, Japan

[50] Juntendo Univ, Nerima Hosp, Dept Emergency & Crit Care Med, Tokyo, Japan

来源：

ACUTE MEDICINE & SURGERY | 2018年 / 5卷 / 01期

关键词：

Sepsis; septic shock; guidelines; evidence-based medicine; systematic review; Medical Information Network Distribution Service (Minds);

D O I：

10.1002/ams2.322

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background and Purpose: The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J-SSCG 2016), a Japanese-specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 in Japanese. An English-language version of these guidelines was created based on the contents of the original Japanese-language version. Methods: Members of the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine were selected and organized into 19 committee members and 52 working group members. The guidelines were prepared in accordance with the Medical Information Network Distribution Service (Minds) creation procedures. The Academic Guidelines Promotion Team was organized to oversee and provide academic support to the respective activities allocated to each Guideline Creation Team. To improve quality assurance and workflow transparency, a mutual peer review system was established, and discussions within each team were open to the public. Public comments were collected once after the initial formulation of a clinical question (CQ), and twice during the review of the final draft. Recommendations were determined to have been adopted after obtaining support from a two-thirds (>66.6%) majority vote of each of the 19 committee members. Results: A total of 87 CQs were selected among 19 clinical areas, including pediatric topics and several other important areas not covered in the first edition of the Japanese guidelines (J-SSCG 2012). The approval rate obtained through committee voting, in addition to ratings of the strengths of the recommendation and its supporting evidence were also added to each recommendation statement. We conducted meta-analyses for 29 CQs. Thirty seven CQs contained recommendations in the form of an expert consensus due to insufficient evidence. No recommendations were provided for 5 CQs. Conclusions: Based on the evidence gathered, we were able to formulate Japanese-specific clinical practice guidelines that are tailored to the Japanese context in a highly transparent manner. These guidelines can easily be used not only by specialists, but also by non-specialists, general clinicians, nurses, pharmacists, clinical engineers, and other healthcare professionals.

引用

页码：3 / 89

页数：87

共 486 条

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