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New approach of improvement of emergency medical system with population-based registry about emergency patients transported by ambulance

Research Project

Project/Area Number 18H02902
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 55060:Emergency medicine-related
Research InstitutionOsaka University

Principal Investigator

SHIMAZU TAKESHI  大阪大学, 医学系研究科, 教授 (50196474)

Co-Investigator(Kenkyū-buntansha) 高須 朗  大阪医科大学, 医学部, 教授 (00536170)
北村 哲久  大阪大学, 医学系研究科, 准教授 (30639810)
鍬方 安行  関西医科大学, 医学部, 教授 (50273678)
片山 祐介  大阪大学, 医学部附属病院, 医員 (50747144)
石見 拓  京都大学, 環境安全保健機構, 教授 (60437291)
溝端 康光  大阪市立大学, 大学院医学研究科, 教授 (90420736)
平出 敦  近畿大学, IRセンター, 教授 (20199037)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥16,250,000 (Direct Cost: ¥12,500,000、Indirect Cost: ¥3,750,000)
Fiscal Year 2020: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2019: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2018: ¥10,010,000 (Direct Cost: ¥7,700,000、Indirect Cost: ¥2,310,000)
Keywords救急医学 / 疫学 / 公衆衛生 / ビックデータ / データレジストリ / ビッグデータ / 救急医療 / Population-based study
Outline of Final Research Achievements

In this study, we statistically analyzed a population-based registry about emergency patients transported by ambulance in a Japanese metropolitan area. The data cleaning methods for this registry were established in the first year of this study, and we have already published the article about the profile of these patients.
Using the cleaned dataset, we have already presented our finding on “Profile and outcome of victims of an earthquake in an aging society: A population-based descriptive epidemiological study of the earthquake in Osaka, Japan on June 18, 2018” and “Factors Associated with Prolonged Hospitalization Among Patients Transported by Emergency Medical Services: A Population-based Study in Osaka, Japan” at an academic conference, and are currently submitting these manuscripts.
Furthermore, we have already analyzed the impact of COVID-19 pandemic on emergency medical system during the first surge (until end of May 2020), and are submitting a manuscript about this result.

Academic Significance and Societal Importance of the Research Achievements

対象人口が880万人の地域を対象とした救急搬送患者の全例調査を行っている事例は国内外にほとんど存在せず、これらのデータを解析した救急医療に関する様々な要因や影響を明らかにした本研究は救急医療領域における疫学研究としての学術的意義は大きい。さらに、2021年4月時点において日本国内で感染拡大しているCOVID-19による救急医療の逼迫状況を、このデータベースを用いて府内の関係者と情報を共有しており、COVID-19による救急医療の崩壊を防ぐという観点からも、本研究の社会的意義は大きい。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (4 results)

All 2019 2018

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (3 results)

  • [Journal Article] Profile of the ORION (Osaka emergency information Research Intelligent Operation Network system) between 2015 and 2016 in Osaka, Japan: a population-based registry of emergency patients with both ambulance and in-hospital records2018

    • Author(s)
      Okamoto Jun、Katayama Yusuke、Kitamura Tetsuhisa、Sado Junya、Nakamura Ryuta、Kimura Nobuhiro、Misaki Hirotsugu、Yamao Shinpei、Nakao Shota、Nitta Masahiko、Iwami Taku、Fujimi Satoshi、Kuwagata Yasuyuki、Shimazu Takeshi、Matsuoka Tetsuya
    • Journal Title

      Acute Medicine & Surgery

      Volume: 6 Issue: 1 Pages: 12-24

    • DOI

      10.1002/ams2.371

    • NAID

      120006559395

    • Related Report
      2019 Annual Research Report 2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 大阪北部地震で救急搬送された患者のリアリティー 地域網羅的救急傷病者レジストリを用いた解析2019

    • Author(s)
      片山祐介、北村哲久、中尾彰太、新田雅彦、石見拓、藤見聡、鍬方安行、嶋津岳士、松岡哲也
    • Organizer
      第22回日本臨床救急医学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 救急搬送患者の入院後21日時点での入院継続の背景要因 ORIONデータを用いた地域網羅的解析2019

    • Author(s)
      片山祐介、北村哲久、田中淳、松岡哲也
    • Organizer
      第47回日本救急医学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 病院前救護から退院転帰に至るまでの情報を収集する地域網羅的救急搬送患者レジストリ(ORION)の現状と将来2018

    • Author(s)
      片山祐介
    • Organizer
      第46回日本救急医学会・学術総会
    • Related Report
      2018 Annual Research Report

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Published: 2018-04-23   Modified: 2022-01-27  

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