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Development of web system for pediatric medical care in a normal and disaster setting

Research Project

Project/Area Number 20K17885
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 55060:Emergency medicine-related
Research InstitutionTeikyo University (2022)
The University of Tokyo (2020-2021)

Principal Investigator

Toida Chiaki  帝京大学, 医学部, 准教授 (30632632)

Project Period (FY) 2020-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2022: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2021: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2020: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Keywords小児救急 / 緊急度判定 / 小児緊急度判定 / スコアリングルーツ / 多数傷病者 / 災害 / 小児 / スコアリングツール / 災害トリアージ / 診療システム
Outline of Research at the Start

多数小児傷病者の救急初期診療では、緊急度判定に基づく治療・搬送の優先順位を決定することが不可欠である。また、成長・発達にともない体格が大きく変化する小児では、体格ごとにバイタルサインを評価し、至適な医療資機材サイズ・薬剤投与量を決定する必要がある。
本研究では、先行研究で開発した小児用の初期診療アプリ・緊急度判定アプリ(平時・災害時)・多数傷病者データベースを統合させ、平時と災害時に同一運用可能な小児傷病者診療ウェブシステムを開発する。QRコードによる情報連結機能も付加する。新システムは、シミュレーション研究により実用性を検証し完成させ、小児救急診療の質の向上につなげる。

Outline of Final Research Achievements

This study aimed to develop the web system for pediatric medical care in both a general emergency and disaster setting. We developed an integrated database system in which a pediatric primary triage app and pediatric acuity scoring app which we previously developed. Moreover, we added the functions including the data connection program by QR code and list data display of pediatric mass casualty. In the future, new system would be beneficial to increase the versatility and convenience of pediatric medical care in emergency setting.

Academic Significance and Societal Importance of the Research Achievements

本システムは小児傷病者に対する病院前救護活動および救急初期診療の質の向上のみならず、災害時における小児傷病者対応の質の向上にも繋がる基盤に資する研究と考える。 また、この診療システムは、小児多数傷病者を想定した多施設間でのシミュレーション 教育にも応用が可能であり、教育ツールとしての活用も期待できる。

Report

(4 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • Research Products

    (36 results)

All 2022 2021 2020 Other

All Journal Article (15 results) (of which Peer Reviewed: 15 results,  Open Access: 15 results) Presentation (18 results) Book (1 results) Remarks (2 results)

  • [Journal Article] Ten-year in-hospital mortality trends among Japanese injured patients by age, injury severity, injury mechanism, and injury region: A nationwide observational study2022

    • Author(s)
      Toida Chiaki、Muguruma Takashi、Gakumazawa Masayasu、Shinohara Mafumi、Abe Takeru、Takeuchi Ichiro
    • Journal Title

      PLOS ONE

      Volume: 17 Issue: 8 Pages: e0272573-e0272573

    • DOI

      10.1371/journal.pone.0272573

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The association between age and vital signs documentation of trauma patients in prehospital settings: analysis of a nationwide database in Japan2022

    • Author(s)
      Shinohara Mafumi、Muguruma Takashi、Toida Chiaki、Gakumazawa Masayasu、Abe Takeru、Takeuchi Ichiro
    • Journal Title

      BMC Emergency Medicine

      Volume: 22 Issue: 1 Pages: 165-165

    • DOI

      10.1186/s12873-022-00725-2

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] An Analysis of Stress Concerning Pediatric Emergency Care Nurses2022

    • Author(s)
      Toida Chiaki、Morimura Naoto
    • Journal Title

      Cureus

      Volume: 14

    • DOI

      10.7759/cureus.21299

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] オンライン型小児病院前救護トレーニングコースの開発と展望2022

    • Author(s)
      問田千晶、六車崇、賀来典之、塚原紘平、安達晋吾、光銭大裕、新田雅彦、野坂宜之、林卓郎、松浦治人、守谷俊
    • Journal Title

      日本臨床救急医学会雑誌

      Volume: 25 Pages: 57-61

    • NAID

      130008165039

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The association between age group and prehospital pediatric care for trauma patients2021

    • Author(s)
      篠原 真史、六車 崇、問田 千晶、嶽間澤 昌泰、安部 猛、竹内 一郎
    • Journal Title

      Journal of Japanese Society for Emergency Medicine

      Volume: 24 Issue: 5 Pages: 654-658

    • DOI

      10.11240/jsem.24.654

    • NAID

      130008109222

    • ISSN
      1345-0581, 2187-9001
    • Year and Date
      2021-10-31
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Correlation between Hospital Volume of Severely Injured Patients and In-Hospital Mortality of Severely Injured Pediatric Patients in Japan: A Nationwide 5-Year Retrospective Study2021

    • Author(s)
      Toida Chiaki、Muguruma Takashi、Gakumazawa Masayasu、Shinohara Mafumi、Abe Takeru、Takeuchi Ichiro、Morimura Naoto
    • Journal Title

      Journal of Clinical Medicine

      Volume: 10 Issue: 7 Pages: 1422-1422

    • DOI

      10.3390/jcm10071422

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Age- and Severity-Related In-Hospital Mortality Trends and Risks of Severe Traumatic Brain Injury in Japan: A Nationwide 10-Year Retrospective Study2021

    • Author(s)
      Toida Chiaki、Muguruma Takashi、Gakumazawa Masayasu、Shinohara Mafumi、Abe Takeru、Takeuchi Ichiro、Morimura Naoto
    • Journal Title

      Journal of Clinical Medicine

      Volume: 10 Issue: 5 Pages: 1072-1072

    • DOI

      10.3390/jcm10051072

    • Related Report
      2021 Research-status Report 2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Simplified Clinical Decision Rule Using Clinically Important Events for Risk Prediction in Pediatric Head Injury: A Retrospective Cohort Study2021

    • Author(s)
      Yogo Naoki、Toida Chiaki、Muguruma Takashi、Gakumazawa Masayasu、Shinohara Mafumi、Takeuchi Ichiro
    • Journal Title

      Journal of Clinical Medicine

      Volume: 10 Issue: 22 Pages: 5248-5248

    • DOI

      10.3390/jcm10225248

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Daytime admission is associated with higher 1-month survival for pediatric out-of-hospital cardiac arrest: Analysis of a nationwide multicenter observational study in Japan2021

    • Author(s)
      Shinohara Mafumi、Muguruma Takashi、Toida Chiaki、Gakumazawa Masayasu、Abe Takeru、Takeuchi Ichiro
    • Journal Title

      PLOS ONE

      Volume: 16 Issue: 2 Pages: e0246896-e0246896

    • DOI

      10.1371/journal.pone.0246896

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 病院前救護活動における小児外傷患者に対する医療資機材の整備状況:全国調査2021

    • Author(s)
      問田千晶、六車崇
    • Journal Title

      日本救急医学会雑誌

      Volume: 25 Pages: 345-349

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prehospital medical equipment for care of pediatric injury patients in Japanese ambulances: a nationwide survey2020

    • Author(s)
      Toida Chiaki、Muguruma Takashi
    • Journal Title

      Acute Medicine & Surgery

      Volume: 7 Issue: 1

    • DOI

      10.1002/ams2.605

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ten-Year in-Hospital Mortality Trends among Paediatric Injured Patients in Japan: A Nationwide Observational Study2020

    • Author(s)
      Toida Chiaki、Muguruma Takashi、Gakumazawa Masayasu、Shinohara Mafumi、Abe Takeru、Takeuchi Ichiro、Morimura Naoto
    • Journal Title

      Journal of Clinical Medicine

      Volume: 9 Issue: 10 Pages: 3273-3273

    • DOI

      10.3390/jcm9103273

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Transcatheter arterial embolisation is efficient and safe for paediatric blunt torso trauma: a case-control study2020

    • Author(s)
      Gakumazawa Masayasu、Toida Chiaki、Muguruma Takashi、Yogo Naoki、Shinohara Mafumi、Takeuchi Ichiro
    • Journal Title

      BMC Emergency Medicine

      Volume: 20 Issue: 1 Pages: 86-86

    • DOI

      10.1186/s12873-020-00381-4

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] In-Hospital Mortality Risk of Transcatheter Arterial Embolization for Patients with Severe Blunt Trauma: A Nationwide Observational Study2020

    • Author(s)
      Gakumazawa Masayasu、Toida Chiaki、Muguruma Takashi、Shinohara Mafumi、Abe Takeru、Takeuchi Ichiro
    • Journal Title

      Journal of Clinical Medicine

      Volume: 9 Issue: 11 Pages: 3485-3485

    • DOI

      10.3390/jcm9113485

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Validation of age-specific survival prediction in pediatric patients with blunt trauma using trauma and injury severity score methodology: a ten-year Nationwide observational study2020

    • Author(s)
      Toida Chiaki、Muguruma Takashi、Gakumazawa Masayasu、Shinohara Mafumi、Abe Takeru、Takeuchi Ichiro、Morimura Naoto
    • Journal Title

      BMC Emergency Medicine

      Volume: 20 Issue: 1 Pages: 91-91

    • DOI

      10.1186/s12873-020-00385-0

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 本邦の鋭的外傷死亡率の年次推移2022

    • Author(s)
      問田千晶
    • Organizer
      日本救急医学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 解剖学的評価指標を用いた重症外傷の定義における課題2022

    • Author(s)
      問田千晶
    • Organizer
      日本小児救急医学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 本邦の外傷死亡率の年次推移2022

    • Author(s)
      問田千晶
    • Organizer
      日本外傷学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 標準的教育コースのオンライン化2022

    • Author(s)
      問田千晶
    • Organizer
      日本臨床救急医学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 日本外傷データバンクデータを用いた外傷重症度評価の課題2022

    • Author(s)
      問田千晶
    • Organizer
      日本臨床救急医学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 重症度評価指標改訂後の小児鈍的外傷に対する生存予測モデルの精度検証2022

    • Author(s)
      問田千晶
    • Organizer
      日本小児科学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 小児鈍的外傷に対するTRISS法による生存予後予測の年齢層別制度の比較2021

    • Author(s)
      問田千晶 六車崇 篠原真史 嶽間澤昌泰 竹内一郎 森村尚登
    • Organizer
      第48回 日本集中治療医学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 小児災害トリアージの問題点と新たなトリアージ法の開発2021

    • Author(s)
      問田千晶 六車崇 竹内一郎 森村尚登
    • Organizer
      第26回 日本災害学会総会・学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 小児外傷における院内死亡率の年次推移2021

    • Author(s)
      問田千晶 六車崇 嶽間澤昌泰 篠原真史 竹内一郎 森村尚登
    • Organizer
      第124回 日本小児科学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 小児病院前救護トレーニングコース(PPMEC)のコロナ禍での取組み2021

    • Author(s)
      問田千晶 六車崇 賀来典之 塚原紘平 安達晋吾 光銭大裕 新田雅彦 野坂宜之 林卓郎 松浦治人 守谷俊
    • Organizer
      第24回日本臨床救急医学会総会・学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 重症鈍的外傷に対する診療実績の施設間評価2021

    • Author(s)
      問田千晶 六車崇 嶽間澤昌泰 篠原真史 竹内一郎 森村尚登
    • Organizer
      第35回 日本外傷学会総会・学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 問田千晶 六車崇 嶽間澤昌泰 篠原真史 竹内一郎 森村尚登2021

    • Author(s)
      本邦の小児外傷における院内死亡率の年次推移
    • Organizer
      第35回 日本外傷学会総会・学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 小児病院前救護の現況と課題 - 全国消防本部アンケート調査 -2021

    • Author(s)
      問田千晶 六車崇 竹内一郎 森村尚登
    • Organizer
      第34回 日本小児救急医学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 小児鈍的外傷に対する 生存予後予測モデルの作成と精度の検証2021

    • Author(s)
      問田千晶 六車崇 嶽間澤昌泰 篠原真史 竹内一郎
    • Organizer
      第49回 日本救急医学会総会・学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 小児災害トリアージの問題点と新たなトリアージ方の開発2021

    • Author(s)
      問田千晶
    • Organizer
      第26回日本災害学会総会・学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 小児多数傷病者に対する新診療システム2020

    • Author(s)
      問田千晶
    • Organizer
      第25回日本災害医学会総会・学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 小児傷病者の救急現場における緊急度判定基準2020

    • Author(s)
      問田千晶
    • Organizer
      第123回日本小児科学会学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 小児病院前救護の現況 全国消防本部アンケート調査2020

    • Author(s)
      問田千晶
    • Organizer
      第23回日本臨床救急医学会総会・学術集会
    • Related Report
      2020 Research-status Report
  • [Book] 小児の診かた:診察・処置の特性. 今日の治療指針2021

    • Author(s)
      問田千晶
    • Total Pages
      1
    • Publisher
      医学書院
    • Related Report
      2021 Research-status Report
  • [Remarks] 小児傷病者診療システム

    • URL

      https://ped-em-care.com

    • Related Report
      2021 Research-status Report 2020 Research-status Report
  • [Remarks] 小児救急診療アプリ

    • URL

      https://pediatric-triage.com

    • Related Report
      2021 Research-status Report

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Published: 2020-04-28   Modified: 2024-01-30  

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