Development of effective data collection systems for clinical researches in emergency department

2020 Fiscal Year Final Research Report

• Project/Area Number: 19K21474
• Project/Area Number (Other): 18H06395 (2018)
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund (2019); Single-year Grants (2018)
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Kyoto Prefectural University of Medicine
• Principal Investigator: Matsuyama Tasuku 京都府立医科大学, 医学(系)研究科(研究院), 助教 (50829025)
• Project Period (FY): 2018-08-24 – 2021-03-31
• Keywords: 救急医学 / ビッグデータ / 疫学研究

Outline of Final Research Achievements

The purpose of this study is to develop an efficient system for extracting and storing medical data for emergency patients and to apply it to clinical research. First, the format of the electronic medical record was determined and the system was constructed. In addition to basic data such as gender and age, important information for emergency patients such as whether the patient lives alone, whether the patient is accompanied, and whether the patient is a traveler were also collected. The system for extracting text data such as medical history and medication history was outsourced. By creating a disease-specific format, we were able to collect data suitable for research with few missing values.

Free Research Field

救急医学

Academic Significance and Societal Importance of the Research Achievements

日本における救急搬送患者数は進行する高齢化を背景として年々増加の一途を辿っており、救急診療の質向上は喫緊の課題である。救急外来の医療情報の標準化は現場負担の軽減、医療安全性の向上、患者との対話時間の増加という医療の質向上にも寄与するという欧米の報告があり、本システムを用いてそのエビデンスが本邦にも適応可能であると示すことが可能となる。また汎用性の高いシステムを構築できており、多施設に広げることで、本邦においても大規模データベースの構築が可能となった。