{"created":"2023-05-15T12:29:39.477698+00:00","id":2135,"links":{},"metadata":{"_buckets":{"deposit":"6210ab8a-c1f1-4742-9c04-16dbafba1549"},"_deposit":{"created_by":4,"id":"2135","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2135"},"status":"published"},"_oai":{"id":"oai:luke.repo.nii.ac.jp:00002135","sets":["1","1:30","1:30:17","1:30:17:217"]},"author_link":["4970","6623"],"item_10006_date_granted_11":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2020-03-10"}]},"item_10006_degree_grantor_9":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"聖路加国際大学"}]}]},"item_10006_degree_name_8":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"修士(公衆衛生学)"}]},"item_10006_description_10":{"attribute_name":"学位授与年度","attribute_value_mlt":[{"subitem_description":"2019"}]},"item_10006_description_7":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Although the rapid response system (RRS) is a standard system for preventing: adverse event, low activation rate and high mortality were reported in Japan. National: Early Warning score (NEWS) is expected as one of the solutions, but it is not: validated in he Japanese population. This study aimed to validate NEWS among: Japanese population.: Methods: This was retrospective observational study. Adult patients registered in the: In-Hospital Emergency Registry in Japan between January 2014 and March 2018: were eligible for this study. The primary outcome was the mortality rate at after 30: days of RRS activation. First, accuracy of NEWS was analyzed with the correlation: coefficient and area under the receiver operating characteristics curve (AUC). Second,: NEWS parameters were analyzed for its weight for prediction, using multiple logistic: regression and CART (Classification and regression trees, a machine learning: method).: Results: There were 2,255 cases from 33 facilities included for this study. Correlation: coefficient of NEWS for 30 days mortality was 0.95 (95%CI, 0.88-0.98) and AUC: 3: was 0.668 (95%CI, 0.642-0.693). Sensitivity and specificity with seven as cut-off: score were 89.8% and 45.1%, respectively. In terms of the prediction value of the: parameters, oxygen saturation showed highest odds ratio of 1.36 (95%CI, 1.25-1.48),: followed by altered mental status (AMS) 1.23 (95%CI, 1.14-1.32), heart rate 1.21: (95%CI, 1.09-1.34), systolic blood pressure 1.12 (95%CI, 1.04-1.22), respiratory rate: 1.03 (95%CI, 1.05-1.26). Body temperature and oxygen supplement were not: significantly associated. CART showed that oxygen saturation was the most weighted: parameter, followed by AMS, and respiratory rate.: Conclusions: NEWS could stratify the risk of 30 days mortality after RRS activation in Japanese: population. Oxygen saturation was most weighted parameter for predicting cardiac: arrest. This work was supported by JSPS KAKENHI (#JP18K16548).: Keywords: in-hospital cardiac arrest, medical emergency team, rapid response team,: rapid response system, national early warning score, statistical evaluation, machine: learning","subitem_description_type":"Abstract"}]},"item_10006_dissertation_number_12":{"attribute_name":"学位授与番号","attribute_value_mlt":[{"subitem_dissertationnumber":"32633公修専第051"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"内藤, 貴基"},{"creatorName":"ナイトウ, タカキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Naito, Takaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2021-09-15"}],"displaytype":"detail","filename":"MP[051]_abst.pdf","filesize":[{"value":"79.3 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"論文要旨","url":"https://luke.repo.nii.ac.jp/record/2135/files/MP[051]_abst.pdf"},"version_id":"5052600b-af5a-4dc6-a25d-9ce5ffddd304"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"in-hospital cardiac arrest"},{"subitem_subject":"madical emergency team"},{"subitem_subject":"rapid response team"},{"subitem_subject":"rapid response system"},{"subitem_subject":"national early warning score"},{"subitem_subject":"statistical evaluation"},{"subitem_subject":"machine learning"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"thesis"}]},"item_title":"Validation of National Early Warning Score for Predicting 30 Days Mortality after Rapid Response System Activation: Report from Multicenter Rapid Response System Online Registry in Japan","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Validation of National Early Warning Score for Predicting 30 Days Mortality after Rapid Response System Activation: Report from Multicenter Rapid Response System Online Registry in Japan"}]},"item_type_id":"10006","owner":"4","path":["1","17","30","217"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-06-05"},"publish_date":"2020-06-05","publish_status":"0","recid":"2135","relation_version_is_last":true,"title":["Validation of National Early Warning Score for Predicting 30 Days Mortality after Rapid Response System Activation: Report from Multicenter Rapid Response System Online Registry in Japan"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-11-16T04:28:55.465634+00:00"}