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タイトル: | The development and validation of a "5A" severity scale for predicting in-hospital mortality after accidental hypothermia from J-point registry data |
著者: | Okada, Yohei Matsuyama, Tasuku Morita, Sachiko Ehara, Naoki Miyamae, Nobuhiro Jo, Takaaki Sumida, Yasuyuki Okada, Nobunaga Watanabe, Makoto Nozawa, Masahiro Tsuruoka, Ayumu Fujimoto, Yoshihiro Okumura, Yoshiki Kitamura, Tetsuhisa Yamamoto, Shungo Iiduka, Ryoji Koike, Kaoru |
著者名の別形: | 岡田, 遥平 山本, 舜悟 小池, 薫 |
キーワード: | Environmental emergency Accidental hypothermia Cardiac arrest |
発行日: | 3-May-2019 |
出版者: | Springer Science and Business Media LLC |
誌名: | Journal of Intensive Care |
巻: | 7 |
論文番号: | 27 |
抄録: | Background: Accidental hypothermia is a serious condition that requires immediate and accurate assessment to determine severity and treatment. Currently, accidental hypothermia is evaluated using the Swiss grading system which uses core body temperature and clinical findings; however, research has shown that core body temperature is not associated with in-hospital mortality in urban settings. Therefore, we developed and validated a severity scale for predicting in-hospital mortality among urban Japanese patients with accidental hypothermia. Methods: Data for this multi-center retrospective cohort study were obtained from the J-point registry. We included patients with accidental hypothermia who were admitted to an emergency department. The total cohort was divided into a development cohort and validation cohort, based on the location of each institution. We developed a logistic regression model for predicting in-hospital mortality using the development cohort and assessed its internal validity using bootstrapping. The model was then subjected to external validation using the validation cohorts. Conclusion: Our “5A” severity scoring system could accurately predict the risk of in-hospital mortality among patients with accidental hypothermia. |
記述: | The Correction to this article has been published in Journal of Intensive Care 2019 7:34 The Publisher Correction to this article has been published in Journal of Intensive Care 2019 7:43 |
著作権等: | This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
URI: | http://hdl.handle.net/2433/243568 |
DOI(出版社版): | 10.1186/s40560-019-0384-2 |
PubMed ID: | 31073406 |
関連リンク: | https://doi.org/10.1186/s40560-019-0388-y https://doi.org/10.1186/s40560-019-0398-9 |
出現コレクション: | 学術雑誌掲載論文等 |
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