The Japanese Intensive care PAtient Database (JIPAD): A national intensive care unit registry in Japan

被引：49

作者：

Irie, Hiromasa ^{[1
]}

Okamoto, Hiroshi ^{[2
]}

Uchino, Shigehiko ^{[3
]}

Endo, Hideki ^{[4
]}

Uchida, Masatoshi ^{[5
]}

Kawasaki, Tatsuya ^{[6
]}

Kumasawa, Junji ^{[7
]}

Tagami, Takashi ^{[8
]}

Shigemitsu, Hidenobu ^{[9
]}

Hashiba, Eiji ^{[10
]}

Aoki, Yoshitaka ^{[11
]}

Kurosawa, Hiroshi ^{[12
]}

Hatakeyama, Junji ^{[13
]}

Ichihara, Nao ^{[4
]}

Hashimoto, Satoru ^{[14
]}

Nishimura, Masaji ^{[15
]}

机构：

[1] Kurashiki Cent Hosp, Dept Anesthesiol, 1-1-1 Miwa, Kurashiki, Okayama 7108602, Japan

[2] St Lukes Int Hosp, Dept Crit Care Med, Chuo Ku, 9-1 Akashi Cho, Tokyo 1048560, Japan

[3] Jikei Univ Sch Med, Dept Anesthesiol, Intens Care Unit, Minato Ku, 3-19-18 Nishi Shinbashi, Tokyo 1058471, Japan

[4] Univ Tokyo, Grad Sch Med, Dept Healthcare Qual Assessment, Bunkyo Ku, 7-3-1 Hongo, Tokyo 1138655, Japan

[5] Dokkyo Med Univ, Dept Emergency & Crit Care Med, 880 Kitakobayashi, Mibu, Tochigi 3210293, Japan

[6] Shizuoka Childrens Hosp, Dept Pediat Crit Care, Aoi Ku, 860 Urushiyama, Shizuoka, Shizuoka 4208660, Japan

[7] Sakai City Med Ctr, Dept Crit Care Med, Nishi Ku, 1-1-1 Ebaraji Cho, Sakai, Osaka 5938304, Japan

[8] Nippon Med Sch, Tama Nagayama Hosp, Dept Emergency & Crit Care Med, 1-7-1 Nagayama, Tokyo 2068512, Japan

[9] Tokyo Med & Dent Univ, Grad Sch Med, Dept Intens Care Med, Bunkyo Ku, 1-5-45 Yushima, Tokyo 1138519, Japan

[10] Hirosaki Univ Hosp, Div Intens Care, 53 Honcho, Hirosaki, Aomori 0368203, Japan

[11] Hamamatsu Univ Sch Med, Dept Anesthesiol & Intens Care, Higashi Ku, 1-20-1 Handayama, Hamamatsu, Shizuoka 4313125, Japan

[12] Hyogo Prefectural Kobe Childrens Hosp, Dept Pediat Crit Care Med, Chuo Ku, 1-6-7 Minatojimo Minamimachi, Kobe, Hyogo 6500047, Japan

[13] Yokohama City Minato Red Cross Hosp, Dept Emergency & Crit Care Med, Naka Ku, 3-12-1 Shinyamashita, Yokohama, Kanagawa 2318682, Japan

[14] Kyoto Prefectural Univ Med, Dept Anesthesiol & Intens Care Med, Kamigyo Ku, Kawaramachi Hirokoji, Kyoto 6028566, Japan

[15] Japanese Soc Intens Care Med, Bunkyo Ku, 3-32-7 Hongo, Tokyo 1130033, Japan

来源：

JOURNAL OF CRITICAL CARE | 2020年 / 55卷

关键词：

Database; National registry; ICU admission; Monitoring; Standardized mortality ratio; Mortality prediction model; HOSPITAL MORTALITY; CLINICAL DATABASES; PEDIATRIC INDEX; RISK PREDICTION; ADULT; QUALITY; VALIDATION; ADMISSIONS; SURGERY; MODEL;

D O I：

10.1016/j.jcrc.2019.09.004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Purpose: The Japanese Intensive care PAtient Database (JIPAD) was established to construct a high-quality Japanese intensive care unit (ICU) database. Materials and methods: A data collection structure for consecutive ICU admissions in adults (>= 16 years) and children (<= 15 years) has been established in Japan since 2014. We herein report a current summary of the data in JIPAD for admissions between April 2015 and March 2017. Results: There were 21,617 ICU admissions from 21 ICUs (217 beds) including 8416 (38.9%) for postoperative or procedural monitoring, defined as adult admissions following elective surgery or for procedures and discharged alive within 24 h, 11,755 (54.4%) critically ill adults other than monitoring, and 1446 (6.7%) children. The standardized mortality ratios (SMRs) based on the Acute Physiology and Chronic Health Evaluation (APACHE) III-j, APACHE II, and Simplified Acute Physiology Score II scores in adults ranged from 0.387 to 0.534, whereas the SMR based on the Paediatric Index of Mortality 2 in children was 0.867. Conclusion: The data revealed that the SMRs based on general severity scores in adults were low because of high proportions of elective and monitoring admission. The development of a new mortality prediction model for Japanese ICU patients is needed. (C) 2019 Elsevier Inc. All rights reserved.

引用

页码：86 / 94

页数：9

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