Evidence map›Paper›PMID 30651993›Full record

ArticleAcute medicine & surgery2019

Profile of the ORION (Osaka emergency information Research Intelligent Operation Network system) between 2015 and 2016 in Osaka, Japan: a population-based registry of emergency patients with both ambulance and in-hospital records.

Jun Okamoto, Yusuke Katayama, Tetsuhisa Kitamura, Junya Sado, Ryuta Nakamura, Nobuhiro Kimura, Hirotsugu Misaki, Shinpei Yamao, Shota Nakao, Masahiko Nitta and 5 more

Abstract read
In one paragraph

Article in Acute medicine & surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
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  5. Observational
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  9. Influence of the COVID-19 outbreak on transportation of pregnant women in an emergency medical service system: Population-based, ORION registry.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Emergency medicine in Japan: past, present, and future.International journal of emergency medicine · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Jun OkamotoOsaka Prefectural Government Osaka Japan.
Yusuke KatayamaDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita Japan.ORCID 0000-0003-2585-4259
Tetsuhisa KitamuraDepartment of Social and Environmental Medicine Division of Environmental Medicine and Population Sciences Osaka University Graduate School of Medicine Suita Japan.ORCID 0000-0003-0107-0580
Junya SadoDepartment of Health and Sports Sciences Medicine for Sports and Performing Arts Osaka University Graduate School of Medicine Suita Japan.
Ryuta NakamuraTakatsuki City Fire Department Takatsuki Japan.
Nobuhiro KimuraSenshuminami Broad Fire Department Izumisano Japan.
Hirotsugu MisakiKishiwada City Fire Department Kishiwada Japan.
Shinpei YamaoOsaka Municipal Fire Department Osaka Japan.
Shota NakaoRinku General Medical Center Senshu Trauma and Critical Care Center Izumisano Japan.
Masahiko NittaDepartment of Emergency Medicine Osaka Medical College Takatsuki Japan.
Taku IwamiKyoto University Health Service Kyoto Japan.
Satoshi FujimiDivision of Trauma and Surgical Critical Care Osaka General Medical Center Osaka Japan.
Yasuyuki KuwagataDepartment of Emergency and Critical Care Medicine Kansai Medical University Osaka Japan.
Takeshi ShimazuDepartment of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita Japan.
Tetsuya MatsuokaRinku General Medical Center Senshu Trauma and Critical Care Center Izumisano Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe the registry design of the Osaka Emergency Information Research Intelligent Operation Network system (ORION) and its profile of hospital information, patient and emergency medical service characteristics, and in-hospital outcomes among all patients transported to critical care centers and emergency hospitals in Osaka Prefecture, Japan.

methodsThe Osaka Prefecture Government has developed and introduced an information system for emergency patients (the ORION system) that uses a smartphone application (app) for hospital selection by on-scene emergency medical service personnel and has been accumulating all ambulance records. Since January 2015, medical institutions have obtained information on the diagnosis and outcome of patients transported to medical institutions, and the ORION system merged these data with ambulance records including smartphone app data.

resultsFrom January 2015 to December 2016, 753,301 eligible patients were registered. The mean age was 58.7 years, and 51.5% of patients were male. After hospital arrival, 39.7% were hospitalized, 58.2% were discharged from hospital, 1.1% changed hospital, and 1.0% died. The most common diagnoses were injury, poisoning, and certain other consequences of external causes. Among the hospitalized patients, 29.2% were continuously hospitalized, 59.0% discharged, 5.2% changed hospital, and 5.8% were dead at 21 days after hospitalization. The most common confirmed diagnosis was diseases of the circulatory system.

conclusionUsing the ORION system developed and operated by Osaka Prefecture since January 2015, we described the epidemiological data of all emergency patients transported to emergency hospitals. Analysis using the ORION database in the future could lead to improvements in the emergency transport system and patient outcomes.

Indexed as

Ambulancediagnosisemergency medical serviceinformation technologysurvival

Identifiers

PMID30651993
PMCPMC6328924

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.