{"created":"2025-01-14T01:42:09.007452+00:00","id":2012284,"links":{},"metadata":{"_buckets":{"deposit":"aadc40ac-cd9a-4b3b-85ac-c521a774a6ec"},"_deposit":{"created_by":7,"id":"2012284","owners":[7],"pid":{"revision_id":0,"type":"depid","value":"2012284"},"status":"published"},"_oai":{"id":"oai:tokushima-u.repo.nii.ac.jp:02012284","sets":["1713853213384:1713853295607"]},"author_link":["898","1224","528","920","1454","1638"],"control_number":"2012284","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-08-18","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"16","bibliographicPageStart":"4866","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"Journal of Clinical Medicine","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: The respiratory adjusted shock index (RASI) is a risk score whose usefulness in patients with sepsis and trauma has previously been reported. However, its relevance in elderly emergency patients with medical diseases is yet to be clarified. This study assessed the usefulness of the RASI, which can be evaluated without requiring special equipment, to provide objective and rapid emergency responses. Methods: In this retrospective study, we recruited patients with medical diseases, aged 65 years or older, who were transported to the emergency room from Tokushima Prefectural Kaifu Hospital and underwent arterial blood gas testing from 1 January 2022 to 31 December 2023. We investigated the association of the RASI with other indices, including the lactate level, National Early Warning Score 2 (NEWS2), Shock Index (SI), Sequential Organ Failure Assessment (SOFA) score, quick SOFA (qSOFA) score, and systemic inflammatory response syndrome (SIRS). Results: In this study, we included 260 patients (mean age, 86 years), of whom 234 were admitted to the hospital; 27 and 49 patients died within 7 and 30 days of admission, respectively. The RASI was positively correlated with the lactate level, NEWS2, SI, and increase in the SOFA score (p < 0.001). The RASI was higher in patients with a SIRS or qSOFA score ≥ 2 than in those without (p < 0.001). It predicted death within 7 and 30 days of admission with an area under the curve (AUC) of 0.80 (95% confidence interval [CI]: 0.73–0.87), sensitivity of 96.3%, and specificity of 53.6% when the cutoff value was set to 1.58 and with an AUC of 0.73 (95% CI: 0.66–0.81), sensitivity of 69.4%, and specificity of 70.6% when the cutoff value was set to 1.83, respectively. Conclusions: The RASI is a simple indicator that can be used for predicting in-hospital outcomes in elderly emergency patients with medical diseases. Larger prospective studies based on this study are needed.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"MDPI","subitem_publisher_language":"en"}]},"item_10001_rights_15":{"attribute_name":"権利情報","attribute_value_mlt":[{"subitem_rights":"This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).","subitem_rights_language":"en"}]},"item_10001_source_id_9":{"attribute_name":"収録物ID","attribute_value_mlt":[{"subitem_source_identifier":"20770383","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1715043197608":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access"}]},"item_1722929371688":{"attribute_name":"出版社版DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_language":"ja","subitem_relation_name_text":"10.3390/jcm13164866"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.3390/jcm13164866","subitem_relation_type_select":"DOI"}}]},"item_1723180141928":{"attribute_name":"EID","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"414363"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"ホリ, タイキ","creatorNameLang":"ja"},{"creatorName":"ホリ, タイキ","creatorNameLang":"ja-Kana"},{"creatorName":"Hori, Taiki","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"粟飯原, 賢一","creatorNameLang":"ja"},{"creatorName":"アイハラ, ケンイチ","creatorNameLang":"ja-Kana"},{"creatorName":"Aihara, Ken-ichi","creatorNameLang":"en"}],"familyNames":[{"familyName":"粟飯原","familyNameLang":"ja"},{"familyName":"アイハラ","familyNameLang":"ja-Kana"},{"familyName":"Aihara","familyNameLang":"en"}],"givenNames":[{"givenName":"賢一","givenNameLang":"ja"},{"givenName":"ケンイチ","givenNameLang":"ja-Kana"},{"givenName":"Ken-ichi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1224","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"75205/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/75205/profile-ja.html"},{"nameIdentifier":"70372711","nameIdentifierScheme":"e-Rad_Researcher","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=70372711"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":"","affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationName":"","affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"渡邊, 毅","creatorNameLang":"ja"},{"creatorName":"ワタナベ, タケシ","creatorNameLang":"ja-Kana"},{"creatorName":"Watanabe, Takeshi","creatorNameLang":"en"}],"familyNames":[{"familyName":"渡邊","familyNameLang":"ja"},{"familyName":"ワタナベ","familyNameLang":"ja-Kana"},{"familyName":"Watanabe","familyNameLang":"en"}],"givenNames":[{"givenName":"毅","givenNameLang":"ja"},{"givenName":"タケシ","givenNameLang":"ja-Kana"},{"givenName":"Takeshi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1454","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"381762/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/381762/profile-ja.html"},{"nameIdentifier":"80815217","nameIdentifierScheme":"e-Rad","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=80815217"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"稲葉, 香織","creatorNameLang":"ja"},{"creatorName":"イナバ, カオリ","creatorNameLang":"ja-Kana"},{"creatorName":"Inaba, Kaori","creatorNameLang":"en"}],"familyNames":[{"familyName":"稲葉","familyNameLang":"ja"},{"familyName":"イナバ","familyNameLang":"ja-Kana"},{"familyName":"Inaba","familyNameLang":"en"}],"givenNames":[{"givenName":"香織","givenNameLang":"ja"},{"givenName":"カオリ","givenNameLang":"ja-Kana"},{"givenName":"Kaori","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"920","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"337583/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/337583/profile-ja.html"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"稲葉, 圭佑","creatorNameLang":"ja"},{"creatorName":"イナバ, ケイスケ","creatorNameLang":"ja-Kana"},{"creatorName":"Inaba, Keisuke","creatorNameLang":"en"}],"familyNames":[{"familyName":"稲葉","familyNameLang":"ja"},{"familyName":"イナバ","familyNameLang":"ja-Kana"},{"familyName":"Inaba","familyNameLang":"en"}],"givenNames":[{"givenName":"圭佑","givenNameLang":"ja"},{"givenName":"ケイスケ","givenNameLang":"ja-Kana"},{"givenName":"Keisuke","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"898","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"334006/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/334006/profile-ja.html"}]},{"creatorNames":[{"creatorName":"カネコ, ヨウスケ","creatorNameLang":"ja"},{"creatorName":"カネコ, ヨウスケ","creatorNameLang":"ja-Kana"},{"creatorName":"Kaneko, Yousuke","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"カワタ, サキ","creatorNameLang":"ja"},{"creatorName":"カワタ, サキ","creatorNameLang":"ja-Kana"},{"creatorName":"Kawata, Saki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"川人, 圭祐","creatorNameLang":"ja"},{"creatorName":"カワヒト, ケイスケ","creatorNameLang":"ja-Kana"},{"creatorName":"Kawahito, Keisuke","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"キタ, ヒロキ","creatorNameLang":"ja"},{"creatorName":"キタ, ヒロキ","creatorNameLang":"ja-Kana"},{"creatorName":"Kita, Hiroki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"シミズ, カズマ","creatorNameLang":"ja"},{"creatorName":"シミズ, カズマ","creatorNameLang":"ja-Kana"},{"creatorName":"Shimizu, Kazuma","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"ホソキ, ミナエ","creatorNameLang":"ja"},{"creatorName":"ホソキ, ミナエ","creatorNameLang":"ja-Kana"},{"creatorName":"Hosoki, Minae","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"モリ, ケンスケ","creatorNameLang":"ja"},{"creatorName":"モリ, ケンスケ","creatorNameLang":"ja-Kana"},{"creatorName":"Mori, Kensuke","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"影治, 照喜","creatorNameLang":"ja"},{"creatorName":"カゲジ, テルヨシ","creatorNameLang":"ja-Kana"},{"creatorName":"Kageji, Teruyoshi","creatorNameLang":"en"}],"familyNames":[{"familyName":"影治","familyNameLang":"ja"},{"familyName":"カゲジ","familyNameLang":"ja-Kana"},{"familyName":"Kageji","familyNameLang":"en"}],"givenNames":[{"givenName":"照喜","givenNameLang":"ja"},{"givenName":"テルヨシ","givenNameLang":"ja-Kana"},{"givenName":"Teruyoshi","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"1638","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"70294684","nameIdentifierScheme":"e-Rad_Researcher","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=70294684"}]},{"creatorNames":[{"creatorName":"ウラオカ, ヒデユキ","creatorNameLang":"ja"},{"creatorName":"ウラオカ, ヒデユキ","creatorNameLang":"ja-Kana"},{"creatorName":"Uraoka, Hideyuki","creatorNameLang":"en"}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifierScheme":"ISNI","affiliationNameIdentifierURI":"http://www.isni.org/isni/"}],"affiliationNames":[{"affiliationNameLang":"ja"}]}],"creatorNames":[{"creatorName":"中村, 信元","creatorNameLang":"ja"},{"creatorName":"ナカムラ, シンゲン","creatorNameLang":"ja-Kana"},{"creatorName":"Nakamura, Shingen","creatorNameLang":"en"}],"familyNames":[{"familyName":"中村","familyNameLang":"ja"},{"familyName":"ナカムラ","familyNameLang":"ja-Kana"},{"familyName":"Nakamura","familyNameLang":"en"}],"givenNames":[{"givenName":"信元","givenNameLang":"ja"},{"givenName":"シンゲン","givenNameLang":"ja-Kana"},{"givenName":"Shingen","givenNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"528","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"229265/profile-ja.html","nameIdentifierScheme":"徳島大学 教育研究者総覧","nameIdentifierURI":"http://pub2.db.tokushima-u.ac.jp/ERD/person/229265/profile-ja.html"},{"nameIdentifier":"10511321","nameIdentifierScheme":"e-Rad_Researcher","nameIdentifierURI":"https://nrid.nii.ac.jp/ja/search/?qm=10511321"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-09-19"}],"displaytype":"detail","filename":"jcm_13_16_4866.pdf","filesize":[{"value":"865 KB"}],"format":"application/pdf","licensetype":"license_0","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://tokushima-u.repo.nii.ac.jp/record/2012284/files/jcm_13_16_4866.pdf"},"version_id":"f6c528d9-b946-4081-8d48-4b2f57110d75"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"respiratory adjusted shock index","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"elderly","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"emergency room","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"medical diseases","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"prognosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"The Respiratory Adjusted Shock Index at Admission Is a Valuable Predictor of In-Hospital Outcomes for Elderly Emergency Patients with Medical Diseases at a Japanese Community General Hospital","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"The Respiratory Adjusted Shock Index at Admission Is a Valuable Predictor of In-Hospital Outcomes for Elderly Emergency Patients with Medical Diseases at a Japanese Community General Hospital","subitem_title_language":"en"}]},"item_type_id":"40001","owner":"7","path":["1713853295607"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-09-19"},"publish_date":"2024-09-19","publish_status":"0","recid":"2012284","relation_version_is_last":true,"title":["The Respiratory Adjusted Shock Index at Admission Is a Valuable Predictor of In-Hospital Outcomes for Elderly Emergency Patients with Medical Diseases at a Japanese Community General Hospital"],"weko_creator_id":"7","weko_shared_id":-1},"updated":"2025-02-03T04:04:10.979048+00:00"}