{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1360004234902374656.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1097/mpa.0000000000000490"}},{"identifier":{"@type":"URI","@value":"https://journals.lww.com/10.1097/MPA.0000000000000490"}},{"identifier":{"@type":"PMID","@value":"26418911"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@value":"Time Trend of Outcomes for Severe Acute Pancreatitis After Publication of Japanese Guidelines Based on a National Administrative Database"}],"description":[{"notation":[{"@value":"This study aimed to investigate the recent time trend of outcomes for severe acute pancreatitis after publication of Japanese guidelines based on a national administrative database.A total of 10,400 patients with severe acute pancreatitis were referred to 1021 hospitals between 2010 and 2012 in Japan. We collected patients' data from the administrative database to compare in-hospital mortality (within 28 days and overall), length of stay (LOS), and medical costs during hospitalization. The study periods were categorized into 3 groups according to fiscal year: 2010 (n = 2698), 2011 (n = 3842), and 2012 (n = 3860).In-hospital mortality within 28 days and overall in-hospital mortality were significantly decreased according to fiscal year (6.3% [2010] vs 5.7% [2011] vs 4.5% [2012], P = 0.005; 7.6% vs 7.1% vs 5.6%, P = 0.002, respectively). However, mean LOS and medical costs were not different between fiscal years (27.0 vs 27.1 vs 26.9 days, P = 0.218; 13,998.0 vs 14,156.4 vs 14,319.2 USD, P = 0.232, respectively).This study shows that mortality of severe acute pancreatitis was reduced according to the time course, whereas LOS or medical costs were stable after publication of the Japanese guidelines."}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1380004234902374529","@type":"Researcher","foaf:name":[{"@value":"Atsuhiko Murata"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004234902374531","@type":"Researcher","foaf:name":[{"@value":"Toshihiko Mayumi"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004234902374530","@type":"Researcher","foaf:name":[{"@value":"Makoto Ohtani"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004234902374532","@type":"Researcher","foaf:name":[{"@value":"Kohji Okamoto"}]},{"@id":"https://cir.nii.ac.jp/crid/1380004234902374528","@type":"Researcher","foaf:name":[{"@value":"Shinya Matsuda"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"08853177"}],"prism:publicationName":[{"@value":"Pancreas"}],"dc:publisher":[{"@value":"Ovid Technologies (Wolters Kluwer Health)"}],"prism:publicationDate":"2016-04","prism:volume":"45","prism:number":"4","prism:startingPage":"516","prism:endingPage":"521"},"reviewed":"false","url":[{"@id":"https://journals.lww.com/10.1097/MPA.0000000000000490"}],"createdAt":"2015-09-29","modifiedAt":"2021-05-14","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Adult","dc:title":"Adult"},{"@id":"https://cir.nii.ac.jp/all?q=Male","dc:title":"Male"},{"@id":"https://cir.nii.ac.jp/all?q=Time%20Factors","dc:title":"Time Factors"},{"@id":"https://cir.nii.ac.jp/all?q=Adolescent","dc:title":"Adolescent"},{"@id":"https://cir.nii.ac.jp/all?q=Databases,%20Factual","dc:title":"Databases, Factual"},{"@id":"https://cir.nii.ac.jp/all?q=Guidelines%20as%20Topic","dc:title":"Guidelines as Topic"},{"@id":"https://cir.nii.ac.jp/all?q=Severity%20of%20Illness%20Index","dc:title":"Severity of Illness Index"},{"@id":"https://cir.nii.ac.jp/all?q=Young%20Adult","dc:title":"Young Adult"},{"@id":"https://cir.nii.ac.jp/all?q=Asian%20People","dc:title":"Asian People"},{"@id":"https://cir.nii.ac.jp/all?q=Hospital%20Administration","dc:title":"Hospital Administration"},{"@id":"https://cir.nii.ac.jp/all?q=Japan","dc:title":"Japan"},{"@id":"https://cir.nii.ac.jp/all?q=Outcome%20Assessment,%20Health%20Care","dc:title":"Outcome Assessment, Health Care"},{"@id":"https://cir.nii.ac.jp/all?q=Humans","dc:title":"Humans"},{"@id":"https://cir.nii.ac.jp/all?q=Hospital%20Mortality","dc:title":"Hospital Mortality"},{"@id":"https://cir.nii.ac.jp/all?q=Child","dc:title":"Child"},{"@id":"https://cir.nii.ac.jp/all?q=Aged","dc:title":"Aged"},{"@id":"https://cir.nii.ac.jp/all?q=Aged,%2080%20and%20over","dc:title":"Aged, 80 and over"},{"@id":"https://cir.nii.ac.jp/all?q=Health%20Care%20Costs","dc:title":"Health Care Costs"},{"@id":"https://cir.nii.ac.jp/all?q=Length%20of%20Stay","dc:title":"Length of Stay"},{"@id":"https://cir.nii.ac.jp/all?q=Middle%20Aged","dc:title":"Middle Aged"},{"@id":"https://cir.nii.ac.jp/all?q=Hospitalization","dc:title":"Hospitalization"},{"@id":"https://cir.nii.ac.jp/all?q=Logistic%20Models","dc:title":"Logistic Models"},{"@id":"https://cir.nii.ac.jp/all?q=Pancreatitis","dc:title":"Pancreatitis"},{"@id":"https://cir.nii.ac.jp/all?q=Acute%20Disease","dc:title":"Acute Disease"},{"@id":"https://cir.nii.ac.jp/all?q=Female","dc:title":"Female"}],"project":[{"@id":"https://cir.nii.ac.jp/crid/1040282256894140800","@type":"Project","projectIdentifier":[{"@type":"KAKEN","@value":"16K11434"},{"@type":"JGN","@value":"JP16K11434"},{"@type":"URI","@value":"https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16K11434/"}],"notation":[{"@language":"ja","@value":"急性膵炎の重症度評価と新規治療法開発に関する研究"},{"@language":"en","@value":"Severity assessment and new therapy in acute pancreatitis"}]}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360011144186054272","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Cutting‐edge information for the management of acute pancreatitis"}]},{"@id":"https://cir.nii.ac.jp/crid/1360011145648628480","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Effects of thoracic epidural anesthesia on survival and microcirculation in severe acute pancreatitis: a randomized experimental 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