The effectiveness of Modified Early Warning Score (MEWS) using individual-specific range in predicting pneumonia hospitalization among nursing home residents in Japan: Comparison with National Early Waring Score (NEWS)

• 資料種別: 博士論文
• ISSN: 0001-6055
• タイトル: The effectiveness of Modified Early Warning Score (MEWS) using individual-specific range in predicting pneumonia hospitalization among nursing home residents in Japan: Comparison with National Early Waring Score (NEWS)
• 巻次・部編番号: 65 3
• 著者・編者: 前田, 俊輔
• 著者標目: 前田, 俊輔
• 出版事項: Nagasaki University School of Medicine
• 出版年月日等: 2022-03-18
• 出版年（W3CDTF）: 2022-03-18
• 並列タイトル等: 介護施設入所者の肺炎入院における個人ごとのバイタルサインの基準域を用いたModified Early Warning Score (MEWS)の有用性 ：National Early Waring Score (NEWS)との比較
• タイトル（掲載誌）: Acta Medica Nagasakiensia
• 授与機関名: Nagasaki University (長崎大学)
• 授与年月日: 2022-03-18
• 授与年月日（W3CDTF）: 2022-03-18
• 報告番号: 甲共医歯薬第22号
• 学位: 博士(医学)
• 博論授与番号: 甲共医歯薬第22号
• 本文の言語コード: eng
• 件名標目: Early Warning Score; individual-specific range; pneumonia; nursing home
• 対象利用者: 一般
• 一般注記: Aim: The purpose of this study was to compare the usefulness between the National Early Warning Score (NEWS), which uses the absolute value range, and the Modified Early Warning Score (MEWS), which considers individual-specific ranges (evaluated by mean and standard deviation [SD], relative measures), in predicting pneumonia hospitalization among nursing home residents.Methods: The current study was a retrospective, observational study. The subjects were 235 nursing home residents (75 men and 160 women; pneumonia group, n=62; non-pneumonia group, n=173). The mean and SD of each vital sign (systolic blood pressure, heart rate, body temperature, and oxygen saturation) of each subject recorded over 28 days was calculated. In the pneumonia group, the points at the date of hospitalization were aggregated to derive the NEWS and MEWS. In the non-pneumonia group, the point at the 35th day from the start of the nursing home stay was aggregated to derive the NEWS and MEWS.Results: The area under the curve (AUC) for predicting pneumonia hospitalization was 0.80 (95% confidence interval [CI], 0.72- 0.88) for NEWS and 0.92 (95%CI, 0.87-0.97) for MEWS using individual-specific ranges. The AUC of MEWS using individualspecific ranges was significantly greater than that of NEWS (p<0.0001). When 3 was used as a cutoff value in MEWS, the Youden Index was the best value (0.75). Sensitivity, pecificity, positive predictive value, and negative predictive value were 0.77, 0.97, 0.91, and 0.92, respectively.Conclusion: Our MEWS system using individual-specific ranges showed good performance in predicting hospitalization for pneumonia among nursing home residents.; 長崎大学学位論文 学位記番号:共博(医歯薬)甲第22号 学位授与年月日:令和4年3月18日; Author: Maeta Shunsuke, Mizukami Satoshi, Tomita Yoshihito, Date Yutaka, Arima Kazuhiko, Aoyagi Kiyoshi; Citation: Acta Medica Nagasakiensia , 65(3), pp.89−94; 2022; identifier:Nagasaki University (長崎大学), 博士(医学) (2022-03-18); http://hdl.handle.net/10069/00000041454
• 国立国会図書館永続的識別子: info:ndljp/pid/12263358; https://dl.ndl.go.jp/pid/12263358
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2022-05-09T11:57:37+09:00
• 作成日（W3CDTF）: 2022-04-27
• 記録形式（IMT）: PDF
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 関連情報（URI）: http://hdl.handle.net/10069/00000041454
• 掲載誌（URI）: http://hdl.handle.net/10069/00041483
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp