{"created":"2023-06-19T10:05:29.619097+00:00","id":14998,"links":{},"metadata":{"_buckets":{"deposit":"4f2e7152-dc22-42c4-8685-86739b583a12"},"_deposit":{"created_by":23,"id":"14998","owners":[23],"pid":{"revision_id":0,"type":"depid","value":"14998"},"status":"published"},"_oai":{"id":"oai:kwmw.repo.nii.ac.jp:00014998","sets":["76:343:356"]},"author_link":["66098","66099","66100","66101","66102","66103"],"control_number":"14998","item_1_biblio_info_14":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"119","bibliographicPageStart":"111","bibliographicVolumeNumber":"27","bibliographic_titles":[{"bibliographic_title":"Kawasaki journal of medical welfare","bibliographic_titleLang":"en"}]}]},"item_1_creator_8":{"attribute_name":"著者名(英)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"KOGA, Yuji","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"66098","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"OSAKA, Suguru","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"66099","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"UEJI, Atsushi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"66100","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"KISHINO, Yukiko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"66101","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"ATARASHI, Mihoe","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"66102","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"HIRAMATSU, Takako","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"66103","nameIdentifierScheme":"WEKO"}]}]},"item_1_description_1":{"attribute_name":"ページ属性","attribute_value_mlt":[{"subitem_description":"P(論文)","subitem_description_type":"Other"}]},"item_1_description_3":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Original Paper","subitem_description_type":"Other"}]},"item_1_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15112/00014924","subitem_identifier_reg_type":"JaLC"}]},"item_1_publisher_23":{"attribute_name":"公開者","attribute_value_mlt":[{"subitem_publisher":"川崎医療福祉学会"}]},"item_1_source_id_13":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AA11108172","subitem_source_identifier_type":"NCID"}]},"item_1_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1341-5077","subitem_source_identifier_type":"PISSN"}]},"item_1_text_10":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Faculty of Nursing Kawasaki University of Medical Welfare"},{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Faculty of Nursing Kawasaki University of Medical Welfare"},{"subitem_text_language":"en","subitem_text_value":"Medical Affairs Division, Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Medical Materials, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Kawasaki Medical School General Medical Center"},{"subitem_text_language":"en","subitem_text_value":"Department of Nursing, Kawasaki Medical School Hospital"}]},"item_1_textarea_12":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"The impact of severity of ICU delirium on health care costs in Japan has not been clarified. The purpose of this study was to evaluate the relationship between severity of ICU delirium, hospital length of stay, and medical costs in the Japanese reimbursement system. We performed a retrospective cohort study within medical and surgical ICUs at university and general hospitals in Japan that adopt the Diagnosis Procedure Combination/Per-Diem Payment System (DPC/PDPS) system. We examined its ICU delirium severity (i.e., No delirium, Subsyndromal delirium, Delirium) relationship between the ICU length of stay and hospitalizations and medical costs for each group. The study population consisted of 122 patients (65.6% male), aged 72.5 ± 10.81 (median ± SD) years. Hospital and ICU lengths of stay were 26.0 ± 23.63 days, and 5.0 ± 3.51 days, respectively. The patients were categorized into 3 groups: No delirium (N = 32, 26.2%), Subsyndromal delirium (N = 53, 43.4%) and Delirium (N = 37, 30.4%). Statistically significant differences were observed between all 3 groups in medical costs (P < 0.01), between No delirium and Subsyndromal delirium (P < 0.01) and between No delirium and Delirium (P < 0.01) in ICU days, and between No delirium and Delirium in hospital length of stay (P < 0.01)."}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-04-11"}],"displaytype":"detail","filename":"02　Yuji KOGA.pdf","filesize":[{"value":"244.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","url":"https://kwmw.repo.nii.ac.jp/record/14998/files/02　Yuji KOGA.pdf"},"version_id":"b2abb154-005e-4690-bf91-23dbda233848"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ICU","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"delirium","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"severity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"medical fee","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":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"ICU Delirium Severity Assessment Needs to Be Introduced into the Japanese Medical Fee System","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ICU Delirium Severity Assessment Needs to Be Introduced into the Japanese Medical Fee System","subitem_title_language":"en"}]},"item_type_id":"1","owner":"23","path":["356"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-04-11"},"publish_date":"2022-04-11","publish_status":"0","recid":"14998","relation_version_is_last":true,"title":["ICU Delirium Severity Assessment Needs to Be Introduced into the Japanese Medical Fee System"],"weko_creator_id":"23","weko_shared_id":-1},"updated":"2024-01-10T05:04:32.723837+00:00"}