The Japanese Intensive care PAtient Database (JIPAD): A national intensive care unit registry in Japan

Hiromasa Irie; Hiroshi Okamoto; Shigehiko Uchino; Hideki Endo; Masatoshi Uchida; Tatsuya Kawasaki; Junji Kumasawa; Takashi Tagami; Hidenobu Shigemitsu; Eiji Hashiba; Yoshitaka Aoki; Hiroshi Kurosawa; Junji Hatakeyama; Nao Ichihara; Satoru Hashimoto; Masaji Nishimura; JIPAD Working Group in the Japanese Society of Intensive Care Medicine

doi:10.1016/j.jcrc.2019.09.004

The Japanese Intensive care PAtient Database (JIPAD): A national intensive care unit registry in Japan

J Crit Care. 2020 Feb:55:86-94. doi: 10.1016/j.jcrc.2019.09.004. Epub 2019 Oct 25.

Authors

Hiromasa Irie¹, Hiroshi Okamoto², Shigehiko Uchino³, Hideki Endo⁴, Masatoshi Uchida⁵, Tatsuya Kawasaki⁶, Junji Kumasawa⁷, Takashi Tagami⁸, Hidenobu Shigemitsu⁹, Eiji Hashiba¹⁰, Yoshitaka Aoki¹¹, Hiroshi Kurosawa¹², Junji Hatakeyama¹³, Nao Ichihara⁴, Satoru Hashimoto¹⁴, Masaji Nishimura¹⁵; JIPAD Working Group in the Japanese Society of Intensive Care Medicine

Affiliations

¹ Department of Anesthesiology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama 710-8602, Japan. Electronic address: irie-ygc@umin.net.
² Department of Critical Care Medicine, St. Luke's International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo 104-8560, Japan.
³ Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine, 3-19-18 Nishi-Shinbashi, Minato-ku, Tokyo 105-8471, Japan.
⁴ Department of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
⁵ Department of Emergency and Critical Care Medicine, Dokkyo Medical University, 880 Kitakobayashi, Mibu-machi, Shimotsuga-gun, Tochigi 321-0293, Japan.
⁶ Department of Pediatric Critical Care, Shizuoka Children's Hospital, 860 Urushiyama, Aoi-ku, Shizuoka, Shizuoka 420-8660, Japan.
⁷ Department of Critical Care Medicine, Sakai City Medical Center, 1-1-1 Ebaraji-cho, Nishi-ku, Sakai, Osaka 593-8304, Japan.
⁸ Department of Emergency and Critical Care Medicine, Nippon Medical School Tama Nagayama Hospital, 1-7-1 Nagayama, Tama, Tokyo 206-8512, Japan.
⁹ Department of Intensive Care Medicine, Graduate School of Medicine, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
¹⁰ Division of Intensive Care, Hirosaki University Hospital, 53 Honcho, Hirosaki, Aomori 036-8203, Japan.
¹¹ Department of Anesthesiology and Intensive Care, Hamamatsu University School of Medicine, 1-20-1 Handayama, Higashi-ku, Hamamatsu, Shizuoka 431-3125, Japan.
¹² Department of Pediatric Critical Care Medicine, Hyogo Prefectural Kobe Children's Hospital, 1-6-7 Minatojima Minamimachi, Chuo-ku, Kobe, Hyogo 650-0047, Japan.
¹³ Department of Emergency and Critical Care Medicine, Yokohama City Minato Red Cross Hospital, 3-12-1 Shinyamashita, Naka-ku, Yokohama, Kanagawa 231-8682, Japan.
¹⁴ Department of Anesthesiology and Intensive Care Medicine, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.
¹⁵ The President of the Japanese Society of Intensive Care Medicine, 3-32-7 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan.

PMID: 31715536
DOI: 10.1016/j.jcrc.2019.09.004

Abstract

Purpose: The Japanese Intensive care PAtient Database (JIPAD) was established to construct a high-quality Japanese intensive care unit (ICU) database.

Materials and methods: A data collection structure for consecutive ICU admissions in adults (≥16 years) and children (≤15 years) has been established in Japan since 2014. We herein report a current summary of the data in JIPAD for admissions between April 2015 and March 2017.

Results: There were 21,617 ICU admissions from 21 ICUs (217 beds) including 8416 (38.9%) for postoperative or procedural monitoring, defined as adult admissions following elective surgery or for procedures and discharged alive within 24 h, 11,755 (54.4%) critically ill adults other than monitoring, and 1446 (6.7%) children. The standardized mortality ratios (SMRs) based on the Acute Physiology and Chronic Health Evaluation (APACHE) III-j, APACHE II, and Simplified Acute Physiology Score II scores in adults ranged from 0.387 to 0.534, whereas the SMR based on the Paediatric Index of Mortality 2 in children was 0.867.

Conclusion: The data revealed that the SMRs based on general severity scores in adults were low because of high proportions of elective and monitoring admission. The development of a new mortality prediction model for Japanese ICU patients is needed.

Keywords: Database; ICU admission; Monitoring; Mortality prediction model; National registry; Standardized mortality ratio.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

APACHE
Adolescent
Adult
Aged
Child
Computer Communication Networks
Critical Illness / mortality*
Data Collection
Databases, Factual*
Electronic Health Records
Female
Hospital Mortality*
Hospitalization
Humans
Intensive Care Units / statistics & numerical data*
Internet
Japan / epidemiology
Male
Middle Aged
Patient Admission
Postoperative Period
Quality of Health Care
Registries*
Young Adult