{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:28:53Z","timestamp":1765758533364,"version":"3.37.3"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,9,25]],"date-time":"2018-09-25T00:00:00Z","timestamp":1537833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP18H02902"],"award-info":[{"award-number":["JP18H02902"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To describe the registry design of the Osaka Emergency Information Research Intelligent Operation Network system (<jats:styled-content style=\"fixed-case\">ORION<\/jats:styled-content>) and its profile of hospital information, patient and emergency medical service characteristics, and in\u2010hospital outcomes among all patients transported to critical care centers and emergency hospitals in Osaka Prefecture, Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Osaka Prefecture Government has developed and introduced an information system for emergency patients (the <jats:styled-content style=\"fixed-case\">ORION<\/jats:styled-content> system) that uses a smartphone application (app) for hospital selection by on\u2010scene emergency medical service personnel and has been accumulating all ambulance records. Since January 2015, medical institutions have obtained information on the diagnosis and outcome of patients transported to medical institutions, and the <jats:styled-content style=\"fixed-case\">ORION<\/jats:styled-content> system merged these data with ambulance records including smartphone app data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From January 2015 to December 2016, 753,301 eligible patients were registered. The mean age was 58.7\u00a0years, and 51.5% of patients were male. After hospital arrival, 39.7% were hospitalized, 58.2% were discharged from hospital, 1.1% changed hospital, and 1.0% died. The most common diagnoses were injury, poisoning, and certain other consequences of external causes. Among the hospitalized patients, 29.2% were continuously hospitalized, 59.0% discharged, 5.2% changed hospital, and 5.8% were dead at 21\u00a0days after hospitalization. The most common confirmed diagnosis was diseases of the circulatory system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using the <jats:styled-content style=\"fixed-case\">ORION<\/jats:styled-content> system developed and operated by Osaka Prefecture since January 2015, we described the epidemiological data of all emergency patients transported to emergency hospitals. Analysis using the <jats:styled-content style=\"fixed-case\">ORION<\/jats:styled-content> database in the future could lead to improvements in the emergency transport system and patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.371","type":"journal-article","created":{"date-parts":[[2018,9,26]],"date-time":"2018-09-26T00:09:22Z","timestamp":1537920562000},"page":"12-24","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Profile of the ORION (Osaka emergency information Research Intelligent Operation Network system) between 2015 and 2016 in Osaka, Japan: a population\u2010based registry of emergency patients with both ambulance and in\u2010hospital records"],"prefix":"10.1002","volume":"6","author":[{"given":"Jun","family":"Okamoto","sequence":"first","affiliation":[{"name":"Osaka Prefectural Government Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2585-4259","authenticated-orcid":false,"given":"Yusuke","family":"Katayama","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0107-0580","authenticated-orcid":false,"given":"Tetsuhisa","family":"Kitamura","sequence":"additional","affiliation":[{"name":"Department of Social and Environmental Medicine Division of Environmental Medicine and Population Sciences  Osaka University Graduate School of Medicine Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junya","family":"Sado","sequence":"additional","affiliation":[{"name":"Department of Health and Sports Sciences Medicine for Sports and Performing Arts Osaka University Graduate School of Medicine Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Takatsuki City Fire Department Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhiro","family":"Kimura","sequence":"additional","affiliation":[{"name":"Senshuminami Broad Fire Department Izumisano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirotsugu","family":"Misaki","sequence":"additional","affiliation":[{"name":"Kishiwada City Fire Department Kishiwada Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinpei","family":"Yamao","sequence":"additional","affiliation":[{"name":"Osaka Municipal Fire Department Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shota","family":"Nakao","sequence":"additional","affiliation":[{"name":"Rinku General Medical Center Senshu Trauma and Critical Care Center Izumisano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiko","family":"Nitta","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Osaka Medical College Takatsuki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taku","family":"Iwami","sequence":"additional","affiliation":[{"name":"Kyoto University Health Service Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Fujimi","sequence":"additional","affiliation":[{"name":"Division of Trauma and Surgical Critical Care Osaka General Medical Center Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyuki","family":"Kuwagata","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Kansai Medical University Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Shimazu","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Acute Critical Medicine Osaka University Graduate School of Medicine Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tetsuya","family":"Matsuoka","sequence":"additional","affiliation":[{"name":"Rinku General Medical Center Senshu Trauma and Critical Care Center Izumisano Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,25]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Ambulance Service Planning Office of Fire and Disaster Management Agency of Japan: effect of first aid for emergency patients in 2017. 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