Journal of Korean Academy of Nursing

Original Articles

External Validation of Carbapenem-Resistant Enterobacteriaceae Acquisition Risk Prediction Model in a Medium Sized Hospital: Seo, Su Min , Jeong, Ihn Sook; J Korean Acad Nurs 2020;50(4):621-630. Published online August 31, 2020; DOI: https://doi.org/10.4040/jkan.20137

Purpose
This study was aimed to evaluate the external validity of a carbapenem-resistant Enterobacteriaceae (CRE) acquisition risk prediction model (the CREP-model) in a medium-sized hospital.
Methods
This retrospective cohort study included 613 patients (CRE group: 69, no-CRE group: 544) admitted to the intensive care units of a 453-beds secondary referral general hospital from March 1, 2017 to September 30, 2019 in South Korea. The performance of the CREP-model was analyzed with calibration, discrimination, and clinical usefulness.
Results
The results showed that those higher in age had lower presence of multidrug resistant organisms (MDROs), cephalosporin use ≥ 15 days, Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 21 points, and lower CRE acquisition rates than those of CREP-model development subjects. The calibration-in-the-large was 0.12 (95% CI: - 0.16~0.39), while the calibration slope was 0.87 (95% CI: 0.63~1.12), and the concordance statistic was .71 (95% CI: .63~.78). At the predicted risk of .10, the sensitivity, specificity, and correct classification rates were 43.5%, 84.2%, and 79.6%, respectively. The net true positive according to the CREP-model were 3 per 100 subjects. After adjusting the predictors’ cutting points, the concordance statistic increased to .84 (95% CI: .79~.89), and the sensitivity and net true positive was improved to 75.4%. and 6 per 100 subjects, respectively.
Conclusion
The CREP-model’s discrimination and clinical usefulness are low in a medium sized general hospital but are improved after adjusting for the predictors. Therefore, we suggest that institutions should only use the CREP-model after assessing the distribution of the predictors and adjusting their cutting points.

Citations

Citations to this article as recorded by

Risk factors for the colonization of carbapenem-resistant Enterobacteriaceae in patients transferred to a small/medium-size hospital in Korea: a retrospective study
Misun Lee, Hyunjung Kim
Journal of Korean Biological Nursing Science.2023; 25(4): 285. CrossRef
Improving the Rapidity and Accuracy of Carbapenem-Resistant Enterobacteriaceae Detection by Shortening the Enrichment Duration
Miyoung Lee
Microbiology and Biotechnology Letters.2022; 50(4): 584. CrossRef
Validation Study of the Estimated Glycemic Load Model Using Commercially Available Fast Foods
Miran Lee, Haejin Kang, Sang-Jin Chung, Kisun Nam, Yoo Kyoung Park
Frontiers in Nutrition.2022;[Epub] CrossRef
Development of a Nomogram for Carbapenem-Resistant Enterobacteriaceae Acquisition Risk Prediction Among Patients in the Intensive Care Unit of a Secondary Referral Hospital
Su Min Seo, Ihn Sook Jeong, Ju Yeoun Song, Sangjin Lee
Asian Nursing Research.2021; 15(3): 174. CrossRef

173 View
2 Download
2 Web of Science
4 Crossref

Evaluation of Validity of the Korean Triage and Acuity Scale: Heejung Choi, Jong Sun Ok, Soo Young An; J Korean Acad Nurs 2019;49(1):26-35. Published online February 28, 2019; DOI: https://doi.org/10.4040/jkan.2019.49.1.26

Abstract PDF

Purpose

The aim of this study was to identify the predictive validity of the Korean Triage and Acuity Scale (KTAS).

Methods

This methodological study used data from National Emergency Department Information System for 2016. The KTAS disposition and emergency treatment results for emergency patients aged 15 years and older were analyzed to evaluate its predictive validity through its sensitivity, specificity, positive predictive value, and negative predictive value.

Results

In case of death in the emergency department, or where the intensive care unit admission was considered an emergency, the sensitivity, specificity, positive predictive value, and negative predictive value of the KTAS were 0.916, 0.581, 0.097, and 0.993, respectively. In case of death in the emergency department, or where the intensive or non-intensive care unit admission was considered an emergency, the sensitivity, specificity, and positive predictive value, and negative predictive value were 0.700, 0.642, 0.391, and 0.867, respectively.

Conclusion

The results of this study showed that the KTAS had high sensitivity but low specificity. It is necessary to constantly review and revise the KTAS level classification because it still results in a few errors of under and over-triage. Nevertheless, this study is meaningful in that it was an evaluation of the KTAS for the total cases of adult patients who sought help at regional and local emergency medical centers in 2016.

Citations

Citations to this article as recorded by

Predictive validity of resource-adjusted Korean Triage and Acuity Scale in pediatric gastrointestinal tract foreign body patients
Jin Hee Lee, Jin Hee Jung, Hyun Noh, Mi Jin Kim
Scientific Reports.2024;[Epub] CrossRef
Effect of storage duration on outcome of patients receiving red blood cell in emergency department
Yu-Kyung Koo, Sol Ji Choi, Soon Sung Kwon, Jinwoo Myung, Sinyoung Kim, Incheol Park, Hyun Soo Chung
Scientific Reports.2024;[Epub] CrossRef
Inter hospital external validation of interpretable machine learning based triage score for the emergency department using common data model
Jae Yong Yu, Doyeop Kim, Sunyoung Yoon, Taerim Kim, SeJin Heo, Hansol Chang, Gab Soo Han, Kyung Won Jeong, Rae Woong Park, Jun Myung Gwon, Feng Xie, Marcus Eng Hock Ong, Yih Yng Ng, Hyung Joon Joo, Won Chul Cha
Scientific Reports.2024;[Epub] CrossRef
A novel deep learning algorithm for real-time prediction of clinical deterioration in the emergency department for a multimodal clinical decision support system
Arom Choi, Kwanhyung Lee, Heejung Hyun, Kwang Joon Kim, Byungeun Ahn, Kyung Hyun Lee, Sangchul Hahn, So Yeon Choi, Ji Hoon Kim
Scientific Reports.2024;[Epub] CrossRef
Validity of the Korean triage and acuity scale in older patients compared to the adult group
Ho Sub Chung, Myeong Namgung, Dong Hoon Lee, Yoon Hee Choi, Sung Jin Bae
Experimental Gerontology.2023; 175: 112136. CrossRef
Predictive indicators for determining red blood cell transfusion strategies in the emergency department
Junhyup Song, Sinyoung Kim, Hyun Soo Chung, Incheol Park, Soon Sung Kwon, Jinwoo Myung
European Journal of Emergency Medicine.2023; 30(4): 260. CrossRef
Development and Validation of Simple Age-Adjusted Objectified Korean Triage and Acuity Scale for Adult Patients Visiting the Emergency Department
Seung Wook Kim, Yong Won Kim, Yong Hun Min, Kui Ja Lee, Hyo Ju Choi, Dong Won Kim, You Hwan Jo, Dong Keon Lee
Yonsei Medical Journal.2022; 63(3): 272. CrossRef
Baseline and clinical characteristics of older adults admitted to the intensive care unit through the emergency room: Analysis based on age groups
Ye Lim Lee, Sang Ook Ha, Young Sun Park, Jeong Hyeon Yi, Sun Beom Hur, Ki Ho Lee, Ki Yong Hong, Ju Young Sin, Duk Hwan Kim, Jun Kwon Cha, Jin Hyuck Kim
Hong Kong Journal of Emergency Medicine.2021; 28(2): 85. CrossRef
Long-term impact of coronavirus disease 2019 pandemic on emergency department utilization in a metropolitan emergency department in Korea
Seung Yeon Hwang, Jae Kwang Lee, Hyun Sik Ryu, Seong Soo Park, Jun Young Choi, Hye Ji Lee, Seung Ho Hur, Yeong Geun Park, Hyun Soo Choi
Pediatric Emergency Medicine Journal.2021; 8(2): 57. CrossRef
Modification and Validation of a Complaint-Oriented Emergency Department Triage System: A Multicenter Observational Study
Dong Hyun Choi, Won Pyo Hong, Kyoung Jun Song, Tae Han Kim, Sang Do Shin, Ki Jeong Hong, Jeong Ho Park, Joo Jeong
Yonsei Medical Journal.2021; 62(12): 1145. CrossRef
Pediatric Emergency Department Utilization and Coronavirus Disease in Daegu, Korea
Kyung Mi Jang, Ji Young Ahn, Hee Joung Choi, Sukhee Lee, Dongsub Kim, Dong Won Lee, Jae Young Choe
Journal of Korean Medical Science.2021;[Epub] CrossRef
Factors Associated with School Nurses’ Triage Competency in South Korea
Jaehee Yoon, Heesook Son
International Journal of Environmental Research and Public Health.2021; 18(16): 8279. CrossRef
Characteristics of children with trauma compared to those with disease in the emergency department: a Korean single regional emergency medical center study
Yosub Hwang, Ha Young Jo, Hye Won Yoo, Young Mi Kim, Hye-Young Kim
Pediatric Emergency Medicine Journal.2020; 7(2): 108. CrossRef
Alert Override Patterns With a Medication Clinical Decision Support System in an Academic Emergency Department: Retrospective Descriptive Study
Junsang Yoo, Jeonghoon Lee, Poong-Lyul Rhee, Dong Kyung Chang, Mira Kang, Jong Soo Choi, David W Bates, Won Chul Cha
JMIR Medical Informatics.2020; 8(11): e23351. CrossRef

321 View
8 Download
13 Web of Science
14 Crossref

Review Article

Predictive Validity of the Braden Scale for Pressure Ulcer Risk: A Meta-analysis: Seong-Hi Park, Yu-Sun Park; J Korean Acad Nurs 2014;44(6):595-607. Published online December 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.6.595

Abstract PDF

Purpose

The Braden Scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressure sore. However, not all studies show that the predictive validity of this scale is sufficient. The purpose of this study was to evaluate the Braden Scale for predicting pressure ulcer development.

Methods

Articles published 1946 and 2013 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases were selected, using the following keywords: 'pressure ulcer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.

Results

Thirty-eight diagnostic studies with high methodological quality, involving 17,934 patients, were included. Results of the meta-analysis showed that the pooled sensitivity and specificity of the Braden Scale were 0.74 (95% CI: 0.72-0.76), 0.75 (95% CI: 0.74-0.76) respectively. However the predictive validity of the Braden Scale has limitation because there was high heterogeneity between studies.

Conclusion

The Braden Scale's predictive validity of risk for pressure ulcer is interpreted as at a moderate level. However there is a limitation to the interpretation of the results, because of high heterogeneity among the studies.

Citations

Citations to this article as recorded by

Development of a Pressure Injury Machine Learning Prediction Model and Integration into Clinical Practice: A Prediction Model Development and Validation Study
Ju Hee Lee, Jae Yong Yu, So Yun Shim, Kyung Mi Yeom, Hyun A Ha, Se Yong Jekal, Ki Tae Moon, Joo Hee Park, Sook Hyun Park, Jeong Hee Hong, Mi Ra Song, Won Chul Cha
Korean Journal of Adult Nursing.2024; 36(3): 191. CrossRef
The Interrater Agreement for the Assessment of Pressure Ulcer Risk Using the Braden Scale and the Classification of Pressure Ulcers by Nurses in A Medium-Sized Hospital
Hyung-Ju Na, Sung-Hee Yoo, Young-Ran Kwon, Min-Jeng Ahn
Korean Journal of Adult Nursing.2020; 32(1): 35. CrossRef
A prediction tool for hospital‐acquired pressure ulcers among surgical patients: Surgical pressure ulcer risk score
Fazila Aloweni, Shin Yuh Ang, Stephanie Fook‐Chong, Nurliyana Agus, Patricia Yong, Meh Meh Goh, Lisa Tucker‐Kellogg, Rick Chai Soh
International Wound Journal.2019; 16(1): 164. CrossRef
Predictive Validity of Pressure Ulcer Risk Assessment Scales among Patients in a Trauma Intensive Care Unit
Ja Eun Choi, Sun-Kyung Hwang
Journal of Korean Critical Care Nursing.2019; 12(2): 26. CrossRef
A Phenomenological Study on Illness Experience of Patients with Pressure Ulcer
Misoo Yoo, Myungsun Yi
Korean Journal of Adult Nursing.2015; 27(5): 515. CrossRef

160 View
3 Download
5 Crossref

Original Article

Systematic Review and Meta-Analyses of Diagnostic Accuracy of Infrared Thermometer when Identifying Fever in Children: Young Joo Park, Seong-Hi Park, Chang-Bum Kang; J Korean Acad Nurs 2013;43(6):746-759. Published online December 31, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.6.746

Abstract PDF

Purpose

Infrared thermometers are increasingly used as a convenient, non-invasive assessment method for febrile children. However, the diagnostic accuracy of the infrared thermometer for children has been questioned, particularly in relation to sensitivity and specificity. The aim of this study was to evaluate diagnostic accuracy of infrared thermometers in febrile children.

Methods

Articles published between 1966 and 2012 from periodicals indexed in the Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected, using the following keywords: 'infrared thermometer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4.

Results

Nineteen diagnostic studies with high methodological quality, involving 4,304 children, were included. The results of meta-analysis showed that the pooled sensitivity, specificity and AUC (Area Under the Curve) of infrared tympanic thermometers in children over 1 year were 0.80 (95% CI 0.78, 0.81), 0.94 (95% CI 0.93, 0.95) and 0.95 respectively. However the diagnostic accuracy of infrared tympanic thermometers in children with hyperthermia was low.

Conclusion

The diagnostic accuracy of infrared tympanic thermometer was similar to axillary and rectal thermometers indicating a need for further research to substantiate these findings in children with hyperthermia.

Citations

Citations to this article as recorded by

Clinical Accuracy of Non-Contact Forehead Infrared Thermometer Measurement in Children: An Observational Study
Yeon-Mi Kim, Myung-Roul Jang, Ju-Ryoung Moon, Goeun Park, Ye-Jin An, Jeong-Meen Seo
Children.2022; 9(9): 1389. CrossRef
Axillary temperature measurements based on smart wearable thermometers in South Korean children: comparison with tympanic temperature measurements
Younglee Choi, Hye Young Ahn
Child Health Nursing Research.2022; 28(1): 62. CrossRef
Smart Patch for Skin Temperature: Preliminary Study to Evaluate Psychometrics and Feasibility
Heejung Kim, Sunkook Kim, Mingoo Lee, Yumie Rhee, Sungho Lee, Yi-Rang Jeong, Sunju Kang, Muhammad Naqi, Soyun Hong
Sensors.2021; 21(5): 1855. CrossRef
Role of materiovigilance in COVID era
Ahmad Najmi, Shilpa Kaore, Balakrishnan Sadasivam, Avik Ray
Journal of Family Medicine and Primary Care.2021; 10(7): 2722. CrossRef
Force protection in contingency operations: an evaluation of temperature monitoring in Sierra Leone
Catherine Cole, C Turnbull, W Eardley, P Hunt
Journal of the Royal Army Medical Corps.2016; 162(3): 176. CrossRef

129 View
2 Download
5 Crossref

First
Prev
Page of 1
Next
Last

Search