{"id":"https://openalex.org/W2145684465","doi":"https://doi.org/10.1136/emj.2010.105247","title":"Evaluating patient self-assessment of health as a predictor of hospital admission in emergency practice: a diagnostic validity study","display_name":"Evaluating patient self-assessment of health as a predictor of hospital admission in emergency practice: a diagnostic validity study","publication_year":2011,"publication_date":"2011-07-27","ids":{"openalex":"https://openalex.org/W2145684465","doi":"https://doi.org/10.1136/emj.2010.105247","mag":"2145684465","pmid":"https://pubmed.ncbi.nlm.nih.gov/21795291"},"language":"en","primary_location":{"id":"doi:10.1136/emj.2010.105247","doi":"https://doi.org/10.1136/emj.2010.105247","is_oa":false,"landing_page_url":"https://doi.org/10.1136/emj.2010.105247","pdf_url":null,"source":{"id":"https://openalex.org/S127305661","display_name":"Emergency Medicine Journal","issn_l":"1351-0622","issn":["1351-0622","1472-0205","1472-0213"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Medicine Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026351197","display_name":"Ryosuke Miyamichi","orcid":"https://orcid.org/0000-0002-0870-5940","observed_orcids":["https://orcid.org/0000-0002-0870-5940"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Ryosuke Miyamichi","raw_affiliation_strings":["Department of General Internal Medicine, Shinshiro Municipal Hospital, 32-1, Kitabata, Shinshiro City, Aichi-pref., 441-1387, Japan. mya-@xf6.so-net.ne.jp","Department of General Internal Medicine, Shinshiro Municipal Hospital, 32-1, Kitabata, Shinshiro City, Aichi-pref., 441-1387, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General Internal Medicine, Shinshiro Municipal Hospital, 32-1, Kitabata, Shinshiro City, Aichi-pref., 441-1387, Japan. mya-@xf6.so-net.ne.jp","institution_ids":[]},{"raw_affiliation_string":"Department of General Internal Medicine, Shinshiro Municipal Hospital, 32-1, Kitabata, Shinshiro City, Aichi-pref., 441-1387, Japan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5064970536","display_name":"Toshihiko Mayumi","orcid":"https://orcid.org/0000-0002-4462-9375","observed_orcids":["https://orcid.org/0000-0002-4462-9375"]},"institutions":[{"id":"https://openalex.org/I60134161","display_name":"Nagoya University","ror":"https://ror.org/04chrp450","country_code":"JP","type":"education","lineage":["https://openalex.org/I60134161"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshihiko Mayumi","raw_affiliation_strings":["Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan","institution_ids":["https://openalex.org/I60134161"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036441236","display_name":"Mineo Asaoka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210114349","display_name":"Okazaki City Hospital","ror":"https://ror.org/01z9vrt66","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210114349"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Mineo Asaoka","raw_affiliation_strings":["Department of Emergency and Critical Care Medicine, Okazaki City Hospital, Okazaki, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency and Critical Care Medicine, Okazaki City Hospital, Okazaki, Japan","institution_ids":["https://openalex.org/I4210114349"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036350392","display_name":"Naoyuki Matsuda","orcid":"https://orcid.org/0000-0001-9153-7695","observed_orcids":["https://orcid.org/0000-0001-9153-7695"]},"institutions":[{"id":"https://openalex.org/I60134161","display_name":"Nagoya University","ror":"https://ror.org/04chrp450","country_code":"JP","type":"education","lineage":["https://openalex.org/I60134161"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Naoyuki Matsuda","raw_affiliation_strings":["Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Emergency and Critical Care Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan","institution_ids":["https://openalex.org/I60134161"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5026351197"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.8081,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.77510684,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"29","issue":"7","first_page":"570","last_page":"575"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T14354","display_name":"Emergency Medicine Education and Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/patient-self-assessment","display_name":"patient self-assessment","score":0.9490000009536743},{"id":"https://openalex.org/keywords/emergency-department-triage","display_name":"emergency department triage","score":0.921999990940094},{"id":"https://openalex.org/keywords/diagnostic-validity","display_name":"diagnostic validity","score":0.8679999709129333},{"id":"https://openalex.org/keywords/sensitivity-and-specificity","display_name":"sensitivity and specificity","score":0.8009999990463257},{"id":"https://openalex.org/keywords/likelihood-ratios","display_name":"likelihood ratios","score":0.9399999976158142},{"id":"https://openalex.org/keywords/hospital-admission-prediction","display_name":"hospital admission prediction","score":0.4429999887943268}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.917643666267395},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.8322718143463135},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.7200207710266113},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.6589999794960022},{"id":"https://openalex.org/C3019871722","wikidata":"https://www.wikidata.org/wiki/Q718944","display_name":"Hospital admission","level":2,"score":0.5192654132843018},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4410896301269531},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4371710419654846},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3486332595348358},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.16157162189483643},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.07641422748565674}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004636","descriptor_name":"Emergency Service, Hospital","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006304","descriptor_name":"Health Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007564","descriptor_name":"Japan","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010343","descriptor_name":"Patient Admission","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012680","descriptor_name":"Sensitivity and Specificity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014218","descriptor_name":"Triage","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D059026","descriptor_name":"Diagnostic Self Evaluation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1136/emj.2010.105247","doi":"https://doi.org/10.1136/emj.2010.105247","is_oa":false,"landing_page_url":"https://doi.org/10.1136/emj.2010.105247","pdf_url":null,"source":{"id":"https://openalex.org/S127305661","display_name":"Emergency Medicine Journal","issn_l":"1351-0622","issn":["1351-0622","1472-0205","1472-0213"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency Medicine Journal","raw_type":"journal-article"},{"id":"pmid:21795291","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21795291","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Emergency medicine journal : EMJ","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":12,"referenced_works":["https://openalex.org/W1536398914","https://openalex.org/W1897322421","https://openalex.org/W2048056714","https://openalex.org/W2060529943","https://openalex.org/W2074865697","https://openalex.org/W2078045958","https://openalex.org/W2093167852","https://openalex.org/W2098873644","https://openalex.org/W2161566871","https://openalex.org/W2165883882","https://openalex.org/W2317376604","https://openalex.org/W2321290140"],"related_works":["https://openalex.org/W3137484518","https://openalex.org/W2615766610","https://openalex.org/W4415194776","https://openalex.org/W2095526866","https://openalex.org/W1986675764","https://openalex.org/W4220822434","https://openalex.org/W2023895448","https://openalex.org/W4239572035","https://openalex.org/W3111215667","https://openalex.org/W1896403238"],"abstract_inverted_index":{"BACKGROUND:":[0],"Emergency":[1,60],"departments":[2],"deal":[3],"with":[4,132,206],"large":[5],"patient":[6,15,201],"loads":[7],"on":[8],"a":[9,39,63,146,156],"day-to-day":[10],"basis.":[11],"The":[12,169,200],"importance":[13],"of":[14,38,41,78,90,148,158,195],"self-assessment":[16,128],"in":[17,45,51,62,67,165,192,223],"the":[18,28,36,47,52,75,86,110,193,217],"triage":[19,43,218],"process":[20,219],"has":[21],"not":[22],"been":[23],"fully":[24],"considered":[25],"when":[26],"determining":[27,46,166],"need":[29,48,96,142],"for":[30,49,97,126,143,175,220],"hospital":[31,66,98,167,196,221],"admission.":[32,99,168],"OBJECTIVE:":[33],"To":[34],"determine":[35],"validity":[37],"series":[40],"self-administered":[42],"questions":[44,203],"hospitalisation":[50,144],"emergency":[53,76,106,138,224],"setting.":[54],"DESIGN:":[55],"Prospective":[56],"cohort":[57],"study.":[58],"SETTING:":[59],"department":[61,77],"tertiary-care,":[64],"municipal":[65],"Japan.":[68],"PARTICIPANTS:":[69],"5380":[70],"consecutive":[71],"walk-in":[72],"patients":[73,101],"visiting":[74],"Okazaki":[79],"City":[80],"Hospital":[81],"were":[82,102,124,177],"asked":[83],"to":[84,109,153,163,182,189,211,215],"self-evaluate":[85],"urgency":[87],"and":[88,93,121,155,171,184],"severity":[89],"their":[91,94],"condition":[92,205],"perceived":[95],"These":[100],"then":[103],"assessed":[104],"by":[105,129,137],"physicians":[107],"blinded":[108],"results":[111],"from":[112,134],"each":[113,127],"patient's":[114],"self-assessment.":[115],"MAIN":[116],"OUTCOME":[117],"MEASURES:":[118],"Sensitivity,":[119],"specificity":[120,157],"likelihood":[122,173],"ratios":[123,174],"calculated":[125],"comparing":[130],"these":[131],"findings":[133],"assessments":[135],"made":[136],"physicians.":[139],"RESULTS:":[140],"Patient-perceived":[141],"had":[145],"sensitivity":[147],"0.79":[149],"(95%":[150,160,179,186],"CI":[151,161,180,187],"0.76":[152],"0.82)":[154],"0.93":[159],"0.92":[162],"0.93)":[164],"positive":[170],"negative":[172],"self-assessments":[176],"10.68":[178],"9.59":[181],"11.90)":[183],"0.22":[185],"0.19":[188],"0.26),":[190],"respectively,":[191],"diagnosis":[194],"admission":[197,222],"(p<0.01).":[198],"CONCLUSIONS:":[199],"self-triage":[202],"concerning":[204],"five":[207],"categories":[208],"(medication":[209],"only":[210],"life":[212],"threatening)":[213],"seem":[214],"supplement":[216],"departments.":[225]},"counts_by_year":[{"year":2022,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2014,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}