{"id":"https://openalex.org/W3039657474","doi":"https://doi.org/10.1002/emp2.12125","title":"Rapid influenza diagnostic test at triage can decrease emergency department length of stay","display_name":"Rapid influenza diagnostic test at triage can decrease emergency department length of stay","publication_year":2020,"publication_date":"2020-07-03","ids":{"openalex":"https://openalex.org/W3039657474","doi":"https://doi.org/10.1002/emp2.12125","mag":"3039657474","pmid":"https://pubmed.ncbi.nlm.nih.gov/33000076","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7493520"},"language":"en","primary_location":{"id":"doi:10.1002/emp2.12125","doi":"https://doi.org/10.1002/emp2.12125","is_oa":true,"landing_page_url":"https://doi.org/10.1002/emp2.12125","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/emp2.12125","source":{"id":"https://openalex.org/S4210207081","display_name":"Journal of the American College of Emergency Physicians Open","issn_l":"2688-1152","issn":["2688-1152"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACEP Open","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/emp2.12125","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101404191","display_name":"Tsutomu Iwasaki","orcid":"https://orcid.org/0000-0002-2179-6971","observed_orcids":["https://orcid.org/0000-0002-2179-6971"]},"institutions":[{"id":"https://openalex.org/I4210087594","display_name":"St. Luke's International Hospital","ror":"https://ror.org/002wydw38","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210087594"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Tsutomu Iwasaki","raw_affiliation_strings":["Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan"],"raw_orcid":"https://orcid.org/0000-0002-2179-6971","affiliations":[{"raw_affiliation_string":"Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan","institution_ids":["https://openalex.org/I4210087594"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082880149","display_name":"Toru Hifumi","orcid":"https://orcid.org/0000-0003-3581-0890","observed_orcids":["https://orcid.org/0000-0003-3581-0890"]},"institutions":[{"id":"https://openalex.org/I4210087594","display_name":"St. Luke's International Hospital","ror":"https://ror.org/002wydw38","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210087594"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toru Hifumi","raw_affiliation_strings":["Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan","institution_ids":["https://openalex.org/I4210087594"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002170800","display_name":"Kuniyoshi Hayashi","orcid":"https://orcid.org/0000-0001-9228-0940","observed_orcids":["https://orcid.org/0000-0001-9228-0940"]},"institutions":[{"id":"https://openalex.org/I4210092806","display_name":"St. Luke's International University","ror":"https://ror.org/00e5yzw53","country_code":"JP","type":"education","lineage":["https://openalex.org/I4210092806"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kuniyoshi Hayashi","raw_affiliation_strings":["Graduate School of Public Health, St. Luke's International University, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Public Health, St. Luke's International University, Tokyo, Japan","institution_ids":["https://openalex.org/I4210092806"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013893118","display_name":"Norio Otani","orcid":"https://orcid.org/0000-0001-7122-5555","observed_orcids":["https://orcid.org/0000-0001-7122-5555"]},"institutions":[{"id":"https://openalex.org/I4210087594","display_name":"St. Luke's International Hospital","ror":"https://ror.org/002wydw38","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210087594"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Norio Otani","raw_affiliation_strings":["Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan","institution_ids":["https://openalex.org/I4210087594"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110135401","display_name":"Shinichi Ishimatsu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087594","display_name":"St. Luke's International Hospital","ror":"https://ror.org/002wydw38","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210087594"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shinichi Ishimatsu","raw_affiliation_strings":["Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emergency and Critical Care medicine, St. Luke's International Hospital, Tokyo, Japan","institution_ids":["https://openalex.org/I4210087594"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5101404191"],"corresponding_institution_ids":["https://openalex.org/I4210087594"],"apc_list":{"value":2200,"currency":"USD","value_usd":2200},"apc_paid":{"value":2200,"currency":"USD","value_usd":2200},"fwci":0.0,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":"1","issue":"4","first_page":"494","last_page":"501"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.9922000169754028,"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":0.9922000169754028,"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/T10167","display_name":"Influenza Virus Research Studies","score":0.004000000189989805,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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/T11773","display_name":"Healthcare Operations and Scheduling Optimization","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/1803","display_name":"Management Science and Operations Research"},"field":{"id":"https://openalex.org/fields/18","display_name":"Decision Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/rapid-influenza-diagnostic-tests","display_name":"rapid influenza diagnostic tests","score":0.8830000162124634},{"id":"https://openalex.org/keywords/emergency-department-triage","display_name":"emergency department triage","score":0.8640000224113464},{"id":"https://openalex.org/keywords/emergency-department-length-of-stay","display_name":"emergency department length of stay","score":0.9869999885559082},{"id":"https://openalex.org/keywords/influenza-diagnosis","display_name":"influenza diagnosis","score":0.6729999780654907},{"id":"https://openalex.org/keywords/influenza-season","display_name":"influenza season","score":0.7620000243186951},{"id":"https://openalex.org/keywords/point-of-care-testing","display_name":"point-of-care testing","score":0.6800000071525574}],"concepts":[{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.9632223844528198},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8617796897888184},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.8205083608627319},{"id":"https://openalex.org/C119060515","wikidata":"https://www.wikidata.org/wiki/Q1916617","display_name":"Interquartile range","level":2,"score":0.7745060920715332},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.694814920425415},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.6637259721755981},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.5645320415496826},{"id":"https://openalex.org/C82157600","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic test","level":2,"score":0.4461178779602051},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.26730114221572876},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1002/emp2.12125","doi":"https://doi.org/10.1002/emp2.12125","is_oa":true,"landing_page_url":"https://doi.org/10.1002/emp2.12125","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/emp2.12125","source":{"id":"https://openalex.org/S4210207081","display_name":"Journal of the American College of Emergency Physicians Open","issn_l":"2688-1152","issn":["2688-1152"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACEP Open","raw_type":"journal-article"},{"id":"pmid:33000076","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33000076","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":"Journal of the American College of Emergency Physicians open","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7493520","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7493520/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Am Coll Emerg Physicians Open","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:81f00d9578b04699bc68d44a39a6ef40","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/81f00d9578b04699bc68d44a39a6ef40","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of the American College of Emergency Physicians Open, Vol 1, Iss 4, Pp 494-501 (2020)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/emp2.12125","doi":"https://doi.org/10.1002/emp2.12125","is_oa":true,"landing_page_url":"https://doi.org/10.1002/emp2.12125","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/emp2.12125","source":{"id":"https://openalex.org/S4210207081","display_name":"Journal of the American College of Emergency Physicians Open","issn_l":"2688-1152","issn":["2688-1152"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACEP Open","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.98580002784729}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3039657474.pdf","grobid_xml":"https://content.openalex.org/works/W3039657474.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1947104617","https://openalex.org/W1974534195","https://openalex.org/W1983756672","https://openalex.org/W2027490722","https://openalex.org/W2073113652","https://openalex.org/W2073593257","https://openalex.org/W2103310685","https://openalex.org/W2121960517","https://openalex.org/W2151892839","https://openalex.org/W2335625640","https://openalex.org/W2582743722","https://openalex.org/W2765446643","https://openalex.org/W2793086529","https://openalex.org/W2799481492","https://openalex.org/W2807374997","https://openalex.org/W2885798358","https://openalex.org/W2904179227","https://openalex.org/W2904354111"],"related_works":["https://openalex.org/W2904179227","https://openalex.org/W3080801808","https://openalex.org/W3097878752","https://openalex.org/W2335625640","https://openalex.org/W4411911378","https://openalex.org/W2148828042","https://openalex.org/W7148443148","https://openalex.org/W3080335642","https://openalex.org/W2044407091","https://openalex.org/W7066622746"],"abstract_inverted_index":{"OBJECTIVE:":[0],"Even":[1],"if":[2],"performing":[3,28],"rapid":[4,29,54,83,108,120,227],"influenza":[5,30,55,84,89,109,121,228,241],"diagnostic":[6,31,56,85,110,122,229],"tests":[7,32,57,86,123,131,230],"test":[8,111],"will":[9],"not":[10],"change":[11],"clinical":[12],"decision":[13],"making,":[14],"we":[15],"sometimes":[16],"perform":[17],"at":[18,33,58,124,231],"triage":[19,34,59,106,117,164,193,232],"to":[20,49,94,148,210],"reduce":[21],"length":[22,40,63],"of":[23,41,53,64,73],"stay":[24,42,65],"in":[25,60,162,191,196],"Japan.":[26],"Whether":[27],"may":[35],"shorten":[36],"emergency":[37],"department":[38],"(ED)":[39],"(LOS)":[43],"is":[44],"remains":[45],"unclear.":[46],"We":[47,68],"aimed":[48],"determine":[50],"the":[51,88,163,192,197,240],"utility":[52],"shortening":[61],"ED":[62,78,142,186,237],"LOS.":[66],"METHODS:":[67],"retrospectively":[69],"reviewed":[70],"medical":[71],"records":[72],"patients":[74,159],"discharged":[75],"from":[76,82,91],"our":[77],"after":[79,133,144,170,181,200],"receiving":[80],"results":[81],"during":[87,239],"season":[90],"December,":[92],"2013":[93],"March,":[95],"2019.":[96],"Eligibility":[97],"criteria":[98],"were":[99,160,177],"a":[100,136],"walk-in":[101],"visit,":[102],"age":[103],"\u226515":[104],"years,":[105],"performed,":[107],"administered,":[112],"and":[113],"no":[114],"admission.":[115],"The":[116,126,138],"group":[118,128,165,172,194,199],"received":[119,129],"triage.":[125],"after-examination":[127,198],"their":[130],"only":[132],"examination":[134,171],"by":[135],"doctor.":[137],"primary":[139],"outcome":[140],"was":[141,188,233],"LOS":[143,187,238],"propensity":[145,182,201],"score":[146,183,202],"matching":[147,203],"adjust":[149],"for":[150],"several":[151],"covariates.":[152],"RESULTS:":[153],"Of":[154],"2,768":[155],"eligible":[156],"patients,":[157],"2,554":[158],"enrolled":[161],"(n":[166,173],"=":[167,174],"363)":[168],"or":[169],"2,191).":[175],"There":[176],"329":[178],"matched":[179],"pairs":[180],"matching.":[184],"Median":[185],"significantly":[189],"shorter":[190,236],"than":[195],"(81":[204],"min":[205,214,220],"(interquartile":[206],"range":[207],"[IQR]":[208],"60":[209],"111)":[211],"vs":[212],"106":[213],"(IQR":[215],"80-142);":[216],"median":[217],"difference":[218],"24":[219],"(95%":[221],"confidence":[222],"interval":[223],"17-30)).":[224],"CONCLUSIONS:":[225],"Performing":[226],"associated":[234],"with":[235],"season.":[242]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":2}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2020-07-10T00:00:00"}