TXP Medical Study Using Emergency Department and EMR Data Published in International Journal of Clinical Medicine
TXP Medical Inc. announced that a study on hypoglycemic events, utilizing data from its emergency medical data platform "NEXT Stage ER," has been published in the Journal of Clinical Medicine. The research, which analyzed 237 cases over six years from 2018, highlighted a lack of pre-hospital intervention and pointed to its potential impact on patient outcomes. The findings underscore the need for better caregiver education and early intervention systems.
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- 📰 Published: May 19, 2026 at 17:00
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TXP Medical Inc. has announced that a research study utilizing its emergency department and electronic medical record (EMR) data has been published in the international medical journal, Journal of Clinical Medicine (MDPI).
Summary of Research Findings
The study analyzed 237 cases of patients transported by emergency medical services (EMS) for hypoglycemic attacks in two Japanese regions (Hitachi City, Ibaraki and the southern Miyagi area) over a six-year period from January 2018 to December 2023.
The analysis revealed that 78.1% of hypoglycemic events occurred at home, and in 67.5% of cases, the emergency call was made by a family member. However, pre-hospital medical interventions, such as glucose administration, were performed in only 12.5% of cases. Furthermore, 21.1% of patients were in a comatose state upon EMS arrival. The hospitalization rate for patients who received pre-hospital intervention was 34.2%, compared to 53.2% for those who did not, suggesting that the presence of early intervention may influence patient outcomes.
These results indicate that while many hypoglycemic events happen at home with family members as first responders, actual medical intervention is often lacking. This study highlights the importance of educating families and caregivers about hypoglycemic attacks and the need to establish better regional early intervention systems.
TXP Medical stated it will continue to contribute to improving medical quality and visualizing on-site challenges through the use of acute care and EMR data.
As a retrospective observational study limited to two specific regions and transport cases, further multi-center, multi-region validation is needed for generalization. Nonetheless, this real-world data study provides important insights into the reality of hypoglycemic emergencies.
Supporting Medical Data Infrastructure
The facilities involved in the study (Hitachi General Hospital and Miyagi-ken South-Core Hospital) have implemented "NEXT Stage ER (NSER)," an emergency department clinical platform developed by TXP Medical.
NSER is a system used by physicians and nurses in emergency departments to input and store information—such as ambulance transport details, clinical history, vital signs, and diagnoses—in a structured format. Chief complaints are automatically categorized into 231 categories based on the Japan Triage and Acuity Scale (JTAS), while diagnoses are standardized with ICD-10 codes and medication information with WHO ATC codes.
A key feature is its ability to ensure continuity between clinical practice and research data by structuring and standardizing information from the point of input, unlike conventional EMRs. As of March 2026, it has been deployed in over 100 hospitals nationwide and is effectively used as a platform for integrated analysis of pre-hospital and in-hospital data.
Publication Information:
Title: Hypoglycemic Events Focusing on Situational Factors, Bystander Identification, and Prehospital Management
Journal: Journal of Clinical Medicine (MDPI)
Publication Date: April 5, 2026
DOI: 10.3390/jcm15072746
URL: https://doi.org/10.3390/jcm15072746
This study was conducted as a joint research project with support from Eli Lilly Japan K.K.
About NEXT Stage ER (NSER):
NSER is a patient information recording and management system specialized for emergency department operations in large, critical care-level hospitals. It operates on EMR terminals, consolidating and sharing patient information entered by various medical professionals to support swift and accurate care. Data accumulated during daily operations also contributes to streamlining administrative tasks and clinical research data organization. NSER is a core system in over 100 major hospitals, holding an approximate 50% market share in university hospitals and critical care centers in Japan.
Summary of Research Findings
The study analyzed 237 cases of patients transported by emergency medical services (EMS) for hypoglycemic attacks in two Japanese regions (Hitachi City, Ibaraki and the southern Miyagi area) over a six-year period from January 2018 to December 2023.
The analysis revealed that 78.1% of hypoglycemic events occurred at home, and in 67.5% of cases, the emergency call was made by a family member. However, pre-hospital medical interventions, such as glucose administration, were performed in only 12.5% of cases. Furthermore, 21.1% of patients were in a comatose state upon EMS arrival. The hospitalization rate for patients who received pre-hospital intervention was 34.2%, compared to 53.2% for those who did not, suggesting that the presence of early intervention may influence patient outcomes.
These results indicate that while many hypoglycemic events happen at home with family members as first responders, actual medical intervention is often lacking. This study highlights the importance of educating families and caregivers about hypoglycemic attacks and the need to establish better regional early intervention systems.
TXP Medical stated it will continue to contribute to improving medical quality and visualizing on-site challenges through the use of acute care and EMR data.
As a retrospective observational study limited to two specific regions and transport cases, further multi-center, multi-region validation is needed for generalization. Nonetheless, this real-world data study provides important insights into the reality of hypoglycemic emergencies.
Supporting Medical Data Infrastructure
The facilities involved in the study (Hitachi General Hospital and Miyagi-ken South-Core Hospital) have implemented "NEXT Stage ER (NSER)," an emergency department clinical platform developed by TXP Medical.
NSER is a system used by physicians and nurses in emergency departments to input and store information—such as ambulance transport details, clinical history, vital signs, and diagnoses—in a structured format. Chief complaints are automatically categorized into 231 categories based on the Japan Triage and Acuity Scale (JTAS), while diagnoses are standardized with ICD-10 codes and medication information with WHO ATC codes.
A key feature is its ability to ensure continuity between clinical practice and research data by structuring and standardizing information from the point of input, unlike conventional EMRs. As of March 2026, it has been deployed in over 100 hospitals nationwide and is effectively used as a platform for integrated analysis of pre-hospital and in-hospital data.
Publication Information:
Title: Hypoglycemic Events Focusing on Situational Factors, Bystander Identification, and Prehospital Management
Journal: Journal of Clinical Medicine (MDPI)
Publication Date: April 5, 2026
DOI: 10.3390/jcm15072746
URL: https://doi.org/10.3390/jcm15072746
This study was conducted as a joint research project with support from Eli Lilly Japan K.K.
About NEXT Stage ER (NSER):
NSER is a patient information recording and management system specialized for emergency department operations in large, critical care-level hospitals. It operates on EMR terminals, consolidating and sharing patient information entered by various medical professionals to support swift and accurate care. Data accumulated during daily operations also contributes to streamlining administrative tasks and clinical research data organization. NSER is a core system in over 100 major hospitals, holding an approximate 50% market share in university hospitals and critical care centers in Japan.