查詢結果分析
相關文獻
- 臺北市輕度頭部外傷之流行病學及醫療資源使用情形
- The Classification and Risk Factors of Mild Head Injury
- 國人腦血管疾病、流行病學與醫療資源之使用
- Emergency Medical Resource Use in Taipei City
- 腸炎沙門氏桿菌污染之三明治引起的集體食品中毒事件
- 機動車事故傷害發生地、死亡地與戶籍地關係之初探:花東經驗
- Pharmacoepidemiology藥物流行病學--clinical pharmacology(臨床藥理學)和epidemiology(流行病學)結合而產生的一門新學科
- 胃幽門螺旋桿菌的微生物學與流行病學
- 宜蘭縣南澳鄉與南投縣仁愛鄉泰雅族原住民和當地動物弓蟲抗體之血清流行病學研究
- 臺灣新竹地區C型肝炎病毒感染之血清流行病學研究
頁籤選單縮合
題 名 | 臺北市輕度頭部外傷之流行病學及醫療資源使用情形=The Epidemiology and Utilization of Medical Resources on Mild Head Injury in Taipei City |
---|---|
作 者 | 紀煥庭; 邱文達; 楊大羽; 蔡行瀚; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 18:2 2007.06[民96.06] |
頁 次 | 頁61-70 |
分類號 | 419.52 |
關鍵詞 | 輕度頭部外傷; 昏迷指數; 流行病學; 醫療資源; Epidemiology; Mild head injury; Glasgow coma scale; Medical resources; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:頭部外傷傷患到急診就醫,以輕度受傷居多,對於醫療資源的耗損也相當多,但國內專門針對輕度頭部外傷相關的研究並不多。 方法:利用回溯性的研究,在台北市兩年期間共收集到GCS在13-15的輕度頭部外傷傷患,總共4271人,做流行病學的分析並探討醫療資源使用情形。 結果:輕度頭部外傷中,男性佔2594人(60.7%)。大於65歲,頭部外傷的發生率明顯增高。受傷原因均以車禍為主,跌落次之。以年齡層來看,15-64歲受傷原因以車禍為主,兩個極端年齡層,0-14歲及大於65歲則以跌落為主,分別為57.2%及67.3%。車禍傷患的平均年齡為 37.2±19.0歲,跌落的平均年齡則偏高為52.4±26.4歲。傷患有60.0%使用救護車運送。輕度頭部外傷,醫學中心收治車禍傷患的比例 (52.6%)高於非醫學中心(45.8%) (P<0.05)。送往醫學中心的傷患做電腦斷層、電腦斷層異常、顱內出血、接受開顱手術及預後預後不良比例(分別為78.4%、46.0%、 27.9%、9.0%及6.8%)明顯高出非醫學中心傷患(分別為56.2%、33.2%、15.8%、5.1%及4.0%)。傷患總平均住院天數,住在醫學中心8.9天也高於非醫學中心的5.9天(P<0.05)。以年齡層來看,隨著年紀的增加,住院天數有遞增且預後愈差的現象;死亡的29人中,年紀超過65歲以上佔20人(69.0%)。 結論:輕度頭部外傷所花費的醫療資源是相當可觀的;尤其當傷患的年紀越大,電腦斷層異常、顱內出血、開顱手術、預後不良的機會越高,因為腦部或身體其他地方造成的死亡率也越高。因此,年紀大的傷患需要特別的照顧以及較長時間的觀察。顱內出血、接受開顱以及預後不良傷患的就醫方式,有高達 20.9%、32.2%以及17.6%是用步行入醫院的。因此我們不能輕視輕度頭部外傷的嚴重性,而延誤診斷造成不可預期的後果。 |
英文摘要 | Background: The so called “mild” head injury patients occupied most part of emergency department (ED) visits due to head injuries and exhaust a lot of the medical resources. There are so few studies focus on mild head injury in Taiwan. Methods: A retrospective study of 4271 consecutive patients with mild head injury (Glasgow Coma Scale score 13-15) during a period of 2 years. Epidemiological studies of demographic information, type of injury, relevant clinical information, computed tomography (CT) scan data, and the utilization of medical resources are made. Results: 2594 (60.7%) are male. The incidence of head injury increases while the age older than 65 years. Most of the injuries were associated with traffic accidents, followed by falls. The majority of 15-64 years old victims were injuried due to traffic accidents; the youngest (0-14) and oldest (≧65) were due to fall, with 57.2% and 67.3% respectively. The mean ages were 37.2±19.0 and 52.4±26.4 years for traffic accidents and falls respectively. 60.0% of mild head injury patients were transported by means of ambulances. Patients were sent to medical centers have higher percentage of abnormalities and longer hospital stay than those sent to non-medical centers. Poor prognosis and longer stay were observed in the elderly group. There were total 29 deaths in our study, 20 person’s age older than 65 years. Conclusion: The costs on mild head injuries are huge. The elderly group presented with the highest percentage of abnormalities on CT scans, more serious intracranial pathology, requiring surgical interventionred as well as poor prognosis. Therefore, older patients need pay more attention and closely observation. There were some victims “walked to” ED got neurologic deterioration and even more died.We can’t overlook the mild head injuries otherwise they will cause unexpected misery. |
本系統中英文摘要資訊取自各篇刊載內容。