頁籤選單縮合
題名 | 臺灣地區2005~2007年意外溺水死亡及住院者特性分析=Characteristics of Unintentional Drowning Mortality and Hospitalized Cases in Taiwan, 2005~2007 |
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作者 | 林佳欣; 白璐; 高森永; 簡戊鑑; Lin, Chia-hsin; Pai, Lu; Kao, Sen-yeong; Chien, Wu-chien; |
期刊 | 醫護科技期刊 |
出版日期 | 20101200 |
卷期 | 12:4 2010.12[民99.12] |
頁次 | 頁280-289 |
分類號 | 410.24 |
語文 | chi |
關鍵詞 | 意外溺水; 死因統計; 全民健保資料庫; 住院死亡; Unintentional drowning; Vital statistics; National health insurance database; Hospitalized mortality; |
英文摘要 | Purposes: This study analyzes the characteristics of unintentional drowning cases using vital statistics and hospital data to identify the factors associated with hospital mortality. Methods: This study analyzed mortality data from vital statistics and hospital data from the National Health Insurance Research Database for 2005–2007 to determine the demographic distribution of unintentional drowning victims by gender, age, and month, and to investigate the factors associated with hospital mortality. Results: During the 3-year period of 2005–2007, unintentional drowning accounted for 1,683 deaths and 408 hospitalizations in Taiwan, and the number of deaths was approximately four times that of hospitalization cases. Analytical results for gender, age, and month distributions show that males are at higher risks for both mortality and hospitalization than females. Those aged > 65 have the highest mortality rate, and children aged 0–14 have the highest hospitalization rate. During 1 year, the period with the most unintentional drowning deaths and hospitalization cases was June–August. In multiple logistic regression models, hospitalization for ≤ 1 day (OR = 11.31), cardiac arrest (OR = 28.12), anoxic brain damage (OR = 4.98), acute respiratory failure (OR = 3.49), and surgery (OR = 3.30) significantly affected hospital mortality. Conclusions: Appropriate strategies should be developed that reduce mortality and the hospitalization rate caused by unintentional drowning; drowning prevention in summer should be prioritized. Additionally, departments of health and hospitals should enhance care quality to prevent cardiac arrest, anoxic brain damage, and acute respiratory failure to improve the prognoses of patients after drowning. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。