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題名 | 非特異性徵候症狀之急診病人初探:全民健康保險研究資料庫之抽樣歸人檔資料分析=Exploration of Emergency Department Visits with Non-Specific Signs and Symptoms: A Population-Based Descriptive Study |
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作者姓名(中文) | 曾柏昌; 胡百敏; 廖浩欽; 黃紀倫; 廖訓禎; | 書刊名 | 臺灣急診專科醫師期刊 |
卷期 | 1:1 2009.12[民98.12] |
頁次 | 頁22-28 |
分類號 | 419.52 |
關鍵詞 | 急診部門; 徵候症狀診斷碼; 全民健康保險研究資料庫; Emergency department; Signs and symptoms diagnosis code; National health insurance database Taiwan; |
語文 | 中文(Chinese) |
中文摘要 | 非特異性徵候症狀為急診常見之就醫原因與離診診斷,本研究利用全民健康保險資料庫之抽樣歸人檔資料,針對急診病人之國際疾病分類碼是780至799者進行初步探究。結果發現,三個國際疾病分類碼欄位均沒有其他診斷碼者共有12, 330人次;依出現頻次排序最多之前三位分別為腹痛(28.4%)、眩暈(13.6%)及不明熱(10.3%)。排除死亡診斷碼病人後,12,129之徵候症狀及病態碼之急診就醫人次中,有8.1%住院,5.7%三日內再急診,與所有急診就醫人次之就醫後去向分布具有統計上的顯著差異。整體而言,本研究發現在急診就醫中,診斷為徵候症狀及病態碼之急診就醫人次似乎較所有急診病人之病況輕微。 |
英文摘要 | This study was designed to explore the emergency department (ED) visits presenting nonspecific signs and symptoms categorized in 780-799 of the International Classification of Diseases-9(superscript th) Revision, Clinical Modification (ICD-9-CM) code. The systematic random sample cohort from the national health insurance (NHI) research database in Taiwan during the period between 2000 and 2005 was applied in this study. Patients visiting ED more than 20 times annually were excluded. Total 12,330 emergency visits without other ICD-9-CM code except the 780-799 were identified. The top three most frequent diagnoses were abdominal pain (28.4%), dizziness and giddiness (13.6%) and fever (10.3%). After eliminating the patients with the death code, there were 12,129 ED visits with ICD-9-CM code 780-799. Among them, 8.1% were admitted and 5.7% revisited ED within 3 days after the index visit day. The disposition of ED visits with non-specific symptoms and signs was significantly different from that of all ED visits. The study showed that patients with non-specific signs and symptoms seemed had mild medical condition in comparison with all ED visits. Further studies are needed to investigate this issue in depth. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。