頁籤選單縮合
題名 | 2014年高屏區關懷登革熱高風險住院個案行動計畫對致死率之影響=Effect of Intensified Care on the Prognosis of High-Risk Dengue Inpatients, Kaohsiung-Pingtung Region, 2014 |
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作者 | 段延昌; 洪敏南; 張瑾愉; 游秋月; 張朝卿; 游秋月; 洪敏南; 張朝卿; 張瑾愉; 段延昌; | 書刊名 | 疫情報導 |
卷期 | 32:18 2016.09.20[民105.09.20] |
頁次 | 頁392-398 |
分類號 | 415.239 |
關鍵詞 | 登革熱; 登革出血熱; 登革熱重症; 警示徵象; Dengue fever; Dengue hemorrhagic fever; Severe dengue; Warning signs; |
語文 | 中文(Chinese) |
中文摘要 | 2014年高雄市登革熱疫情自5月28日至9月22日止已有6例登革熱死亡個案,9月23日疾病管制署冀望藉由防疫醫師與臨床醫師溝通聯繫共同進行登革熱住院個案健康關懷,提醒加強個案警示徵象監測並及時給予適當治療,以減少登革熱死亡個案的發生。計畫自9月24日至12月31日止,期間住院個案計有2,608例,並逐案評估風險因子包含年齡、慢性病史、登革熱感染史及警示徵象後,其中高風險住院個案計185例經關懷後均無死亡發生。為評估計畫過程及結果故進行計畫前後比較,經分析風險高低與登革熱致死率有統計顯著差異、計畫前後及關懷有無與登革熱致死率無統計顯著差異,推測大多數住院個案已接受相當醫療致本計畫效益不明顯,且關懷對象難以普及所有高風險住院個案,故建議仍需持續多元管道宣導以維持住院個案醫療品質。 |
英文摘要 | As of September 22, 2014, there had been six dengue deaths reported. To mitigate dengue fatality, an intensified care program targeting hospitalized dengue patients was implemented by increasing the awareness of proper management among clinicians. Clinicians in charge of at-risk inpatients were contacted by Taiwan Centers for Disease Control medical officers. Risk of fatality was determined by age (≥50 years), presence of comorbidity, prior dengue illness, and presence of warning signs. During the period of September 23–December 31 2014, 185 of the 2,608 hospitalized patients received intensified care and all survived. The overall fatality rate, however, was not significantly different between the periods before and after implementation of this program. Comorbidity, prior dengue illness, and warning signs of dengue were found to be independently associated with increased fatality |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。