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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/32156


    標題: Critical care medicine in Taiwan from 1997 to 2013 under National Health Insurance
    作者: Lai, Chih-Cheng
    Ho, Chung-Han
    Chang, Chia-Li
    Chen, Chin-Ming
    Chiang, Shyh-Ren
    Chao, Chien-Ming
    Wang, Jhi-Joung
    Cheng, Kuo-Chen
    貢獻者: Chi Mei Med Ctr, Dept Intens Care Med
    Chi Mei Med Ctr, Dept Med Res
    Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
    Chi Mei Med Ctr, Dept Intens Care Med
    Chia Nan Univ Pharm & Sci
    Chi Mei Med Ctr, Dept Internal Med
    Chung Hwa Univ Med Technol, Dept Safety Hlth & Environm Engn
    關鍵字: Critical care
    intensive care unit (ICU)
    mortality
    utilization
    日期: 2018-08
    上傳時間: 2019-11-15 15:43:05 (UTC+8)
    出版者: AME PUBL CO
    摘要: Background: Monitoring of trends in the use of the intensive care unit (ICU) and the outcomes of ICU patients is essential for the assessment of the effective use of ICU. This study aims to investigate the incidence and outcome of critical care admissions in Taiwan from 1997 to 2013. Methods: Patients >18 years who had ICU admission between January 1997 and December 2013 were identified from the National Health Insurance Research Database in Taiwan. The main outcomes including ICU mortality and ICU length of stay (LOS) were measured. Results: A total of 3,451,157 patients with ICU admission were identified during the study period. The mean ICU LOS was 5.9 +/- 9.0 days and the overall ICU-mortality rate was 19.8%. The mean age of the patients was 65.4 years old, 58.0% were elderly (>= 65 years old), 61.1% were male. Annual incidence of ICU admissions increased from 115,754 in 1997 (age-adjusted incidence: 1,130/100,000 population) to 244,820 in 2013 (incidence: 1,483/100,000 population) (P<0.0001). The admission rate was highest for patients 75-104 years old (8,074 per 100,000 population), and lowest for those 18-44 years old (298 per 100,000 population). Among ICU admission patients, the percentage of patients >= 75 years old significantly increased from 25.2% in 1997 to 38.3% in 2013 (P<0.0001). ICU LOS remained stable during the study period, but the annual mortality rate significantly decreased from 23.0% in 1997 to 16.3% in 2013. Conclusions: ICU admissions significantly increased from 1997 to 2013, especially for elderly patients, in contrast, the mortality rate of ICU patients significantly declined with time. In addition, the ICU LOS did not change during the study period.
    link: http://dx.doi.org/10.21037/jtd.2018.07.131
    Appears in Collections:[醫務管理系(所)] 期刊論文

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