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題名：臺灣地區2005~2007年意外溺水死亡及住院者特性分析
書刊名：醫護科技期刊
作者：林佳欣／白璐／高森永／簡戊鑑
作者(外文)：Lin, Chia-hsin／Pai, Lu／Kao, Sen-yeong／Chien, Wu-chien
出版日期：2010
卷期：12:4
頁次：頁280-289
主題關鍵詞：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
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:10
  • 點閱點閱:50
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.
期刊論文
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2.王國川(20031200)。探討警告標誌、救生站、水域救生與溺水結果之關係。衛生教育學報，20，111-130。new window  延伸查詢new window
3.Howland, J.、Hingson, R.、Mangione, T. W.、Bell, N.、Bak, S.(1996)。Why are most drowning victims men? Sex differences in aquatic skills and behaviors。American Journal of Public Health，86，93-96。  new window
4.Claesson , A . , Svensson , L . , Silfverstolpe , J . ,、Herlitz , J .(2008)。Characteristics and outcome among patients suffering out-of-hospital cardiac arrest due to drowning。Resuscitation，76 ( 3 )，381-387。  new window
5.Donoghue , A . J . , Nadkarni , V . , Berg , R . A . , Osmond , M . H . , Wells , G . , Nesbitt , L . ,、Stiell , I . G .(2005)。Out -of-hospital pediatric cardiac arrest : an epidemiologic review and assessment of current knowledge。Ann Emerg Med，46 ( 6 )，512-522。  new window
6.Fang , Y . , Dai , L . , Jaung , M . S. , Chen , X . , Yu , S . ,、Xiang , H .(2007)。Child drowning deaths in Xiamen city and suburbs , People’s Republic of China, 2001 5。Inj Prev，13(5)，339-343。  new window
7.Gonzalez-Rothi, R. J.(1987)。Near drowning: consensus and controversies in pulmonary and cerebral resuscitation。Heart Lung，16(5)，474- 482。  new window
8.Lee, L. K.、Mao, C.、Thompson, K. M.(2006)。Demographic factors and their association with outcomes in pediatric submersion injury。Academic Emergency Medicine，13(3)，308-313。  new window
9.Olshaker, J. S.(2004)。Submersion。Emerg Med Clin North Am，22(2)，357-367。  new window
10.Passmore, J. W.、Smith, J. O.、Clapperton, A.(2007)。True burden of drowning: compiling data to meet the new definition。International Journal of Injury Control and Safety Promotion，14(1)，1-3。  new window
11.Quan, L.、Cummings, P.(2003)。Characteristics of drowning by different age groups。Injury Prevention，9(2)，163-168。  new window
12.Salomez, F.,、Vincent, J. L.(2004)。Drowning: a review of epidemiology, pathophysiology, treatment and prevention。Resuscitation，63(3)，261- 268。  new window
13.Smith, T. L.,、Bleck, T. P.(2002)。Hypothermia and neurologic outcome in patients following cardiac arrest: should we be hot to cool off our patients?。Crit Care，6(5)，377-380。  new window
14.Somers, G. R., Chiasson, D. A.,、Smith, C. R.(2005)。Pediatric drowning: a 20-year review of autopsied cases: I. Demographic features。Am J Forensic Med Pathol，26(4)，316-319。  new window
15.Somers, G. R., Chiasson, D. A.,、Smith, C. R.(2006)。Pediatric drowning: a 20-year review of autopsied cases: III. Bathtub drownings。Am J Forensic Med Pathol，27(2)，113-116。  new window
16.Suresh Kumar Shetty, B.,、Shetty, M.(2007)。Epidemiology of drowning in Mangalore, a coastal Taluk of South India。J Forensic Leg Med，14(7)，410-415。  new window
17.Wadman, M. C., Muelleman, R. L., Coto, J. A.,、Kellermann, A. L.(2003)。The pyramid of injury: using ecodes to accurately describe the burden of injury。Ann Emerg Med，42(4)，468- 478。  new window
18.Youn, C. S., Choi, S. P., Yim, H. W.,、Park, K. N.(2009)。Out-of-hospital cardiac arrest due to drowning: An Utstein Style report of 10 years of experience from St. Mary’s Hospital。Resuscitation，80(7)，778-783。  new window
19.Zambon, M.,、Vincent, J. L.(2008)。Mortality rates for patients with acute lung injury/ARDS have decreased over time。Chest，133(5)，1120- 1127。  new window
20.王國川(1999)。台灣地區近二十一年來溺水事件發生之趨勢。生活科學學報，5，91-111。new window  延伸查詢new window
21.王國川(2004)。探討台北縣溪域發生溺水之危險因素。衛生教育學報，21，123-146。new window  延伸查詢new window
22.宋孟文• 高俊雄(2009)。學生溺水死亡事件發生之場域與活動分析。學校體育，19 (112)，25 -29。  延伸查詢new window
23.林佳欣、白珊、高森永、林金定、賴建丞、簡戊鑑(2010)。臺灣1982-2007年溺水及梗塞窒息死亡趨勢分析。北市醫學雜誌，7( 1 )，41-52。  延伸查詢new window
24.趙文崇、陳錫鎰、曹龍彥(1985)。溺水臨床徵狀及中樞神經後遺症之臨床觀察。中華民國小兒科醫學會雜誌，26 ( 3 )，235-238。  延伸查詢new window
25.賴文彬、嚴元隆、王建楠、蘇世斌(2008)。台灣南部某醫院急診溺水個案13 例之臨床分析。台灣家庭醫學雜誌，18 ( 1 )，29-40。  延伸查詢new window
26.Anonymous .(1997)。From what will die in 2020。The lancet，349 ( 9061 )，1263。  new window
27.Ballesteros, M. A.、Gutierrez-Cuadra, M.、Munoz, P.、Minambres, E.(2009)。Prognostic factors and outcome after drowning in an adult population。Acta Anaesthesiol Scand，53(7)，935-940。  new window
28.Bernard , S. A . , Gray , T.W . , Buist , M . D . , Jones , B . M . , Silvester , W . , Gutteridge , G . ,、Smith , K .(2002)。Treatment of comatose survivors of out-of -hospital cardiac arrest with induced hypothermia。N Engl J Med，346( 8 )，557-563。  new window
29.Burford , A . E . , Ryan , L . M . , Stone , B . J . , Hirshon , J . M . ,、Klein , B . L .(2005)。Drowning and near-drowning in children and adolescents : a succinct review for emergency physicians and nurses。Pediatr Emerg Care，21 ( 9 )，610-616 ; quiz 617-619。  new window
30.Carr , B . G . , Goyal , M . , Band , R . A . , Gaieski , D . F . , Abella , B . S . , Merchant , R . M . , Branas , C . C . , Becker , L . B . ,、Neumar , R . W .(2009)。A national analysis of the relationship between hospital factors and post-cardiac arrest mortality。Intensive Care Med，35( 3 )，505 -511。  new window
31.Chen , Y . S . , Lin , J . W . , Yu , H . Y . , Ko , W . J . , Jerng , J . S . , Chang , W . T . , Chen , W . J . , Huang , S . C . , Chi , N . H . , Wang , C . H . , Chen , L . C . , Tsai , P . R . , Wang , S. S . , Hwang , J . J . ,、Lin , F . Y .(2008)。Cardiopulmonary resuscitation with assisted extracorporeal life-support versus conventional cardiopulmonary resuscitation in adults with in-hospital cardiac arrest : an observational study and propensity analysis。Lancet，372 ( 9638 )，554-561。  new window
圖書
1.World Health Organization.(2002)。THE INJURY CHART BOOK。Geneva：World Health Organization。  new window
2.World Health Organization(2003)。Facts about Drowning。Geneva：World Health Organization。  new window
圖書論文
1.Modell, J. H.、Goodwin, S. R.(1998)。Drowning and near-drowning。Kendig's disorders of the respiratory tract in children。Philadelphia, PA：WB Saunders。  new window
 
 
 
 
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