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題名:外傷嚴重度和住院天數相關性之探討
書刊名:醫務管理期刊
作者:顏淑婷黃詩芳陳仁隆王志榮沈延盛應純哲 引用關係
作者(外文):Yen, Shu-tingHuang, Shih-fangChen, Jen-lungWang, Chih-jungShan, Yan-shenYing, Jeremy C.
出版日期:2015
卷期:16:4
頁次:頁315-330
主題關鍵詞:外傷外傷嚴重度住院天數TraumaInjury severity scoreLength of stay
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(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:3
  • 點閱點閱:50
目的:瞭解外傷病人住院天數及分析不同特性外傷病人與住院天數之相關性。 方法:以病歷回溯方式分析 2013年台南某醫學中心外傷住院病人之性別、年齡、外傷嚴重度、以及接受手術與否等變項和加護病房住院天數及住院天數的相關性。 結果:外傷嚴重度和加護病房住院天數、住院天數呈顯著正相關;極嚴重外傷及有接受手術病人其加護病房住院天數及住院天數皆比其他組長;而外傷嚴重度每增加 1分會增加 0.496天加護病房住院天數及 0.656天的住院天數;接受手術的病人也比未接受手術的病人多 3.432天加護病房住院天數及 3.12天住院天數。 結論:外傷嚴重度與接受手術是加護病房住院天數與住院天數的主要影響因素,亦可預測住院天數。本結果可以提供各醫學中心對於外傷住院天數之管理作為參考。
OBJECTIVES: The purpose of this study was to determine trauma patient length of stay (LOS) and the association between LOS and trauma patient demographic and clinical characteristics. METHODS: This was a retrospective study. We ascertained the differences and correlations between gender, age, injury severity score (ISS), surgical status, and intensive care unit (ICU) stay and LOS among trauma patients admitted to a Tainan medical center in 2013. RESULTS: The ISS was significantly correlated with ICU stay and LOS. The ICU stay and LOS in patients with extremely severe trauma (ISS ≧ 25) who underwent surgery were significantly longer than any other group. In addition, the ICU stay and LOS increased by 0.496 and 0.656 days per incremental increase in ISS. The ICU stay and LOS of patients who underwent surgery were 3.432 and 3.12 days longer than patients who did not have surgery. CONCLUSIONS: The ISS in trauma patients who underwent surgery was a major predictor of ICU stay and LOS. The results of this study can serve as a reference for managing LOS of trauma patients in medical centers.
期刊論文
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2.張筑禎、林蕙欣、周玉婷、林志銘(2012)。台灣未成年人口外在事故住院之醫療資源耗用與預測因子。健康管理學刊,10(1),1-12。new window  延伸查詢new window
3.張筑禎、林蕙欣、林志銘(2012)。台灣18歲以下未成年人交通事故住院發生率與醫療資源耗用之相關因素。臺灣公共衛生雜誌,31(6),535-543。new window  延伸查詢new window
4.蔡卓城、陳瑞杰、蔡維謀、蔡宛真、謝屈平、劉永弘、邱文達(2003)。使用外傷登錄探討台灣都會地區之傷害型態:以六所醫院為例。中華民國急救加護醫學會雜誌,14(2),47-56。  延伸查詢new window
5.鄭以晨、曾雅梅、簡戊鑑(2011)。台灣2009年65歲以上老人跌墜傷患住院醫療利用及影響因子之探討。臺灣老人保健學刊,7(1),55-71。new window  延伸查詢new window
6.鍾其祥、林佳欣、陳柏翰、簡戊鑑(2011)。臺灣2005-2007年事故傷害之負荷。醫務管理期刊,12(1),46-59。new window  延伸查詢new window
7.Abbasi, H. R.、Mousavi, S. M.、Taheri Akerdi, A.、Niakan, M. H.、Bolandparvaz, S.、Paydar, S.(2013)。Pattern of traumatic injuries and injury severity score in a major trauma center in Shiraz, southern Iran。Bulletin of Emergency and Trauma,1(2),81-85。  new window
8.Balogh, Z. J.、Varga, E.、Tomka, J.、Siiveges, G.、Toth, L.、Simonka, J. A.(2003)。The new injury severity score is a better predictor of extended hospitalization and intensive care unit admission than the injury severity score in patients with multiple orthopaedic injuries。Journal of Orthopaedic Trauma,17(7),508-512。  new window
9.Bergeron, E.、Lavoie, A.、Moore, L.、Clas, D.、Rossignol, M.(2005)。Comorbidity and age are both independent predictors of length of hospitalization in trauma patients。Canadian Journal of Surgery,48(5),361-366。  new window
10.Covington, D. L.、Maxwell, J. G.、Clancy, T. V.(1993)。Hospital resources used To treat the injured elderly at north Carolina trauma centers。Journal of the American Geriatrics Society,41(8),847-852。  new window
11.Gardner, R.、Smith, G. A.、Chany, A. L.、Fernandez, S. A.、McKenzie, L. B.(2007)。Factors associated with hospital length of stay and hospital charges of motor vehicle crash-related hospitalizations among children in the united states。Archives of Pediatrics and Adolescent Medicine,161(9),889-895。  new window
12.Haghparast-Bidgoli, H.、Saadat, S.、Bogg, L.、Yarmohammadian, M. H.、Hasselberg, M.(2013)。Factors affecting hospital length of stay and hospital charges associated with road traffic-related injuries in Iran。BMC Health Services Research,13(1),281-281。  new window
13.Keller, M. E.、Jean, R.、LaMorte, W. W.、Millham, F.、Hirsch, E.(2002)。Effects of age of transfused blood on length of stay in trauma patients: A preliminary report。The Journal of Trauma,53(5),1023-1025。  new window
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16.Watts, H. F.、Kerem, Y.、Kulstad, E. B.(2012)。Evaluation of the revised trauma and injury severity scores in elderly trauma patients。Journal of Emergencies, Trauma and Shock,5(2),131-134。  new window
17.Weingarten, M. S.、Wainwright, S. T.、Sacchetti, A. D.(1988)。Trauma and aging effects on hospital costs and length of stay。Annals of Emergency Medicine,17(1),10-14。  new window
18.黃耀緯、鍾其祥、朱基銘、簡戊鑑(2010)。台灣5歲以下嬰幼兒事故傷害住院之醫療利用。醫務管理期刊,11(3),1-18。new window  延伸查詢new window
19.Taylor, M. D.、Tracy, J. K.、Meyer, W.、Pasquale, M.、Napolitano, L. M.(2002)。Trauma in the elderly: Intensive care unit resource use and outcome。Journal of Trauma and Acute Care Surgery,53(3),407-414。  new window
20.Rapoport, J.、Teres, D.、Zhao, Y.、Lemeshow, S.(2003)。Length of stay data as a guide to hospital economic performance for ICU patients。Medical Care,41(3),386-397。  new window
21.林佳欣、賴錦皇、鐘其祥、白璐、高森永、簡戊鑑(20101200)。臺灣2005-2007年意外跌墜住院病人之流行病學。北市醫學雜誌,7(4),323-327+327_1-327_10。  延伸查詢new window
會議論文
1.胡鳳義、簡欣國(2012)。外傷登錄系統安全控管之研究。IETAC第五屆資訊 教育與科技應用研討會,中臺科技大學資訊管理系、僑光科技大學資訊科技系、修平科技大學資訊管理系/ 資訊網路技術系/數位媒體設計系 。  延伸查詢new window
研究報告
1.衛生福利部(20121022)。民國100年醫療統計年報。  延伸查詢new window
2.衛生福利部(20130606)。101年國人主要死因統計結果。  延伸查詢new window
圖書
1.Mock, C.、Juillard, C.、Brundage, S.、Goosen, J.、Joshipura, M.(2009)。Guidelines for trauma quality improvement programmes。Geneva:World Health Organization。  new window
 
 
 
 
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