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題名:老人健康折舊與死亡風險:老人整合性照護死亡率之改善
書刊名:商略學報
作者:林灼榮 引用關係林建守
作者(外文):Lin, Jwu-rongLin, Chien-shou
出版日期:2020
卷期:12:1
頁次:頁1-16
主題關鍵詞:健康折舊因子死亡風險二元邏輯斯迴歸老人整合性照護Health depreciationMortality riskBinary logistic regressionElderly intergreated care
原始連結:連回原系統網址new window
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  • 共同引用共同引用:9
  • 點閱點閱:6
台灣的存活曲線自2006年開始逐漸呈現矩形化,也就是目前台灣人口死亡時間多發生在老年時期,而且越到生命後期,存活率下降越明顯;因此,若能找出影響老人死亡關鍵因素,將有助改善老人健康與延長平均餘命。本文以台中榮總高齡醫學中心1248名追蹤資料為例,探討老人健康折舊與死亡之關聯性。在健康折舊因子方面,包含9項區間變數、17項名目變數及4項控制變數,利用兩個獨立母體差異性檢定及二元邏輯斯迴歸等實證方法。主要發現心肌梗塞、血中白蛋白、迷你營養評估及血紅素之增減,對死亡邊際機率,分別為0.072、-0.037、-0.01與-0.009;結果顯示老人死亡風險增加,以心肌梗塞影響效果最大,但血中白蛋白、迷你營養及血紅素增加,可顯著降低老人之死亡風險。綜合以上,針對老人整合性照護體系死亡率的改善,應預防老人心肌梗塞、營養不良、貧血與低白蛋白血症。
Survival curve of Taiwan gradually became rectangularization since 2006. It means that most death of people occurs in the old stage, and the survival rate declines significantly getting toward life end. So researching factors related to elderly death will improve the health and life expectancy. Sample of this study is obtained from the Center for Geriatrics and Gerontology of Taichung Veterans General Hospital including 1248 patients. This study aims at investigating the relationship among health depreciation and mortality. The health depreciation factor includes 9 intervals variables, 17 nominal variables and 4 control variables, and utilize empirical method of two independent populations (death or not), statistical hypothesis test, and binary logistic regression (regression coefficient, odds ratio and marginal probability). To mortality, the marginal probability of myocardial infarction, serum albumin, mini nutrition assessment and hemoglobin are 0.072, -0.037, -0.01 and -0.009. It shows that myocardial infarction most significantly increases mortality risk, but serum albumin, mini nutrition assessment and hemoglobin decrease mortality risk. In conclusion, prevention of myocardial infarction, malnutrition, anemia and hypoalbuminemia will improve mortality of elderly integrated health care system.
期刊論文
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2.周玉潔、呂啟圓、李現文(2015)。共病及共病指數研究進展與應用展望。中國公共衛生,31(11),1513-1516。  延伸查詢new window
3.黃雅慧、林宜芬、陳美如(20171100)。營養不良之獨居長者對飲食態度之質性研究--以臺北市某國宅為例。臺灣老年醫學暨老年學雜誌,12(4),245-256。  延伸查詢new window
4.楊榮森(2016)。老年人的體重對健康和死亡風險的影響。醫學新知,480,7-8。  延伸查詢new window
5.謝蔡豪、李俊秀、陳明正、何清幼、余文瑞(20180500)。身體質量指數與老年人死亡率之相關性--以實證醫學方法探討肥胖矛盾現象。臺灣老年醫學暨老年學雜誌,13(2),69-86。  延伸查詢new window
6.Kengne, Andre Pascal、Czernichow, Sébastien、Hamer, Mark、Batty, G. David、Stamatakis, Emmanuel(2012)。Anaemia, Haemoglobin Level and Cause-Specific Mortality in People with and without Diabetes。PLoS ONE,7(8),1-8。  new window
7.Zadok, Ben、Itzhaki, Osnat、Kornowski, Ran、Goldenberg, Ilan、Klempfner, Robert、Toledano, Yoel、Biton, Yitschak、Fisman, Enrique Z.、Tenenbaum, Alexander、Golovchiner, Gregory、Kadmon, Ehud、Omelchenko, Alexander、Gal, Tuvia Ben、Barsheshet, Alon(2017)。Admission blood glucose and 10-year mortality among patients with or without pre-existing diabetes mellitus hospitalized with heart failure。Cardiovascular Diabetology,16,1-9。  new window
8.Alves, Filipa Caeiro、Sun, Jia、Qureshi, Abdul Rashid、Dai, Lu、Snaedal, Sunna、Bárány, Peter、Heimbürger, Olof、Lindholm, Bengt、Stenvinkel, Peter(2018)。The higher mortality associated with low serum albumin is dependent on systemic inflammation in end-stage kidney disease。PLoS ONE,13(1),1-15。  new window
9.Kang, Hye Ran、Lee, Si Nae、Cho, Yun Ju、Jeon, Jin Seok、Noh, Hyunjin、Han, Dong Cheol、Park, Suyeon、Kwon, Soon Hyo(2017)。A decrease in serum creatinine after ICU admission is associated with increased mortality。PLoS ONE,12(8),1-11。  new window
10.Osborn, Kilby P. IV、Nothelle, Stephanie、Slaven, James E.、Montz, Kianna、Hui, Siu、Torke, Alexia M.(2017)。Cumulative Illness Rating Scale (CIRS) can be Used to Predict Hospital Outcomes in Older Adults。Journal of Geriatric Medicine and Gerontology,3(2),1-5。  new window
11.Kolli, Hari、Rajagopalam, Srini、Patel, Nilang、Ranjan, Rajiv、Venuto, Rocco、Lohr, James、Arora, Pradeep(2010)。Mild acute kidney injury is associated with increased mortality after cardiac surgery in patients with eGFR < 60 mL/min/1.73 m2。Renal Failure,32(9),1066-1072。  new window
12.Lee, Seung-Hyun、Kim, Do-Hoon、Park, Joo-Hyun、Kim, Shinhye、Choi, Moonyoung、Kim, Hyonchong、Seul, Da Eun、Park, Soo Gyeong、Jung, Jin-Hyung、Han, Kyungdo、Park, Young-Gyu(2018)。Association between body mass index and mortality in the Korean elderly: A nationwide cohort study。PLoS ONE,13(11),1-12。  new window
13.Falsetti, Lorenzo、Viticchi, Giovanna、Tarquinio, Nicola、Silvestrini, Mauro、Capeci, William、Catozzo, Vania、Fioranelli, Agnese、Buratti, Laura、Pellegrini, Francesco(2016)。Charlson comorbidity index as a predictor of in-hospital death in acute ischemic stroke among very old patients: a single-cohort perspective study。Neurol Science,37,1443-1448。  new window
14.Lundin, H.、Sääf, M.、Strender, L.-E.、Mollasaraie, H. A.、Salminen, H.(2012)。Mini nutritional assessment and 10-year mortality in free-living elderly women: a prospective cohort study with 10-year follow-up。European Journal of Clinical Nutrition,66(9),1050-1053。  new window
15.An, Mi Suk、Kim, Sun A.、Lee, Jun-Ho、Choi, Seong-Woo、Shin, Min-Ho(2017)。Glycated hemoglobin and all-cause mortality in Korean type 2 diabetes。Chonnam Medical Journal,53,223-228。  new window
16.王德睦、李大正(20090600)。臺灣的存活曲線矩型化與壽命延長。人口學刊,38,1-31。new window  延伸查詢new window
研究報告
1.國軍退除役官兵輔導委員會(2016)。綜合--103年「榮民亡故」資料統計分析。  延伸查詢new window
2.衛福部國民健康署(2015)。中老年身心社會生活狀況長期追蹤調查。  延伸查詢new window
3.國家發展委員會(20180830)。中華民國人口推估(2018年至2065年)。  延伸查詢new window
學位論文
1.余豎文(2003)。老人健康檢查結果與受檢人死亡風險之研究(碩士論文)。國立臺灣大學。  延伸查詢new window
2.郭長鈞(2018)。高齡者政治參與、社區歸屬感及生活滿意度之攸關性研究(碩士論文)。東海大學。  延伸查詢new window
3.謝巧玲(2012)。機構與居家照顧使用者之死亡率與影響因素分析(碩士論文)。國立臺北護理健康大學。  延伸查詢new window
圖書
1.Kinsella, Kevin、He, Wan(2009)。An Aging World: 2008。Washington, DC:U. S. Government Printing Office。  new window
 
 
 
 
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