以全民健康保險研究資料庫之承保抽樣歸人檔分析急診就醫後死亡之病人

ED Death in Taiwan: A Population-Based Descriptive Study

廖晏辰(Yen-Chen Liao) ； 胡百敏(Pai-Min Hu) ； 廖浩欽(How-Chin Liaw) ； 林作彥(Tso-Yen Lin) ； 葉美枝(Mei-Chih Yeh)

《台灣急診專科醫師期刊》 2卷2期 (2010/06) Pp. 39-47

https://doi.org/10.29749/JTCEP.201006.0001

摘要

本研究主要在了解全民健康保險研究資料庫之承保抽樣歸人檔中，急診就醫後死亡病人之狀況，並找出可行的判斷程序。資料時段為民國89年至96年，依特定之可能急診死亡診斷代碼與急救處置代碼進行篩選與整理。結果共有669例(0.40%)經認定為急診就醫後死亡，男性佔66.5%，65歲以上者有52.3%；不同評鑑等級醫院及不同健保分局別之急診死亡率具有統計上的顯著差異；可能死亡診斷代碼以自徵候開始24小時內死亡並無其他解釋者最多(20.03%)，急救處置代碼以心肺復甦術(96.56%)最常見；本文提供詳細之資料整理與串聯程序，期許有興趣的研究者一同進行相關議題之探究。

關鍵字

急診死亡 ； 健保資料庫

並列摘要

This study aimed to understand the crude death rate of patients in the emergency department (ED) from the Taiwan national health insurance research database (NHIRD) and to determine a feasible judging process. The study materials were cohort datasets from 2000 to 2008. Analysis was done after applying particular ICD-9-CM diagnosis codes and treatment codes. The crude death rate for ED visits was 0.40%. Males accounted for 66.5% of deaths and 52.3% of patients who died were over 64 years old. The most common ICD-9- CM diagnosis was death occurring less than 24 hours from onset of symptoms not otherwise explained. The most frequently encountered proceeding emergency procedure code was endotracheal tube insertion. This paper describes data management and file merging processes that may help researchers apply cohort datasets from the Taiwan NHIRD.

並列關鍵字

ED death ； national health insurance research database Taiwan