- 期刊
某精神專科醫院住院病人異物哽塞發生情形之世代研究
A Cohort Study on the Incidence Rate Of Choking for Psychiatric Inpatients
摘要
目的：了解2012-2021年間住院病人病房別、年度別之異物哽塞盛行率、10年期間第一次哽塞累積發生率與入院世代年度別哽塞發生密度、再哽塞發生率與發生密度率及其再哽塞花費時間等情形。方法：採回溯描述性世代研究設計並以Cox regression進行調整入院年齡、性別與診斷別後，入院年度世代別間異物哽塞年發生密度（追蹤時間採人年）之比較。結果：研究對象之平均年齡為47.8±15.7歲，以男生居多（57.9%），主要診斷為思覺失調症（65.7%），病房別以急性病房比率最高（70.1%）；年度別之平均哽塞盛行率為0.8%；病房別哽塞盛行率以慢性病房最高（1.6%）；10年間第一次哽塞累積發生率為1.64%；第一次哽塞累積哽塞發生密度率為0.58%，各入院世代之發生密度未達統計上顯著差異；哽塞再發生率為8.9%；其再哽塞發生密度率為8.1%；第一次發生哽塞平均4.30年，再發生哽塞時間縮短為平均1.00年就發生，故需注意曾發生哽塞病人再次發生哽塞之危險性。結論：比較不同對象之品管指標時，應採發生密度（因已校正對象間之不同追蹤時間）不宜採發生率（未校正不同追蹤時間）。本研究發現之住院病人第一次累積哽塞發生密度率0.58%，可做為精神專科醫院異物哽塞品質監測之閾值。
並列摘要
Objective. To understand the prevalence rate of choking by ward type and year between 2012 and 2021, the cumulative incidence of first choking in the 10 -year period and the annual choking incidence rate by admission generation, the incidence and incidence rate of re-choking. Methods. A retrospective cohort study design was adopted and Cox regression was used to compare the annual incidence rate of choking between generations in the year of admission (tracking time in person-years) after adjusting for admission age, gender and diagnosis. Results. The average age of the study subjects was 47.8±15.7 years old, with the majority being boys (57.9%), the main diagnosis was schizophrenia (65.7%), the chronic ward had the highest percentage (70.1%). The average choking prevalence by year was 0.8%; the ward-specific choking prevalence rate is highest in the chronic ward (1.6%); the cumulative incidence rate of first choking in 10 years is 1.64%; the cumulative choking incidence rate of first choking is 0.58%, and the incidence rate of each admission generation did not reach a statistically significant difference; the reoccurrence rate of choking was 8.9%; the incidence rate of reoccurrence of choking was 8.1%; the first occurrence of choking occurred an average of 4.30 years, and the time for reoccurrence of choking was shortened to an average of 1.00 years, so attention should be paid the risk of choking again in patients who have experienced choking. Conclusion. When comparing the quality control indicators of different objects, the incidence rate should be used (because of the different tracking times adjusted between objects), but the incidence (un adjusted for the different tracking times) should not be used. This study found that the first choking incidence rate rate of inpatients was 0.58%, which can be used as the threshold for quality monitoring of choking in psychiatric hospitals.