Medical Utilization And Outcomes Of Chronic Obstructive Pulmonary Disease Complicated With Dementia: A Long-Term Longitudinal Study

Hung Chia-Fen ； Tsai Ying-Ming ； Yang Chih-Jen ； Shi Hon-Yi

《第六屆亞洲健康識能國際會議》 預刊文章 Pp. 1-3

https://doi.org/10.6881/AHLA.201810.SRP02

摘要

Objective: Chronic obstructive pulmonary disease (COPD) and dementia is a chronic and require long-term care of the disease , recent studies have shown a higher subsequent risk of COPD in patients with dementia . The more frequent acute deterioration of patients with COPD and between dementia has a great correlation (Kuang-Ming, Liao et al, 2015), other studies have shown that COPD with a significant increase dementia risk (Chun-Hung, Chen et al, 2015). This study objective : 1. COPD complicated with dementia incidence and long-term trend analysis of the patient and the medical properties 2. COPD complicated with dementia of medical utilization and associated factors 3. Investigate the medical outcomes of COPD complicated with dementia and the Related Factors Methods: In this study, the National Institutes of Health released the ＂ National Health Insurance Research Database ,＂ one million people return profile data , the study sample from 2000-2012 inpatient and outpatient health care data for COPD (ICD-9-CM disposal code respectively 496 ) concurrent dementia (ICD-9- CM codes disposal were 2900 , 2941 ) as the main object of patients younger than 40 years (AD and PD are excluded ) with severe mental disorders (ICD- 9- CM codes 291-298) were excluded. And using SPSS Version 20.0 for Windows statistical software package for statistical analysis. Result: COPD complicated by dementia, fewer women than men medical expenses (less 8,605.7 NT dollars) ≧ 75 years old with COPD complicated by dementia highest medical expenses ( 16,220.6 NT dollars ) After COPD complicated with dementia, the second year of the fourth year and first -year comparison of the total health care costs increase , there are significant differences (P ＜.0001), and compared with the first five years, no statistical difference COPD complicated by dementia survival rate (119 ± 1.3 months ) and COPD survival (138.2 ± 0.2 months ) compared with COPD complicated by dementia low survival rate , there are significant differences ( P ＜.0001) Conclusion: COPD complicated by prevalence of dementia by the year 2000 significantly increased to 3.13 per thousand population in 2012 120.89 COPD complicated by dementia in male patients (60.5%) than women, accounting for up to 75 years (50.4%) COPD complicated with dementia consumption of medical resources and medical efficacy were significantly related to response to an aging society, but also need early prevention and treatment.

關鍵字

COPD ； Dementia ； Medical Outcomes