台灣地區民眾燒燙傷急診就診率之趨勢研究

A Study of Trends in Emergency Department Visits with Burns in Taiwan

楊于萱(Yu-Hsuan Yang) ； 謝明娟(Ming-Chuan Hsieh) ； 李文傑(Wen-chieh Lee) ； 陳靖宜(Chin-Yi Chen) ； 陳楚杰(Chu-Chieh Chen)

《醫務管理期刊》 21卷2期 (2020/06) Pp. 129-146

https://doi.org/10.6174/JHM.202006_21(2).129

摘要

目的：探討台灣地區民眾燒燙傷急診就診率及年代趨勢變化。方法：本研究使用1998年至2017年全民健康保險醫療統計年報資料，以2000年之年中人口為標準人口，計算性別及年齡標準化急診就診率，並按性別及年齡做分層分析。使用EXCEL 2010試算表軟體進行資料整理與描述性分析，以Cytel Studio 8套裝軟體進行年代線性趨勢之檢定。結果：根據卜瓦松迴歸檢定結果顯示，全體民眾標準化急診就診率呈現下降趨勢，依性別而言，男性呈現下降趨勢，女性則呈現上升趨勢；依年齡層而言，「0－19歲」以及「65歲以上」標準化就診率皆呈現上升趨勢。而依各年齡層之性別分層而言，「0－19歲」男性及女性、「20－64歲」女性、「65歲以上」男性及女性標準化就診率皆呈現上升趨勢，以上均達統計上的顯著水準。結論：不論男性或女性，「0－19歲」、「65歲以上」標準化就診率皆呈現上升趨勢，衛生主管機關應加強研擬兒童、青少年及老人燒燙傷預防措施，民眾則應特別注意家中兒童、青少年及老人燒燙傷的預防。

關鍵字

燒燙傷 ； 急診 ； 就診率

並列摘要

Objectives: The aim of this study was to explore the trends in emergency department visits for burns by residents in Taiwan. Methods: The data came from the ＂Medical Statistics for National Health Insurance＂ annual reports posted by the Department of Census and Statistics, Ministry of Health and Welfare from 1998 to 2017. The gender-standardized rates and age-standardized rates of emergency department visits for burns were estimated against the year 2000 population in Taiwan, and stratified analysis was conducted by gender and age. Excel 2010 was used to sort data and conduct descriptive analysis, tests for linear trends of each year was performed using Cytel Studio 8 software. Results: The result of Poisson regression showed that the standardized rate of emergency department visits for burns in Taiwan slightly decreased. In terms of gender, the standardized rate of emergency department visits for burns by males slightly decreased, but the standardized rate of females slightly increased. In terms of age groups, the results showed an increasing trend for the 0-19 and over 65 years old age groups. Further, in terms of each age group to the gender, the standardized rate for the 0-19 age group of males and females, the 20-64 age group of females, and over 65 years old age group of males and females all showed an increasing trend. In all of above, the difference was statistically significant. Conclusions: Regardless of men or women, the standardization rate of 0-19 and over 65 years old age groups are on the rise. The health authorities should improve the prevention measures for children, adolescents and the elderly. The public should pay attention to children and the elderly for burn prevention.

並列關鍵字

burns ； emergency department ； visits rate

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