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臺灣藥物意外中毒死亡及住院趨勢,1999-2008

Characteristics and Trends with Respect to Unintentional Drug Poisoning Mortality and Hospitalization in Taiwan, 1999-2008

摘要


目的:瞭解台灣民眾因藥物意外中毒在性別、年齡別及類別的流行病學特性及長期趨勢。方法:本研究以1999-2008年生命統計及全民健保住院資料,分別計算上述10年期間藥物意外中毒者在「性別」、「年齡別」與「類別」的死亡率及住院率的趨勢變化,並使用2000年世界標準人口調整年齡結構。結果:台灣在前述的10年期間藥物意外中毒死亡及住院人數分別為1,566人及22,930人。在性別方面,男性死亡率較高,而女性住院率較高。在年齡部分,死亡及住院的高危險群分別為壯年及老年族群。在類型方面,「其他藥品」及「其他精神轉化劑」為藥物意外中毒死亡的主要類型,而「其他藥品」、「其他鎮靜劑」及「安神劑」則為藥物意外中毒住院的主要類型。有關趨勢部份,藥物意外中毒死亡率呈上升趨勢,增幅51.9%,主要可歸因於「其他精神轉化劑意外中毒」的死亡率上升所致。儘管整體住院率的上升趨勢並未達統計上的顯著意義,但仍發現老年族群的「其他藥品所致意外中毒」住院率及女性的「安神劑意外中毒」住院率皆呈上升趨勢,且達統計上的顯著意義。結論:未來相關單位應針對「其他精神轉化劑」、「其他藥品」、「其他鎮靜劑」及「安神劑」四者加強藥品管制及用藥安全宣導,以降低意外中毒事件的發生率。

並列摘要


Objectives: To examine the characteristics and trends with respect to unintentional drug poisoning mortality and hospitalization in Taiwan by sex, age, and cause between 1999 and 2008. Methods: We analyzed routine mortality data from the official publications recording the vital statistics and hospitalized data from National Health Insurance Research Database from 1999 to 2008. The data was then age-adjusted to the Year 2000 Standard Population in order to determine trends by gender, age, type of death and hospitalization. Linear regression was used to test the trends. Results: During the 10-year period from 1999 to 2008, unintentional drug poisoning accounted for 1, 566 deaths and 22, 930 hospitalizations in Taiwan. The results showed that males were at higher risk of mortality and females were at higher risk of hospitalization. In terms of age, adults aging from 25 to 44 had the highest mortality rate, while elderly people aged above 65 have the highest hospitalization rate. ”Other drugs”, ”other psychotropic agents”, ”other sedatives and hypnotics” and ”tranquilizers” were major types of drug poisoning. The unintentional drug poisoning mortality rate was found to have increased by 51.9%, mainly because of an increase in the ”other psychotropic agents” mortality rate. Although the hospitalization rate increased by 29.4%, this change was not statistically significant. The ”other drugs” hospitalization rate for the elderly and the ”tranquilizers” hospitalization rate for females also showed increases. Conclusions: We need to make more effort to develop prevention programs that will reduce the ”other drugs”, ”other psychotropic agents”, ”other sedatives and hypnotics” and ”tranquilizers” poisoning rate in the future.

被引用紀錄


蔡政翰(2014)。有機磷中毒病患之臨床特徵及其預後因子:某醫學中心五年回溯性分析〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834%2fCSMU.2014.00105

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