腦中風患者復健治療成效之研究 —以健保資料庫為例

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腦中風患者復健治療成效之研究 —以健保資料庫為例

曾于芳 , Masters　　Advisor：胡雅涵　　

繁體中文

資料探勘；全民健保資料庫；復健治療；腦中風再發；腦中風； classified technology ； prognosis ； Cerebral vascular accident ； recurrence ； stroke ； rehabilitation

Abstract │ Reference (138) │ Altmetrics

Abstract 〈TOP〉

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Stroke (Cerebral vascular accident, CVA) is a common and serious disease. Most of the survivals would be disabled after their illness recovery, causes serious burden on caregivers. It is said that rehabilitation could help functional recovery of stroke patients, regain independence after stroke . Due to the long course of stroke, how to prevent survivals from recurrence is an important issue. This study attempts to examine the relationship between stroke recurrence and strength of rehabilitation, and build a stroke recurrence prediction model utilizing a number of supervised learning techniques to assist physicians with making clinical decisions.
In the past, most of the related work used the samples from a single hospital as a sample, but it cannot fully catch all the clinic information of the patients. Therefore, this study used the Longitudinal Health Insurance Database 2010 of the NHIRD as the data source, to examine the effectiveness of rehabilitation.
In terms of accuracy rate of all classifiers, we get the best effectiveness (72.04%) while adopting the inpatient admission dataset and C4.5 to predict recurrence. We also find physical therapy, occupational therapy and speech therapy treatments during inpatient admission are the key factors to decrease the chance to recrudesce in the rehabilitation periods. The higher strength and frequency rehabilitation treatment is also the key influence variables in our high accuracy prediction model which means that is useful to lower the recurrence rate of stroke patients.

Keyword：Cerebral vascular accident, stroke, rehabilitation, prognosis, classified technology

Reference ( 138 ) 〈TOP〉

劉介宇, 洪永泰, 莊義利, 陳怡如, 翁文舜, 劉季鑫, et al. (2006). 台灣地區鄉鎮市區發展類型應用於大型健康調查抽樣設計之研究. 健康管理學刊, 4(1), 1-22.
連結：
Appelros, P., Nydevik, I., Seiger, Å., & Terént, A. (2002). Predictors of severe stroke influence of preexisting dementia and cardiac disorders. Stroke, 33(10), 2357-2362.
連結：
Appelros, P., Nydevik, I., & Viitanen, M. (2003). Poor outcome after first-ever stroke predictors for death, dependency, and recurrent stroke within the first year. Stroke, 34(1), 122-126.
連結：
Bagg, S., Pombo, A. P., & Hopman, W. (2002). Effect of age on functional outcomes after stroke rehabilitation. Stroke, 33(1), 179-185.
連結：
Barreca, S., Wolf, S. L., Fasoli, S., & Bohannon, R. (2003). Treatment interventions for the paretic upper limb of stroke survivors: a critical review. Neurorehabilitation Neural Repair, 17(4), 220-226.
連結：

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