a School of Public Health, National Defense Medical Center , No. 161, Section 6, Min-Chuan East Road, Neihu District, ROC , Taipei City , 11490 , Taiwan.
Int J Inj Contr Saf Promot. 2014;21(1):3-8. doi: 10.1080/17457300.2012.717084. Epub 2012 Aug 28.
The aim of the article was to investigate the injury types and medical utilisations among patients more than 65 years in Taiwan. The data used in this study were obtained from the years 1997 to 2008 of the National Health Insurance Research Database (NHIRD). The patients with the age of 65 years and older as well as with ICM-9-CM discharge injury principal diagnoses 800-959 were included in this study. SPSS 18.0 was used for data analysis. The results showed that there were 518,601 older adults hospitalised because of injuries in the period of study. The average age among them was 76.1 years old and 51.7% of them were females. The common causes of injury were falls and motor vehicle accident. The average number of operations that patients received was one, and the average length of stay was 9.1 days. The total medical expenditure was over NT$ 28.9 billion, and the average expenditure was NT$ 55,738. The factors associated with deaths were sex, ages, co-morbidity disease, level of care, number of operations, length of stay, expenditure of medical care, injury types and causes of injury. This study concludes that in order to decrease the incident of injuries in elder patients, the education of preventing falls and traffic safety should be promoted continuously among elders.
本研究旨在探讨台湾地区 65 岁以上老年人的伤害类型和医疗利用情况。本研究使用的数据来源于 1997 年至 2008 年国家健康保险研究数据库（NHIRD）。本研究纳入年龄在 65 岁及以上且 ICM-9-CM 出院伤害主要诊断为 800-959 的患者。采用 SPSS 18.0 进行数据分析。结果显示，研究期间共有 518601 名老年人因伤害住院。他们的平均年龄为 76.1 岁，其中 51.7%为女性。常见的伤害原因是跌倒和机动车事故。患者平均接受 1 次手术，平均住院时间为 9.1 天。总医疗支出超过 289 亿新台币，平均支出为 55738 新台币。与死亡相关的因素包括性别、年龄、合并症疾病、护理水平、手术次数、住院时间、医疗支出、伤害类型和伤害原因。本研究结论为，为了降低老年患者伤害的发生率，应持续向老年人宣传预防跌倒和交通安全的教育。
