Department of Information Management, Yuan-Ze University, Tao-Yuan, Taiwan.
Department of Information Management, Yuan-Ze University, Tao-Yuan, Taiwan; Department of Neurosurgery, Taipei Hospital, Department of Health, No. 127, Su-Yuan Rd, Hsin-Chuang Dist., New Taipei City 24213, Taiwan.
J Clin Neurosci. 2014 Jan;21(1):91-4. doi: 10.1016/j.jocn.2013.03.030. Epub 2013 Oct 3.
The risks of morbidity and mortality are high in patients with spontaneous intracerebral hemorrhage (sICH). The medical care resources associated with sICH are also substantial. This study aimed to evaluate the medical expenditure for sICH patients in Taiwan. We analyzed the National Health Insurance Research Database from 2005 to 2010. The inclusion criterion was first-event sICH; traumatic ICH patients were excluded. Student's t-test, multiple linear regression and the chi-squared test were employed as the statistical methods. Our results showed that the incidence of sICH was 40.77 patients per 100,000 of population per year in Taiwan. The incidence increased with age and was greater in men than women. The mean hospital length of stay (LOS) of first-event sICH patients was 31.8 days; the mean LOS in the intensive care unit was 7.9 days; and the mean survival time was 60.4 months. The mortality rate within 30 days and within 1 year was 19.8 and 29.6%, respectively. The mean hospital expenditure of first-event sICH patients was USD $7572, and was highly correlated with LOS. In conclusion, the incidence of sICH in Taiwan is higher than that in white and black populations of northern America and some European countries and lower than that in the Asian populations of Japan and China. The features of male and female sICH patients differ. Our findings suggest that the hospital expenditure and mortality rate of sICH patients in Taiwan are comparable with those of other countries.
自发性脑出血（sICH）患者的发病率和死亡率都很高。与 sICH 相关的医疗资源也相当多。本研究旨在评估台湾 sICH 患者的医疗支出。我们分析了 2005 年至 2010 年的国家健康保险研究数据库。纳入标准为首次发生的 sICH；外伤性 ICH 患者被排除在外。采用学生 t 检验、多元线性回归和卡方检验作为统计学方法。我们的结果表明，台湾 sICH 的发病率为每 10 万人每年 40.77 例。发病率随年龄增长而增加，男性高于女性。首次发生 sICH 患者的平均住院时间（LOS）为 31.8 天；重症监护病房的平均 LOS 为 7.9 天；平均生存时间为 60.4 个月。30 天和 1 年内的死亡率分别为 19.8%和 29.6%。首次发生 sICH 患者的平均住院费用为 7572 美元，与 LOS 高度相关。总之，台湾的 sICH 发病率高于北美和一些欧洲国家的白人和黑人，低于日本和中国的亚洲人。男女 sICH 患者的特征不同。我们的研究结果表明，台湾 sICH 患者的住院费用和死亡率与其他国家相当。
