Lin Ching-Heng, Lin Ting, Chou Pesus, Yang Nan-Ping
Community Medicine Research Center, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan.
Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei 11221, Taiwan.
Int J Environ Res Public Health. 2017 Oct 11;14(10):1214. doi: 10.3390/ijerph14101214.
It is important that the utilization of emergency departments (EDs) among people living with the human immunodeficiency virus (HIV) be epidemiologically evaluated in order to assess and improve the HIV care continuum. All participants newly-diagnosed with HIV in Taiwan registered in the National Health Insurance Database from 2000 to 2005 were enrolled in this study and followed-up from 2006 to 2011. In total, 3500 participants newly-diagnosed with HIV in 2000-2005 were selected as a fixed-cohort population and followed-up from 2006 to 2011. Overall, 704, 645, 591, 573, 578, and 568 cases made 1322, 1275, 1050, 1061, 1136, and 992 ED visits in 2006, 2007, 2008, 2009, 2010 and 2011, respectively, with an average number of ED visits ranging from 1.75 to 1.98 per person, accounting for 20.1-22.6% of the whole HIV-positive population. Fewer ED visits were due to traumatic reasons, accounting for 19.6-24.4% of all cases. The incidence of traumatic and non-traumatic ED visits among the HIV-positive participants ranged from 7.2-9.3 and 27.0-33.9 per 100 people, respectively. The average direct medical cost of traumatic and non-traumatic ED visits ranged from $89.3-112.0 and $96.6-120.0, respectively. In conclusion, a lower incidence of ED visits for all reasons and fewer ED visits owing to traumatic causes were observed in the population living with HIV in comparison with the general population; however, the direct medical cost of each ED visit owing to both traumatic and non-traumatic causes was greater among those living with HIV than in the general population.
为了评估和改善艾滋病毒护理连续过程，对感染人类免疫缺陷病毒（HIV）人群的急诊科（ED）利用率进行流行病学评估很重要。2000年至2005年在台湾国民健康保险数据库中登记的所有新诊断出感染HIV的参与者均纳入本研究，并于2006年至2011年进行随访。总共，将2000 - 2005年新诊断出感染HIV的3500名参与者选为固定队列人群，并于2006年至2011年进行随访。总体而言，704、645、591、573、578和568例患者分别在2006年、2007年、2008年、2009年、2010年和2011年进行了1322、1275、1050、1061、1136和992次急诊科就诊，每人平均急诊科就诊次数在1.75至1.98次之间，占整个HIV阳性人群的20.1 - 22.6%。因创伤原因导致的急诊科就诊较少，占所有病例的19.6 - 24.4%。HIV阳性参与者中创伤性和非创伤性急诊科就诊的发生率分别为每100人7.2 - 9.3次和27.0 - 33.9次。创伤性和非创伤性急诊科就诊的平均直接医疗费用分别为89.3 - 112.0美元和96.6 - 120.0美元。总之，与普通人群相比，HIV感染者中因各种原因导致的急诊科就诊发生率较低，因创伤原因导致的急诊科就诊较少；然而，HIV感染者中因创伤性和非创伤性原因导致的每次急诊科就诊的直接医疗费用高于普通人群。
