Yang Chih-Chieh, Chuang Yi-Fei, Chen Pei-En, Tao Ping, Tung Tao-Hsin, Chien Ching-Wen
Department of Business Administration, Ming Chuan University, Taipei, Taiwan.
Department of Critical Care Medicine, Lotung Poh-Ai Hospital, Yilan, Taiwan.
Front Med (Lausanne). 2021 Feb 10;8:599843. doi: 10.3389/fmed.2021.599843. eCollection 2021.
The current study sought to determine the incidence of postoperative adverse events (AEs) based on data from the 2006 Taiwan National Health Insurance Research Database (NHIRD). This retrospective case-control study included patients who experienced postoperative AEs in 387 hospitals throughout Taiwan in 2006. The independent variable was the presence or absence of 10 possible postoperative AEs, as identified by patient safety indicators (PSIs). A total of 17,517 postoperative AEs were identified during the study year. PSI incidence ranged from 0.1/1,000 admissions (obstetric trauma-cesarean section) to 132.6/1,000 admissions (obstetric trauma with instrument). Length of stay (LOS) associated with postoperative AEs ranged from 0.10 days (obstetric trauma with instrument) to 14.06 days (postoperative respiratory failure). Total hospitalization expenditures (THEs) ranged from 363.7 New Taiwan Dollars (obstetric trauma without instrument) to 263,732 NTD (postoperative respiratory failure). Compared to patients without AEs, we determined that the THEs were 2.13 times in cases of postoperative AE and LOS was 1.72 times higher. AEs that occur during hospitalization have a major impact on THEs and LOS.
本研究旨在根据2006年台湾全民健康保险研究数据库（NHIRD）的数据，确定术后不良事件（AE）的发生率。这项回顾性病例对照研究纳入了2006年台湾387家医院中发生术后AE的患者。自变量是患者安全指标（PSI）确定的10种可能的术后AE的有无。在研究年度共识别出17517例术后AE。PSI发生率从0.1/1000例入院（产科创伤-剖宫产）到132.6/1000例入院（器械辅助的产科创伤）不等。与术后AE相关的住院时间（LOS）从0.10天（器械辅助的产科创伤）到14.06天（术后呼吸衰竭）不等。总住院费用（THE）从363.7新台币（非器械辅助的产科创伤）到263732新台币（术后呼吸衰竭）不等。与无AE的患者相比，我们确定术后AE患者的THE是其2.13倍，LOS高1.72倍。住院期间发生的AE对THE和LOS有重大影响。
