| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 98 === Injury is a major public health concern in the world. In Taiwan, injury was the sixth leading cause of death and Average Years of Life Lost (AYLL) caused by injury would appear to be much greater than ones by cancers or various cardiovascular diseases. The objectives of this study were to measure the burden of injury and to examine the epidemiological features of injury. Materials of this research were adopted from the official publications of vital statistics and inpatient datasets of National Health Insurance (NHI) database from 2005 to 2007.
During the 3-year period from 2005 to 2007, injuries accounted for 23,506 deaths and 774,107 hospitalizations in Taiwan. During the same period, injuries cost almost NTD 43.93 billion for hospitalization expenses. Transport accidents and unintentional falls were the leading causes of injury. The percentages of total injury deaths in transport accidents and unintentional falls were 58.3% and 15.1%, respectively. In the other hand, they occupied 34.0% and 23.3% in hospitalization.
Analyzing from the distributions in gender and age, the results showed that higher risk groups in transport accidents were males aged 15 to 24 and males aged above 65; The high risk group of falling on the same level and from different level were separately aged above 65 and males aged 25 to 64. However, males aged 0-14 years old and populations aged above 65 were more prone to suffer dangerous from unintentional drowning. In unintentional poisoning cases, there was a higher mortality rate in males aged 25-44, but there was a higher hospitalization rate in population aged above 65. Suffocation significantly happened in infant less than 1 year old, and mortality and hospitalization rates of it in boy infant were higher than girl. In multiple logistic regression models, treatment and clinical diagnosis were the main factor significantly affecting mortality in hospitalization among transport accidents, unintentional falls, unintentional drowning, unintentional poisoning and suffocation. Besides that, age, operation, and Charlson comorbidity index (CCI) are considerable elements except for drowning.
Based on results in our research to, the authority should make appropriate policies and strategies changes to reduce hospitalization and mortality rate caused by different injuries in the future. In addition, Department of Health and hospitals must take immediate actions on hospitalized mortality incidents to improve patients’ prognoses.
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