台北市輕度頭部外傷之流行病學及醫療資源使用情形

Translated title of the contribution: The Epidemiology and Utilization of Medical Resources on Mild Head Injury in Taipei City

Huan-Ting Chi, Wen-Ta Chiu, Dar-Yu Yang, Shin-Han Tsai

Research output: Contribution to journalArticle

Abstract

Background: The so called ”mild” head injury patients occupied most part of emergency department (ED) visits due to head injuries and exhaust a lot of the medical resources. There are so few studies focus on mild head injury in Taiwan.
Methods: A retrospective study of 4271 consecutive patients with mild head injury (Glasgow Coma Scale score 13-15) during a period of 2 years. Epidemiological studies of demographic information, type of injury, relevant clinical information, computed tomography (CT) scan data, and the utilization of medical resources are made.
Results: 2594 (60.7%) are male. The incidence of head injury increases while the age older than 65 years. Most of the injuries were associated with traffic accidents, followed by falls. The majority of 15-64 years old victims were injuried due to traffic accidents; the youngest (0-14) and oldest (≥65) were due to fall, with 57.2% and 67.3% respectively. The mean ages were 37.2±19.0 and 52.4±26.4 years for traffic accidents and falls respectively. 60.0% of mild head injury patients were transported by means of ambulances. Patients were sent to medical centers have higher percentage of abnormalities and longer hospital stay than those sent to non-medical centers. Poor prognosis and longer stay were observed in the elderly group. There were total 29 deaths in our study, 20 person's age older than 65 years.
Conclusion: The costs on mild head injuries are huge. The elderly group presented with the highest percentage of abnormalities on CT scans, more serious intracranial pathology, requiring surgical interventionred as well as poor prognosis. Therefore, older patients need pay more attention and closely observation. There were some victims ”walked to” ED got neurologic deterioration and even more died. We can't overlook the mild head injuries otherwise they will cause unexpected misery.
Original languageTraditional Chinese
Pages (from-to)61-70
Number of pages10
Journal中華民國急救加護醫學會雜誌
Volume18
Issue number2
Publication statusPublished - 2007

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Craniocerebral Trauma
Epidemiology
Traffic Accidents
Hospital Emergency Service
Tomography
Surgical Pathology
Glasgow Coma Scale
Ambulances
Wounds and Injuries
Taiwan
Nervous System
Epidemiologic Studies
Length of Stay
Retrospective Studies
Observation
Demography
Costs and Cost Analysis
Incidence

Cite this

台北市輕度頭部外傷之流行病學及醫療資源使用情形. / Chi, Huan-Ting ; Chiu, Wen-Ta ; Yang, Dar-Yu ; Tsai, Shin-Han .

In: 中華民國急救加護醫學會雜誌, Vol. 18, No. 2, 2007, p. 61-70.

Research output: Contribution to journalArticle

Chi, Huan-Ting ; Chiu, Wen-Ta ; Yang, Dar-Yu ; Tsai, Shin-Han . / 台北市輕度頭部外傷之流行病學及醫療資源使用情形. In: 中華民國急救加護醫學會雜誌. 2007 ; Vol. 18, No. 2. pp. 61-70.
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abstract = "Background: The so called ”mild” head injury patients occupied most part of emergency department (ED) visits due to head injuries and exhaust a lot of the medical resources. There are so few studies focus on mild head injury in Taiwan. Methods: A retrospective study of 4271 consecutive patients with mild head injury (Glasgow Coma Scale score 13-15) during a period of 2 years. Epidemiological studies of demographic information, type of injury, relevant clinical information, computed tomography (CT) scan data, and the utilization of medical resources are made. Results: 2594 (60.7{\%}) are male. The incidence of head injury increases while the age older than 65 years. Most of the injuries were associated with traffic accidents, followed by falls. The majority of 15-64 years old victims were injuried due to traffic accidents; the youngest (0-14) and oldest (≥65) were due to fall, with 57.2{\%} and 67.3{\%} respectively. The mean ages were 37.2±19.0 and 52.4±26.4 years for traffic accidents and falls respectively. 60.0{\%} of mild head injury patients were transported by means of ambulances. Patients were sent to medical centers have higher percentage of abnormalities and longer hospital stay than those sent to non-medical centers. Poor prognosis and longer stay were observed in the elderly group. There were total 29 deaths in our study, 20 person's age older than 65 years. Conclusion: The costs on mild head injuries are huge. The elderly group presented with the highest percentage of abnormalities on CT scans, more serious intracranial pathology, requiring surgical interventionred as well as poor prognosis. Therefore, older patients need pay more attention and closely observation. There were some victims ”walked to” ED got neurologic deterioration and even more died. We can't overlook the mild head injuries otherwise they will cause unexpected misery.",
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TY - JOUR

T1 - 台北市輕度頭部外傷之流行病學及醫療資源使用情形

AU - Chi, Huan-Ting

AU - Chiu, Wen-Ta

AU - Yang, Dar-Yu

AU - Tsai, Shin-Han

PY - 2007

Y1 - 2007

N2 - Background: The so called ”mild” head injury patients occupied most part of emergency department (ED) visits due to head injuries and exhaust a lot of the medical resources. There are so few studies focus on mild head injury in Taiwan. Methods: A retrospective study of 4271 consecutive patients with mild head injury (Glasgow Coma Scale score 13-15) during a period of 2 years. Epidemiological studies of demographic information, type of injury, relevant clinical information, computed tomography (CT) scan data, and the utilization of medical resources are made. Results: 2594 (60.7%) are male. The incidence of head injury increases while the age older than 65 years. Most of the injuries were associated with traffic accidents, followed by falls. The majority of 15-64 years old victims were injuried due to traffic accidents; the youngest (0-14) and oldest (≥65) were due to fall, with 57.2% and 67.3% respectively. The mean ages were 37.2±19.0 and 52.4±26.4 years for traffic accidents and falls respectively. 60.0% of mild head injury patients were transported by means of ambulances. Patients were sent to medical centers have higher percentage of abnormalities and longer hospital stay than those sent to non-medical centers. Poor prognosis and longer stay were observed in the elderly group. There were total 29 deaths in our study, 20 person's age older than 65 years. Conclusion: The costs on mild head injuries are huge. The elderly group presented with the highest percentage of abnormalities on CT scans, more serious intracranial pathology, requiring surgical interventionred as well as poor prognosis. Therefore, older patients need pay more attention and closely observation. There were some victims ”walked to” ED got neurologic deterioration and even more died. We can't overlook the mild head injuries otherwise they will cause unexpected misery.

AB - Background: The so called ”mild” head injury patients occupied most part of emergency department (ED) visits due to head injuries and exhaust a lot of the medical resources. There are so few studies focus on mild head injury in Taiwan. Methods: A retrospective study of 4271 consecutive patients with mild head injury (Glasgow Coma Scale score 13-15) during a period of 2 years. Epidemiological studies of demographic information, type of injury, relevant clinical information, computed tomography (CT) scan data, and the utilization of medical resources are made. Results: 2594 (60.7%) are male. The incidence of head injury increases while the age older than 65 years. Most of the injuries were associated with traffic accidents, followed by falls. The majority of 15-64 years old victims were injuried due to traffic accidents; the youngest (0-14) and oldest (≥65) were due to fall, with 57.2% and 67.3% respectively. The mean ages were 37.2±19.0 and 52.4±26.4 years for traffic accidents and falls respectively. 60.0% of mild head injury patients were transported by means of ambulances. Patients were sent to medical centers have higher percentage of abnormalities and longer hospital stay than those sent to non-medical centers. Poor prognosis and longer stay were observed in the elderly group. There were total 29 deaths in our study, 20 person's age older than 65 years. Conclusion: The costs on mild head injuries are huge. The elderly group presented with the highest percentage of abnormalities on CT scans, more serious intracranial pathology, requiring surgical interventionred as well as poor prognosis. Therefore, older patients need pay more attention and closely observation. There were some victims ”walked to” ED got neurologic deterioration and even more died. We can't overlook the mild head injuries otherwise they will cause unexpected misery.

KW - 輕度頭部外傷

KW - 昏迷指數

KW - 流行病學

KW - 醫療資源

KW - epidemiology

KW - mild head injury

KW - glasgow coma scale

KW - medical resources

M3 - 文章

VL - 18

SP - 61

EP - 70

JO - 中華民國急救加護醫學會雜誌

JF - 中華民國急救加護醫學會雜誌

SN - 1023-2214

IS - 2

ER -