| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 101 === Objective: The purpose of this study was to understand the medical care utilization of injured children aged 0-19 in Taiwan, 2005-2010. First, identifing the predictors influencing death during emergency and hospitalization among children aged 0-19. Then, investigating the change of injury trends in Taiwan’s from 2005 to 2010.
Methods: The study analysed the 2005-2010 National Health Insurance (NHI) research database. Data included “Registry for contracted medical facilities (HOSB)” , “Ambulatory care expenditures by visits (CD)” and “Inpatient expenditures by admissions (DD)”. Injury were defined as ICM-9-CM N codes 800-999. SPSS 21.0 was used for data analysis.
Results: During the study period from 2005 to 2010, we indicated that there were 2,011,104 injured children treat in emergency room, 263,581 hospitalized, and 976 deaths among children 0-19. The most common type of emergency and hospitalized injured patients were open wound and contusion. The most common type of death patients were intracranial injury.
The predictors of injury death during emergency were sex, age, urbanization level, surgical procedures and the nature of injury. The predictors of injury death during hospitalization were age, hospital level, length of stay, surgical procedures, the nature of injury and the cause of injury. The trends of injury among children aged 0-19 from 2005-2010.Overall, the trends of injury were ascendant form 2005-2010.
Conclusions: The ratio of "emergency, inpatient and death"among Taiwan's injured children are 2162：270：1. In other words, each injured child die, accompanying 270 injured children hospitalization and 2,162 injured children emergency. The most common types and causes of injury include intracranial injury and traffic injuries. The government will need to do more in future to prevent traffic injuries of children.
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