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  5. 裂孔性視網膜剝離手術後再住院之危險因子
 
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裂孔性視網膜剝離手術後再住院之危險因子

Other Title
Risk Factors for Postoperative Readmissions of Rhegmatogenous Retinal Detachment: A 3-year population-based study of Taiwan
Type
thesis
Date Issued
2007-12-27
Author(s)
胡朝乾
Advisor
林恆慶
Subjects
系所名稱:醫務管理學研究所
Description
學位別:碩士
語文別:中文
指導教授:林恆慶
共同指導教授:
口試委員:高森永教授;何昭德 助理教授
中文關鍵字:裂孔性視網膜剝離;再住院率;全民健康學術研究資料庫
Abstract
研究對象與方法:
本研究資料來源是國家衛生研究院釋出之「全民健康學術研究資料庫」,研究對象為2001年初至2003年底全國裂孔性視網膜剝離的住院病人以及執行手術的醫師、醫院。自變項包括病人特質、醫院特質、醫師特質、手術方法特質。依變項為手術結果,以再住院率作為結果指標。

結論:
從2001至2003年之間,臺灣地區裂孔性視網膜剝離共有10,852例,其中有652例於出院後三十天內再住院,百分比為6.01%。有2011例於出院後三百六十五天內再住院,百分比為18.53%。
本國裂孔性視網膜剝離患者術後三十天的再住院結果:短期再住院率男性高於女性,老年人高於年青人。住院日數在3日內者再住院率最高。公立醫院與南區、東區醫院再住院率較高。年齡 ≥46歲的醫師所開刀的病人再住院率最低。醫師三年服務量80台以下的再住院率最高。其他手術的再住院率明顯高於鞏膜扣壓術,玻璃體切除術與鞏膜扣壓術加玻璃體切除術三組。
本國裂孔性視網膜剝離患者術後三百六十五天的再住院結果:長期再住院率男性高於女性,老年人高於年青人。住院日數超過11日以上者再住院率最高。公立醫院與中區、南區醫院再住院率較高。醫師年齡與服務量的差異對再住院率並無明顯影響。其他手術的再住院率明顯高於另外三組。
URI
https://203.71.86.71/handle/123456789/12605
https://hdl.handle.net/11296/g49fsj
File(s)
No Thumbnail Available
Name

C0186626.pdf

Size

5.34 MB

Format

Adobe PDF

Checksum

(MD5):308b824d9cccebcdd42491abea4f1a48

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