Emergency department utilization can indicate early diagnosis of digestive tract cancers: A population-based study in Taiwan

Lam, Carlos; Kuan, Ching Feng; Miser, James S.; Hsieh, Kun Yi; Fang, Yu; Li, Yu-Chuan; Hsu, Chih-Hsiung; Chen, Ray‐Jade; Chen, Chang-I

doi:10.1016/j.cmpb.2014.04.002

Cited by 8 publications

(5 citation statements)

References 23 publications

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“…Anaemia was found to be an important risk factor for head injuries among motorcyclist patients. Patients with anaemia are generally old and have certain chronic diseases, such as sarcopenia, and one symptom common to most types of anaemia is dizziness [41,42]. It is likely that a driver fitness to ride a motorcycle is impaired by sarcopenia and dizziness, compelling motorcyclists to have a higher risk of head injuries once an accident has occurred.…”

Section: Discussionmentioning

confidence: 99%

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

et al. 2020

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Background: Motorcycle full-coverage helmet use may reduce fatalities and head injuries. Methods: This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017. Results: As many as 725 patients participated in the questionnaire survey and reported their helmet types or phone use during crashes. The results of multivariate logistic models demonstrated that nonstandard helmet (half or open-face helmet) use was associated with an increased risk of head injuries and more severe injuries (injury severity score ≥ 8). Drunk riding and phone use appeared to be two important risk factors for head injuries and increased injury severity. Anaemia was also found to be a determinant of head injuries." Conclusions: Compared to full-coverage helmets, nonstandard provide less protection against head injuries and increased injury severity among motorcyclists.

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Section: Discussionmentioning

confidence: 99%

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

et al. 2020

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“…Anaemia considerably increases patients’ LOH. Anaemia is recognised as not only a biomarker of certain chronic diseases [42,43] but also impairment of patients’ physical conditions to cope with injuries [44]. In Taiwan, widespread LMC use among both middle-aged and old-age populations might be the reason for anaemia being identified as a risk factor for severe injuries, because riders in these age groups often have certain chronic diseases.…”

Section: Discussionmentioning

confidence: 99%

Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting

et al. 2019

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Objective In Taiwan, light motorcycles (LMCs) with cylinder capacities between 50 and 250 cc are widely used for daily commute. These vehicles are operated in a mixed traffic environment and prohibited on highways. In light of increasing motorcycle casualties, we conducted a multicentre study to analyse rider factors affecting injury severity. Methods Riders hospitalised upon LMC crashes were contacted. Information on demographics, comorbidities, and riding behaviours was collected through questionnaires and linked to hospital data. The injury severity score (ISS) and length of hospitalisation (LOH) were used as injury severity measures. Results In total, 725 patients (mean age: 37.7 years; 64% men) completed their questionnaires. Multivariate analysis results showed that age ≥ 65 years, half-face helmets, protective clothing, collisions with a bus/truck or car, and fatigue riding were risk factors for having an ISS of ≥9. Age ≥ 65 years; motorcycle crashes ≥2 times in the previous year; anaemia; rural crashes; half-face helmets; protective boots; collisions with a bus/truck, car, or a stationary object; alcohol/stimulating refreshment consumption; and fatigue riding were risk factors for increased LOH. A protective factor was individuals working in commerce. Collisions with opening car doors caused low risks of having an ISS of ≥9 and a short LOH. Conclusion Certain factors were significantly associated with riders’ injury severity and related medical resource consumption. Because of differences in the power output, use, and riding environment, risk factors for severe injuries in LMC crashes are dissimilar from those for heavy motorcycles (cylinder capacities > 250 cc) in developed countries and deserve more attention for injury prevention. Further in-depth evaluation of significant factors based on this study’s results can yield valuable information to reduce severe injuries after LMC crashes in countries and areas with a high dependency on motorcycles, even considering the popularity of electric motorcycles.

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“…It also includes hospital and medical professional staff characteristics, subject enrollment, and medical information. This database reflects healthcare facilities’ accessibility and medical care utilization [ 44 , 45 ]. The collected medical utilization information includes diagnosis procedure, treatment medication, medical cost, date of visit, and deposition [ 46 ].…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of hospital emergency department regionalization and categorization policy on appropriate patient emergency care use: a nationwide observational study in Taiwan

Lin

Lee²

2021

BMC Health Serv Res

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Background Emergency department (ED) overcrowding is a health services issue worldwide. Modern health policy emphasizes appropriate health services utilization. However, the relationship between accessibility, capability, and appropriateness of ED use is unknown. Thus, this study aimed to examine the effect of hospital ED regionalization policy and categorization of hospital emergency capability policy (categorization policy) on patient-appropriate ED use. Methods Taiwan implemented a nationwide three-tiered hospital ED regionalization and categorization of hospital emergency capability policies in 2007 and 2009, respectively. We conducted a retrospective observational study on the effect of emergency care policy intervention on patient visit. Between 2005 and 2011, the Taiwan National Health Insurance Research Database recorded 1,835,860 ED visits from 1 million random samples. ED visits were categorized using the Yang-Ming modified New York University-ED algorithm. A time series analysis was performed to examine the change in appropriate ED use rate after policy implementation. Results From 2005 to 2011, total ED visits increased by 10.7%. After policy implementation, the average appropriate ED visit rate was 66.9%. The intervention had no significant effect on the trend of appropriate ED visit rate. Conclusions Although regionalization and categorization policies did increase emergency care accessibility, it had no significant effect on patient-appropriate ED use. Further research is required to improve data-driven policymaking.

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Emergency department utilization can indicate early diagnosis of digestive tract cancers: A population-based study in Taiwan

Cited by 8 publications

References 23 publications

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

Effect of motorcycle helmet types on head injuries: evidence from eight level-I trauma centres in Taiwan

Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting

Effectiveness of hospital emergency department regionalization and categorization policy on appropriate patient emergency care use: a nationwide observational study in Taiwan

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