Epidemiological Comparisons of Emergency Air Medical Transportation between Eastern and Western Remote Islands in Taiwan

Autor: Chien-Jen Kao, 高健仁
Rok vydání: 2010
Druh dokumentu: 學位論文 ; thesis
Popis: 99
Research Background National Aeromedical Approval Center''s (NAAC) has been set up in our country since October 2002, to build aerial ambulance system in remote areas and off-shore islands. Currently, the three main areas provide aerial ambulance included: 1. Western major islands: Penghu (including Chimei, Wangan), Kinmen (including Lieyu, Utiu), Matsu (including Tungyin, Chukuang); 2.Western remote / minor islands: Cimei Island, Wangan Island and Liuqiu Island; 3. Eastern remote islands: Lanyu and Green Island. Since November 2002, there had been hundreds of patients from the eastern part of remote islands and more than 2000 of patients from the three major areas. The relevant information is very rich, worthy of great research value. In this thesis, this study analyzed the aeromedical transport from Green Island and Lanyu areas (the Eastern Islands for short) and the differences of the other two areas, such as transmit frequency, transporting season, age distribution, and disease classification. Research Method From January 1, 2004 to December 31, 2008, we used retrospective method to collect all the databases of aeromedical emergent transport, including 216 cases from Green Island and Lanyu, 994 cases in Penghu, Kinmen, and Matsu areas, and 109 cases from Cimei, Wangan and Liuqiu islands. We collecting referral orders, records of National Airborne Service Corps, records of emergency treatment and leaving and going to hospital, and NAAC track records as the statistical analysis. For the statistical methods, I used WINDOWS XP EXCEL package software and SPSS17.0 software to do descriptive data processing and statistical analysis. Research Results (1) Ranking from higher frequency, The transporting frequency was 3.3~6.6 people per thousand each year of Green Island and Lanyu; 0.7~1.3 of Penghu, Kinmen and Matsu; 0.4~1.4 of Cimei, Wangan and Liuqiu. Green Island and Lanyu had higher transporting frequency but decreased in past years. (2)In disease classification, the major divisions of aeromedical transport in Green Island and Lanyu includes 33 people of orthopedics, 30 people of Neurology, and 25 of Neurosurgery; 189 people of Cardiology, 158 people of Neurosurgery, 149 people of Neurology in Penghu, Kinmen and Matsu; 19 people of Neurology, 16 people of Neurosurgery, 15 people of Orthopedics in Cimei, Wangan and Liuqiu. (4) The aging trend was most obvious in Penghu, Kinmen and Matsu area: the percentage of older patients increased from 28.8% upto 40.9%; the median age of patients increased from 43.7 y/o upto 52.6 y/o. Conclusion Comparing EAMT data of Green Island and Lanyu Island from other two areas, and obtained the following results: (1) The mortality rate in Green Island and Lanyu was lower than other two areas, but the transporting frequency was higher than others. The results maybe due to Penghu, Kinmen and Matsu area had regional hospitals, be able to perform more operations and treatments than Green Island and Lanyu, which only had local health stations. (2) Not calculating the patients transported by ships made the transporting frequency of Chimei, Wangan and Liuqiu lower than other areas. (3) Comparing the stable mortality rate of Taiwan, areas of Green Island and Lanyu; Penghu, Kinmen and Matsu got decreased. It can be see achievements of public health effect. (4) The patients ratio of each divisions were different in each area, but it also revealed different medical demands. Data and information nof this study can be useful for planning further public health policy.
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