Major trauma Injury, Occupational Diseases, Poisoning
Conditions
Interventions
The researchers will retrospectively collect data of adult patients aged 18 to 70 years sustaining major trauma (injury severity score, Injury Severity Score [ISS] =16) in Taiwan in the period of Janu
Sponsors
Linkou Chang Gung Memorial Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: This retrospective observational study included all patients aged 18 to 70 years with major trauma in Taiwan from January 2003 to December 2007
Exclusion criteria
Exclusion criteria: 1. 70 years old 2. ISS <16 3. Patients who had previously received a catastrophic illness certificate (CIC) for other serious conditions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 10-year cumulative survival rate. Survival is defined as the death date recorded in the NHIRD. Patients were further stratified into two groups: short survival (SS) and long survival (LS). SS was defined as survival <1 year after being discharged from the index admission, whereas LS was defined as survival =1 year after being discharged from the index admission. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Long-term nursing care (LTC). LTC was defined as being admitted to a chronic ward or having skilled nursing care in the outpatient fashion 1 year after the discharge from the index admission. The record of chronic ward admission could be found in the Inpatient Expenditures by Admissions file in the NHIRD, and the record of skilled nursing care could be found in the Ambulatory Care Expenditures by Visits file in the NHIRD. 2. Post-injury income. To define the income level of the target population, the researchers first examined the NHI payroll bracket. The payroll bracket can be divided into six categories. Categories 1, 2, and 3 consist of the people who have registered sources of income, including all the employees, employers, self-employed workers who belong to occupational unions. Category 4 belongs to military servicemen/women and those who are serving sentences in a penitentiary. Categories 5 and 6 are welfare-associated, mainly comprising members of low household income and veterans. For categories 1 to 3, the monthly income is equivalent to the insurance amount, but the premiums of the beneficiaries in categories 4 to 6 were calculated differently and did not reflect the actual income. Therefore, categories 4 to 6 were ruled out from the analysis. The researchers then considered the ID number of the insured. If the personal ID number matched the insured ID number, it indicated that this person was an actual working person with registered income. If the ID numbers did not match, it implied that this person was fostered by another actual working person, and he or she had no registered income. In conclusion, the researchers identified their target population by locating the actual working people in categories 1 to 3 from the payroll bracket; thus, their insurance amount reflected their income level. The median preinjury monthly income of the enrolled patients was 640 US dollars (USD), hence preinjury monthly income =640 USD was classified as low income, where | — |
Countries
Taiwan
Contacts
Public ContactLing-wei Kuo
Outcome results
None listed