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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/57226完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 董鈺琪(Yu-Chi Tung) | |
| dc.contributor.author | Ya-Hui Hsu | en |
| dc.contributor.author | 許雅惠 | zh_TW |
| dc.date.accessioned | 2021-06-16T06:38:29Z | - |
| dc.date.available | 2016-10-20 | |
| dc.date.copyright | 2014-10-20 | |
| dc.date.issued | 2014 | |
| dc.date.submitted | 2014-07-30 | |
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A retrospective comparison of costs for regional and general anesthesia techniques. Anesthesia and analgesia 2005;100:786-94, table of contents. 16.陳應麟/編譯. MGH臨床麻醉手冊 第七版, 2010/05. 17.Richard D.Urama MD, Jess M. Ehrenfeld MD. 麻州總醫院麻醉手冊.2011. 18.Dove P, Gilmour F, Weightman WM, Hocking G. Patient perceptions of regional anesthesia: influence of gender, recent anesthesia experience, and perioperative concerns. Regional anesthesia and pain medicine 2011;36:332-5. 19.Webster F, Bremner S, McCartney CJ. Patient experiences as knowledge for the evidence base: a qualitative approach to understanding patient experiences regarding the use of regional anesthesia for hip and knee arthroplasty. Regional anesthesia and pain medicine 2011;36:461-5. 20.Liu SS, McDonald SB. Current issues in spinal anesthesia. Anesthesiology 2001;94:888-906. 21.Luger TJ, Kammerlander C, Gosch M, Luger MF, Kammerlander-Knauer U, Roth T, Kreutziger J. 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A comparative study of general anesthesia, intravenous regional anesthesia, and axillary block for outpatient hand surgery: clinical outcome and cost analysis. Anesthesia & Analgesia 2001;93:1181-4. 31.Liu SS, Strodtbeck WM, Richman JM, Wu CL. A comparison of regional versus general anesthesia for ambulatory anesthesia: a meta-analysis of randomized controlled trials. Anesthesia & Analgesia 2005;101:1634-42. 32.Tverskoy M, Cozacov C, Ayache M, Bradley Jr EL, Kissin I. Postoperative pain after inguinal herniorrhaphy with different types of anesthesia. Anesthesia & Analgesia 1990;70:29-35. 33.Hawker GA, Badley EM, Croxford R, Coyte PC, Glazier RH, Guan J, Harvey BJ, Williams JI, Wright JG. A population-based nested case-control study of the costs of hip and knee replacement surgery. Medical care 2009;47:732-41. 34.Sciard D, Cattano D, Hussain M, Rosenstein A. Perioperative management of proximal hip fractures in the elderly: the surgeon and the anesthesiologist. 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Accessed April 20, 2014. 41.Soinikoski M, Kuusniemi K, Jalonen J, Kuitunen S, Tuppurainen T, Leino K. A national survey into perioperative anesthetic management of patients with a fractured neck of femur. BMC anesthesiology 2012;12:14. 42.Hu S, Zhang Z-Y, Hua Y-Q, Li J, Cai Z-D. A comparison of regional and general anaesthesia for total replacement of the hip or knee A META-ANALYSIS. Journal of Bone & Joint Surgery, British Volume 2009;91:935-42. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/57226 | - |
| dc.description.abstract | Background: Most surgery has to be performed under anesthesia, and, with an aging population, hip surgery is a common procedure in orthopedics; the number of patients undergoing hip surgery has been increasing and health care costs continue to rise. There are few current studies on the effect of anesthesia type for hip surgery and the results are not consistent, therefore this study investigates hospital data of patients undergoing hip surgery in a medical center in Taiwan in order to explore the effect of different types of anesthesia on medical utilization and outcomes.
Methods: For this retrospective study, the database includes hospitalization and discharge records for all inpatients from January 1, 2012, to December 31, 2012. Patients who underwent hip surgery were identified and divided into groups by anesthesia type: general or regional, and surgery type: hip replacement, and internal fixation of the hip. Patient demographics, inpatient costs, length of stay and postoperative outcomes were analyzed and compared. The statistical analyses contained Pearson chi-square tests, linear regression, and logistic regression. Results: Overall, 1,306 patients undergoing hip surgery were enrolled in the study; a total of 300 patients received internal fixation of the hip and 1,006 patients underwent hip replacement; of these, 10.1% were performed under regional and 89.9% under general anesthesia. Inpatient costs for patients who received regional anesthesia were lower than for general anesthesia in the all-patient groups, hip replacement surgery group and internal fixation of hip group. When we controlled for other variables, the inpatient costs were significantly lower in regional anesthesia groups; in addition, anesthesia type was not found to be significant for length of stay, and was not associated with In-hospital mortality. Conclusions: Anesthesia type does not affect length of stay and In-hospital mortality for hip surgery, but hip surgery patients who received regional anesthesia had lower inpatient costs than those who received general anesthesia. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-16T06:38:29Z (GMT). No. of bitstreams: 1 ntu-103-R01847018-1.pdf: 1490882 bytes, checksum: d05d07000a0a14de14199f8cb294b024 (MD5) Previous issue date: 2014 | en |
| dc.description.tableofcontents | 口試委員審定書
誌謝 I 內文 Abstract 1 Introduction 3 Method 5 Data Sources 5 Study Sample 5 Variables 5 Statistical Analyses 6 Results 7 Discussion 9 References 12 Table 16 附 錄 21 壹、研究背景與動機 21 貳、文獻回顧 21 一、麻醉的介紹與重要性 22 二、現行的髖骨疾病與治療 25 三、台灣健保支付制度與支付標準 27 四、麻醉方式對髖骨手術醫療費用及照護結果的影響之實證研究 36 參、研究方法 43 一、研究架構 43 二、研究假說 44 三、研究設計及研究樣本 44 四、資料分析方法 48 肆、參考文獻 49 | |
| dc.language.iso | en | |
| dc.title | 麻醉方式對於醫療利用與照護結果之影響:以髖骨手術為例 | zh_TW |
| dc.title | The effect of anesthetic type on medical utilization and outcomes for hip surgery | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 102-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 余黃平(Huang-Ping Yu),蔡淑鈴(Shu-Ling Tsai) | |
| dc.subject.keyword | 麻醉方式,醫療利用,照護結果,髖骨手術, | zh_TW |
| dc.subject.keyword | anesthetic type,utilization,outcomes,hip surgery, | en |
| dc.relation.page | 53 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2014-07-30 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 公共衛生碩士學位學程 | zh_TW |
| 顯示於系所單位： | 公共衛生碩士學位學程 | |
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| ntu-103-1.pdf 目前未授權公開取用 | 1.46 MB | Adobe PDF |
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