台灣地區兒童燒燙傷門診就診率趨勢之研究

A Study of Trends in Outpatient Visits by Children with Burns in Taiwan

目的：探討台灣地區19 歲（含）以下兒童燒燙傷門診就診率及年代趨勢變化。方法：本研究按性別及年齡做分層分析，資料來自1998 年至2012 年全民健康保險醫療統計年報，以1998 年之年中人口為標準人口，計算性別及年齡標準化就診率，使用EXCEL 2010 試算表軟體進行資料整理與描述性分析；並以Cytel Studio 8 套裝軟體進行年代線性趨勢檢定。結果：卜瓦松迴歸檢定結果，男童標準化就診率呈現下降趨勢，女童就診率呈現上升趨勢，且均達統計上的顯著水準。在年齡層標準化就診率方面，只有10~14 歲呈現下降趨勢，其他三個年齡層呈現上升趨勢，均達到統計上的顯著水準。結論：就性別而言，男童標準化燒燙傷門診就診率高於女童，而就年齡層而言，0~4 歲兒童燒燙傷門診就診率上升趨勢最為明顯。

Objective: The aim of this study was to explore the trends in outpatient visits for burns by children under the age of 19 (inclusive) in Taiwan. Methods: The data originated from the “Medical Statistics for National Health Insurance” annual reports posted by the Department of Census and Statistics, Ministry of Health and Welfare from 1998 to 2012. The gender-standardized rates and age-standardized rates of pediatric outpatient visits for burns were estimated against the year 1998 children population in Taiwan. An Excel 2010 spreadsheet was used to sort the data and to conduct descriptive analyses. Stratifi ed analysis was conducted based on gender and age. A test for linear trends over the years was performed using Cytel Studio 8 software. Results: The result of Poisson regression showed that the standardized rate of pediatric outpatient visits for burns by boys was slightly decreased, but standardized rate for girls was slightly increased. The difference was statistically significant. In terms of standardized rate by age group, the results of Poisson regression showed a decreasing trend for the 10~14 age group, bot a statistically signifi cant increased trend for the three age groups, 0~4, 5~9, and 15~19. Conclusions: The standardized rate of outpatient visits for burns for girls showed a rising trend. Authoritative organizations are recommended to pay more attention to children with burns.