Background¡GThe study found patients of end stage renal disease(ESRD) may have various comorbidities, and recently many studied showed ESRD patients with dementia were gradually diagnosed by clinical physicians, in particular of Alzheimer¡¦s disease. This becomes a very important issue because it often occurs in elderly and may increase the utilization of health care and motality.
Objectives¡GThis study explores the prevelance of ESRD with dementia and finds out if there are any significant difference upon demography status, comorbodities, dialysis therapy, utilization of health care between ESRD with dementia and without dementia. As well as we will discuss the risk factors of ESRD patient with dementia.
Methods¡GWe conducted secondary data analysis with admnstrative data of National Health Insurance between 2000, 2002, 2004 and 2006. We firstly seleced the patients diagnosed as ESRD and dementia, and merged the data set and other related variables.The data was analyzed by Chi-square test, t-test and logistic regression.
Result¡GThe prevelance of ESRD with dementia were 0.35%(2000), 0.46%(2002), 0.89%(2004), 1.08%(2008)¡FESRD patients with and without dementia was significant difference (p < 0.0001) between sex, dialysis therapy, dialysis duration, and the regions of hospital organizations, class of hospital organizations, specialty,except the region of hospital organization in 2002¡F ESRD patients with and without dementia was significant difference (p < 0.0001) between age, comorbidities, outpatient visits and expenditures. Finally we found age, sex, hemodialysis therapy, outpatient visits were the risk factors of ESRD with dementia.
Conclusion¡GThe study was benefited by large sample of adminstative data, but there were some limitation of precision of diagnoses and payment issue of health care system, therefore, we strongly suggested further study could be conducted by research questionnaires to make up the weakness of adminstatrative data.
| Identifer | oai:union.ndltd.org:NSYSU/oai:NSYSU:etd-0714108-122945 |
| Date | 14 July 2008 |
| Creators | Yeh, I-chun |
| Contributors | none, none, Shu-Chuan Jennifer Yeh |
| Publisher | NSYSU |
| Source Sets | NSYSU Electronic Thesis and Dissertation Archive |
| Language | Cholon |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.lib.nsysu.edu.tw/ETD-db/ETD-search/view_etd?URN=etd-0714108-122945 |
| Rights | unrestricted, Copyright information available at source archive |
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