TY - JOUR AU - Lai, Chih-Cheng AU - Ho, Chung-Han AU - Chang, Chia-Li AU - Chen, Chin-Ming AU - Chiang, Shyh-Ren AU - Chao, Chien-Ming AU - Wang, Jhi-Joung AU - Cheng, Kuo-Chen PY - 2018 TI - Critical care medicine in Taiwan from 1997 to 2013 under National Health Insurance JF - Journal of Thoracic Disease; Vol 10, No 8 (August 29, 2018): Journal of Thoracic Disease Y2 - 2018 KW - N2 - Background: Monitoring of trends in the use of the intensive care unit (ICU) and the outcomes of ICU patients is essential for the assessment of the effective use of ICU. This study aims to investigate the incidence and outcome of critical care admissions in Taiwan from 1997 to 2013. Methods: Patients >18 years who had ICU admission between January 1997 and December 2013 were identified from the National Health Insurance Research Database in Taiwan. The main outcomes including ICU mortality and ICU length of stay (LOS) were measured. Results: A total of 3,451,157 patients with ICU admission were identified during the study period. The mean ICU LOS was 5.9±9.0 days and the overall ICU-mortality rate was 19.8%. The mean age of the patients was 65.4 years old, 58.0% were elderly (≥65 years old), 61.1% were male. Annual incidence of ICU admissions increased from 115,754 in 1997 (age-adjusted incidence: 1,130/100,000 population) to 244,820 in 2013 (incidence: 1,483/100,000 population) (P Conclusions: ICU admissions significantly increased from 1997 to 2013, especially for elderly patients, in contrast, the mortality rate of ICU patients significantly declined with time. In addition, the ICU LOS did not change during the study period. UR - https://jtd.amegroups.org/article/view/23267