Analysis of Ischemic Heart Disease Demographics,Incidence,Prevalence and Relative Chronic Diseases from NHIRD

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Title:	Analysis of Ischemic Heart Disease Demographics,Incidence,Prevalence and Relative Chronic Diseases from NHIRD
Authors:	Chang, Chu-I
Contributors:	生物資訊與醫學工程學系碩士在職專班
Keywords:	IHD;Demographics;Incidence;Prevalence;Chronic diseases;NHIRD
Date:	2016
Issue Date:	2016-08-11 02:25:00 (UTC+0)
Publisher:	亞洲大學
Abstract:	In the past decade, Taiwan has start focusing on IT Industry and Service Industry. People live is getting faster, more convenient but also less exercise, stay up late at night and lots of bad habit in their daily life. The changing lifestyle causes higher risk of getting chronic disease. Although, the medicine area inventions have reduces the death rate, the burden behind all the disease has rapidly increased. GBD (Global Burden of Disease) predicted in 2020 IHD (Ischemic Heart Disease) is going to be the number global burden of disease. This report will provide detail information on distribution of IHD features, incident rate, prevalence rate and other disease relative information, and hope to create “Prevention is better than cure” idea. The report analyses are based on, National Health Insurance Research Database from 2006 to 2013, Ambulatory Care Expenditures by Visits (CD) and Inpatient Expenditures by Admission (DD) which excludes any clinic records or any patients records who is younger than 20 years old. After the filter the database, the report concludes with 690,165 samples (IHD samples: 82,517; non-IHD samples: 607,648). After sampling from the database, the report use personal information, clinic records, insurance plans and medical advice location to create the distribution of patients features, incidents rate and prevalence rate. It shows the following results. (1) Males tend to have higher chance of getting IHD (Male 51.0% : 49.0% Female). (2) Average age:59.5 years old (STD = 14.67), percentage increase after 40 years old and age between 50 ~ 59 are more than quarter in the whole sample set. (3) Diseases retroactive period is 7.14 years (STD = 1.51). (4) Northern region has the lowest incident rate, when emerging cities has the highest percentage of incident rate. (5) Lower social-economic level tends to have higher percentage (Insurance lower than NTD 22,800), which has 44.5%. On the other hand, higher social-economic level people (Insurance higher than NTD 57,801) incident rate only 7.9%. (6) The prevalent rate is increasing over the past decade, especially between 2011 to 2013. This report also uses Disease Code: ICD-9-CM to determine the relationship between IHD and other Chronic Disease. The results shows, (1) within all the factors, Hypertension; High Cholesterol and Diabetes have significant relationship with IHD, especially Hypertension which has 69.4% incident rate. However, obesity does not show any affect at all. (2) Chronic Liver Disease, Cerebrovascular Disease, Chronic Lung Disease and Chronic Kidney Disease are all relative to IHD, especially Chronic Lung Disease has the higher percentage of 36%. (3) Average CCI of IHD is 2.41 (STD = 2.50) and with high incident rate of 77%.
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