Association analysis of renal disease with Triple H ( hypertension , hyperlipidemia , hyperglycemia ) : a verification study of national health insurance data in Taiwan

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Title:	Association analysis of renal disease with Triple H ( hypertension , hyperlipidemia , hyperglycemia ) : a verification study of national health insurance data in Taiwan
Authors:	Chang, Cheng Chieh
Contributors:	生物與醫學資訊學系碩士在職專班
Keywords:	chronic kidney disease hypertension hyperglycemia hyperlipidemia
Date:	2014-07-16
Issue Date:	2014-09-19
Publisher:	Asia University
Abstract:	The definition of chronic kidney disease (CKD) is kidney damage more than three months as to its structure or function could not restore to normal. The NHI had founded for 19 years since 1995. It has accumulated abundance of data of health care information. With the health insurance data and experience accumulation, learning to control rising health care costs and good home health education is an important issue. Patients with end-stage renal disease in Taiwan are increased year by year. There are over 8,000 dialysis patients of addition for each year. According to the statistics by Taiwan Society of Nephrology, dialysis patients in Taiwan had surpassed the U.S. in 2002 and become the world's first. Therefore, by mean of the Research for the Taiwan National Health Insurance Database regarding demographic characteristics and the predisposing factors (hypertension, hyperlipidemia, and hyperglycemia) may reduce the risk of suffering from chronic kidney disease. This study adopted secondary data of the National Institutes of Health. The database data file (ID file) and outpatient prescriptions and treatment detail file (CD files) from the Health Insurance data for 1996-2005 Coverage were analyzed. The patients with chronic kidney disease were filter form outpatient prescription and treatment detail file according to ICD-9-CM code 585 which defined chronic kidney disease. The same amount patients without chronic kidney disease were sampling randomly. The factors that lead to chronic kidney disease were analyzed. Our results showed that the minimum age of sampling patients with chronic kidney disease is age 0, maximum age is 97 years old, average age was 52 years. The major population of the sampling patients was age 60 above. There were 1435 samples (39.3%) with age 60 above, followed by ages covering between 45 and 60 years old, there were 960 samples (26.3%). The minimum age of sampling patients without chronic kidney disease was age 0, maximum age was 93 years old, average age was 29.2 years. Most samples were under age 30, there were 1,984 samples (54.4%), followed by ages covering between 30 to 45 years old, there were 900 samples (24.7%). Chi-square analysis showed that chronic kidney disease correlated with the presence of three H (P <0.05). Logistic regression analysis showed that the patients with three H had a relative higher risk of suffering from chronic kidney disease, the risk odds were 8.697, 7.634, and 5.181 for hypertension, hyperglycemia, and hyperlipidemia respectively (P <0.001).
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