Improving hospital death certification in Vietnam: results of a pilot study of injury-related fatalities

Walton, Merrilyn; Harrison, Reema; Chevalier, Anna; Esguerra, Esmond; Chinh, Nguyen Duc; Haian, Haphan; Duong, Dang Van; Giang, Huong

doi:10.1136/injuryprev-2017-042341

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…Along with economic and political reforms and motorization that have spurred rapid economic growth in Vietnam, [ 44 ] RTIs are becoming a major public health issue [ 19 – 23 ]. Policy changes are needed to mitigate this major public health issue.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Vietnam is a low- and middle-income country (LMIC), ranked 15th in the world and 3rd in Southeast Asia by population with 96.462 million people [ 18 ]; the majority of injury-related deaths are associated with traffic crashes [ 19 , 20 ]. Road traffic injuries (RTIs) are becoming a major public health issue [ 19 – 23 ]. These injuries occur more frequently due to rapid economic growth and motorization in the past 25 years; indeed, the number of road traffic fatalities nationally rose from 4907 in 1994 to 7624 in 2019 [ 21 – 23 ].…”

Section: Introductionmentioning

confidence: 99%

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Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

et al. 2021

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Background Pre-hospital services are not well developed in Vietnam, especially the lack of a trauma system of care. Thus, the prognosis of traumatic out-of-hospital cardiac arrest (OHCA) might differ from that of other countries. Although the outcome in cardiac arrest following trauma is dismal, pre-hospital resuscitation efforts are not futile and seem worthwhile. Understanding the country-specific causes, risk, and prognosis of traumatic OHCA is important to reduce mortality in Vietnam. Therefore, this study aimed to investigate the survival rate from traumatic OHCA and to measure the critical components of the chain of survival following a traumatic OHCA in the country. Methods We performed a multicenter prospective observational study of patients (> 16 years) presenting with traumatic OHCA to three central hospitals throughout Vietnam from February 2014 to December 2018. We collected data on characteristics, management, and outcomes of patients, and compared these data between patients who died before hospital discharge and patients who survived to discharge from the hospital. Results Of 111 eligible patients with traumatic OHCA, 92 (82.9%) were male and the mean age was 39.27 years (standard deviation: 16.38). Only 5.4% (6/111) survived to discharge from the hospital. Most cardiac arrests (62.2%; 69/111) occurred on the street or highway, 31.2% (29/93) were witnessed by bystanders, and 33.7% (32/95) were given cardiopulmonary resuscitation (CPR) by a bystander. Only 29 of 111 patients (26.1%) were taken by the emergency medical services (EMS), 27 of 30 patients (90%) received pre-hospital advanced airway management, and 29 of 53 patients (54.7%) were given resuscitation attempts by EMS or private ambulance. No significant difference between patients who died before hospital discharge and patients who survived to discharge from the hospital was found for bystander CPR (33.7%, 30/89 and 33.3%, 2/6, P > 0.999; respectively) and resuscitation attempts (56.3%, 27/48, and 40.0%, 2/5, P = 0.649; respectively). Conclusion In this study, patients with traumatic OHCA presented to the ED with a low rate of EMS utilization and low survival rates. The poor outcomes emphasize the need for increasing bystander first-aid, developing an organized trauma system of care, and developing a standard emergency first-aid program for both healthcare personnel and the community.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

et al. 2021

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“…4 However, the research specifically measuring the burden of diseases in emergency departments (EDs) or intensive care capable EDs (referred to as critical care units or CCUs) in Vietnam has been limited. Recently, some studies on the pattern of hospitalisation, the causes of death or the hospital death certification have been performed, [5][6][7] but none of these studies has provided a comprehensive description of the patterns of diagnosis or measured the premature death by the years of life lost (YLL) metric in patients with admission to CCUs in the country.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Causes of admissions and in-hospital mortality among patients admitted to critical care units in primary and secondary hospitals in Vietnam in 2018: a multicentre retrospective study

2022

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ObjectiveThe goal of this study was to describe the burden of disease and in-hospital mortality among patients admitted to the critical care units (CCUs) in Vietnam.DesignRetrospective study.SettingThe whole 1-year data of admissions to CCUs were collected from 34 hospitals from January to December 2018.ParticipantsA total of 44 013 episodes of admission to CCUs were analysed.Primary outcomeWe used International Classification of Diseases-11 codes to assess the primary diagnosis associated with admissions and in-hospitals mortality. Years of life lost (YLL) measure was further used to estimate the burden of disease.ResultsThe 0–5 years and ≥70 years age groups accounted for 14.8% (6508/44 013) and 26.1% (11 480/44 013) of all admissions, respectively. The most common diagnoses were diseases of the respiratory system (27.8% or 12 255/44 013), followed by unclassified symptoms, signs or clinical findings (13% or 5712/44 013), and diseases of the circulatory system (12.2% or 5380/44 013). Among 28 311 patients with available outcome data, 1681 individuals (5.9%) died during the hospitalisation. The in-hospital mortality rate increased with age, from 2.8% (86/3105) in under 5 years old age group to 23.1% (297/1288) in over 90-year age group. Diseases of the respiratory system was the leading causes of death in term of number of deaths (21.8% or 367/1681 of all deaths). Diagnosis of sepsis was associated with the highest in-hospital mortality (36.8%). The overall YLL under the age of 75 were 1287 per 1000 patients.ConclusionsCCUs in Vietnam faced wide differences in the burden of diseases. Sufficient infrastructure and adequate multidisciplinary training are essential to ensure the appropriate response to the current needs of population.

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Hypothetical acceptability of minimally invasive tissue sampling and considerations for practice: A qualitative study in Vietnam

Phuong,

Dieu,

Nguyen

et al. 2024

Global Public Health

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Improving hospital death certification in Vietnam: results of a pilot study of injury-related fatalities

Cited by 3 publications

References 11 publications

Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

Survival after traumatic out-of-hospital cardiac arrest in Vietnam: a multicenter prospective cohort study

Causes of admissions and in-hospital mortality among patients admitted to critical care units in primary and secondary hospitals in Vietnam in 2018: a multicentre retrospective study

Hypothetical acceptability of minimally invasive tissue sampling and considerations for practice: A qualitative study in Vietnam

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