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Paediatrics
Research
Childhood hospitalisation and related deaths in Hanoi, Vietnam: a tertiary hospital database analysis from 2007 to 2014
  1. Nhung T T Nguyen, First author1,2,3,
  2. Tran Minh Dien4,
  3. Christian Schindler1,2,
  4. Nguyen T B Lien4,
  5. Nicole Probst-Hensch1,2,
  6. Vu T H Lan3,
  7. Nino Künzli1,2,
  8. Laura Perez1,2
  1. 1 Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland
  2. 2 University of Basel, Basel, Switzerland
  3. 3 Faculty of Fundamental Sciences, Hanoi University of Public Health, Hanoi, Vietnam
  4. 4 Surgical Intensive Care Unit, Vietnam National Children's Hospital, Hanoi, Vietnam
  1. Correspondence to Nhung T T Nguyen; nhung.nguyen{at}unibas.ch

Abstract

Objective To describe hospital admission and emergency visit rates and potential risk factors of prolonged hospitalisation and death among children in Hanoi.

Study design A retrospective study reviewed 212 216 hospitalisation records of children (aged 0–17) who attended the Vietnam National Children's Hospital in Hanoi between 2007 and 2014. Four indicators were analysed and reported: (1) rate of emergency hospital visits, (2) rate of hospitalisation, (3) length of hospital stay and (4) number of deaths. The risk of prolonged hospitalisation was investigated using Cox proportion hazard, and the risk of death was investigated through logistic regressions.

Results During 2007–2014, the average annual rate of emergency visits was 2.2 per 1000 children and the rate of hospital admissions was 13.8 per 1000 children. The annual rates for infants increased significantly by 3.9 per 1000 children during 2012–2014 for emergency visits and 25.1 per 1000 children during 2009–2014 for hospital admissions. Digestive diseases (32.0%) and injuries (30.2%) were common causes of emergency visits, whereas respiratory diseases (37.7%) and bacterial and parasitic infections (19.8%) accounted for most hospital admissions. Patients with mental and behavioural disorders remained in the hospital the longest (median=12 days). Morbidities related to the perinatal period dominated mortality causes (32.5% of deaths among those admitted to the hospital. Among the respiratory diseases, pneumonia was the leading cause of both prolonged hospitalisation and death.

Conclusions Preventable health problems, such as common bacterial infections and respiratory diseases, were the primary causes of hospital admissions in Vietnam.

  • hospitalization rate
  • emergency visit rate
  • hospital stay
  • respiratory diseases
  • mortality at a hospital

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjopen-2016-015260

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    Footnotes

    • Contributors NTTN and LP conceived the study. NTTN drafted the initial manuscript. NTTN, TMD, NK, NPH and LP developed the study design. NTBL integrated and extracted data from electronic system. NTTN undertook the data analyses. CS provided expertise in the data management and data analysis. All authors contributed to the interpretation of the results. Each of the author contributed to the preparation and editing of the manuscript. All authors have seen and approved the submission of this version of the manuscript and take full responsibility for the manuscript.

    • Competing interests None declared.

    • Patient consent Detail has been removed from this case description/these case descriptions to ensure anonymity. The editors and reviewers have seen the detailed information available and are satisfied that the information backs up the case the authors are making.

    • Ethics approval The National Hospital of Pediatrics Ethics Committee.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement Individual record of hospital admissions and emergency visits collected for this study were given approval limited to use for this study only. However, the authors would be happy to make the data available upon request. Individuals may contact nhung.nguyen@unibas.ch.