Childhood hospitalisation and related deaths in Hanoi, Vietnam: a tertiary hospital database analysis from 2007 to 2014

Abstract

ObjectiveTo describe hospital admission and emergency visit rates and potential risk factors of prolonged hospitalisation and death among children in Hanoi.Study designA 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.ResultsDuring 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.ConclusionsPreventable health problems, such as common bacterial infections and respiratory diseases, were the primary causes of hospital admissions in Vietnam.

Prelacteal and early formula feeding increase risk of infant hospitalisation: a prospective cohort study

“…In Vietnam, respiratory diseases, bacterial and parasitic infections accounted for most hospital admissions in children 25. Compared with the our observed hospitalisation rate of 14.8% for all causes during the first 6 months, a previous cohort study with 6 months follow-up found 8.8% and 4% of infants required inpatient admission for suspected pneumonia and diarrhoeal illness, respectively 13.…”

Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases

“…An estimated 6.2 million children under the age of 15 died in 2018, mostly from preventable causes, and most of whom lived in middle- and low-income countries [ 1 ]. In Vietnam, an 8-year retrospective study (2007–2014) among 212,216 hospitalised children under the age of 17 in Hanoi [ 17 ] showed that ID was responsible for the majority hospitalisations with RTIs accounting for 37.7% of cases, other bacterial and parasitic infections for 19.8%, and gastrointestinal disorders for 10.2%.…”

“…The overall hospital mortality rate was lower than reported in other Vietnamese studies. A retrospective survey of 12,389 paediatric emergency visits showed that mortality was 1.1% [ 17 ]. An 8.6% mortality rate was reported in neonates [ 36 ].…”

Morbidity and Mortality Patterns in Children Admitted to Hospital in Thai Binh, Vietnam: A Five-year Descriptive Study with a Focus on Infectious Diseases

“…The overall hospital mortality rate was lower than reported in other Vietnamese studies. A retrospective survey of 12,389 paediatric emergency visits showed that mortality was 1.1% [16].…”