RT Journal Article
SR Electronic
T1 Improving hospital death certification in Vietnam: results of a pilot study of injury-related fatalities
JF Injury Prevention
JO Inj Prev
FD BMJ Publishing Group Ltd
SP 324
OP 331
DO 10.1136/injuryprev-2017-042341
VO 24
IS 5
A1 Walton, Merrilyn
A1 Harrison, Reema
A1 Chevalier, Anna
A1 Esguerra, Esmond
A1 Chinh, Nguyen Duc
A1 Haian, Haphan
A1 Duong, Dang Van
A1 Giang, Huong
YR 2018
UL http://injuryprevention.bmj.com/content/24/5/324.abstract
AB Background Vietnam has prioritised the establishment of a civil registration system for deaths but as yet is unable to report accurate national statistics for the population of 93.5 million people due to inadequate mortality data. Verbal autopsy data suggest that injury is a third leading cause of death (by International Statistical Classification of Diseases and Related Health Problems 10th Revision chapters) in Vietnam, with road traffic injuries in particular a significant and increasing challenge. The study aims to present a more accurate profile of the number and probable causes of these deaths based on data collected hospitals using a version of the WHO death certificate modified for the Vietnamese context.Methods Death data collected from Viet Duc Surgical and Trauma Hospital in Vietnam between 1 March 2013 to 31 March 2015 was analysed to explore the number and probable causes of deaths for deaths resulting from an injury.Results A total of 1616 deaths were recorded for Viet Duc Hospital, of which 73% (1181/1616) were associated with an injury. Most (83%; n=871/1049) injury-related deaths for which immediate cause of death was documented were as a result of head/brain injuries. Injury-related deaths were most commonly caused by from traffic accidents (72%, 853/1181). The majority of patients suffering injury-related deaths were discharged home to die (93%, 1097/1181).Conclusion The study confirms some findings from previous studies about deaths from injuries, while disagreeing with others, highlighting the challenge for Vietnam in collecting these data. Gathering detailed death data provides essential evidence on which to base decisions about allocation of government funding and policy for injury prevention and treatment.