Thi Lien Huong Nguyen1, Thi Hong Tu Nguyen, Satoshi Morita, Junichi Sakamoto. 1. Division of Occupational Health and Injury Prevention, General Department of Preventive Medicine and Environmental Health, Ministry of Health, Alley 135 Nui Truc, Ba Dinh District, Hanoi, Viet Nam. huongtl_nguyen@yahoo.com
Abstract
BACKGROUND: In Vietnam, injury is the leading cause of death in children under 18, and road traffic accidents are the fifth leading cause of death. Information systems for pre-hospital trauma care are insufficient. OBJECTIVES: The objective of this study was to assess injury morbidity and mortality, and the existing level of pre-hospital trauma care in Hanoi city. RESEARCH DESIGN AND SUBJECTS: A cross-sectional study was conducted in seven districts in Hanoi in 2006. We studied 2800 households (11,334 members), 9 hospitals and an emergency service centre. RESULTS: The injury morbidity rate was 1134/100,000 (year(-1)), and the injury mortality rate was 23.7/100,000 (year(-1)). There was no significant difference in age or sex between injury severity levels (p>0.05). Road traffic accidents were the leading cause of injury. Causes of injury mortality differed among different age groups. Only 4% of injured cases were transported to hospital by ambulance. Fifty-two percent of victims did not receive first aid at the site. Pre-hospital trauma care was separately provided by the emergency service centre and hospitals. There was no communication network between the emergency service centre and hospitals, ambulances and hospitals, or between different hospitals. CONCLUSIONS: The results reveal that injury is a major health problem in Hanoi and that the pre-hospital care system lacks both coordination and many vital components. Study results may assist decision-makers in identifying interventions to improve health and safety for the population of Hanoi.
BACKGROUND: In Vietnam, injury is the leading cause of death in children under 18, and road traffic accidents are the fifth leading cause of death. Information systems for pre-hospital trauma care are insufficient. OBJECTIVES: The objective of this study was to assess injury morbidity and mortality, and the existing level of pre-hospital trauma care in Hanoi city. RESEARCH DESIGN AND SUBJECTS: A cross-sectional study was conducted in seven districts in Hanoi in 2006. We studied 2800 households (11,334 members), 9 hospitals and an emergency service centre. RESULTS: The injury morbidity rate was 1134/100,000 (year(-1)), and the injury mortality rate was 23.7/100,000 (year(-1)). There was no significant difference in age or sex between injury severity levels (p>0.05). Road traffic accidents were the leading cause of injury. Causes of injury mortality differed among different age groups. Only 4% of injured cases were transported to hospital by ambulance. Fifty-two percent of victims did not receive first aid at the site. Pre-hospital trauma care was separately provided by the emergency service centre and hospitals. There was no communication network between the emergency service centre and hospitals, ambulances and hospitals, or between different hospitals. CONCLUSIONS: The results reveal that injury is a major health problem in Hanoi and that the pre-hospital care system lacks both coordination and many vital components. Study results may assist decision-makers in identifying interventions to improve health and safety for the population of Hanoi.
Authors: Son N Do; Chinh Q Luong; Dung T Pham; Chi V Nguyen; Tra T Ton; Thao Tn Pham; Quoc Ta Hoang; Hanh T Hoang; Dat T Nguyen; Dai Q Khuong; Quan H Nguyen; Tuan A Nguyen; Hanh Tm Pham; My H Nguyen; Bryan F McNally; Marcus Eh Ong; Anh D Nguyen Journal: Bull World Health Organ Date: 2020-10-28 Impact factor: 9.408
Authors: John Whitaker; Nollaig O'Donohoe; Max Denning; Dan Poenaru; Elena Guadagno; Andrew J M Leather; Justine I Davies Journal: BMJ Glob Health Date: 2021-05
Authors: Anh D Ngo; Chalapati Rao; Nguyen Phuong Hoa; Damian G Hoy; Khieu Thi Quynh Trang; Peter S Hill Journal: BMC Public Health Date: 2012-07-27 Impact factor: 3.295