THE PREVALANCE OF UNKNOWN DEATHS IN THE EMERGENCY DEPARTMENT AT NHAT DAN GIA DINH HOSPTIAL

Mai Chí Công1,, Phan Tường Anh1, Vũ Anh Kiệt1, Trần Hồng Thu2, Nguyễn Thị Thu Sương3
1 Gia Dinh People's Hospital, Ho Chi Minh City
2 HCMC Center for Disease Control
3 Department of Science and Technology of Ho Chi Minh City

Main Article Content

Abstract

Background – Objectives: Patient death was determined by biological death: respiratory arrest, cardiac arrest; Electrocardiogram and EEG results shown in isoelectric lines have been examined and concluded by at least two doctors. But in practice, it is very difficult to determine the cause of death of the patient, especially in the Emergency Department when doctors only have short contact with the patient; sometimes the implementation of clinical and diagnostic support techniques has not been implemented or the implementation is limited, the patient has died. Therefore, this study was conducted to help determine the mortality rate of unknown causes that admitted to the Emergency Department so that there are solutions to solve this problem. Method: A cross-sectional study was conducted with the collection of 418 medical records of patients who died in 2019 and 2020 at the Emergency Department of Nhan dan Gia Dinh Hospital. Data were described by frequency, percentage; Mean, standard deviation or median, median, quartile for innormal distribution variables, p < 0.05 was considered to be statistically significant. Results. The mean age of patients was 58.8 ± 21.3 in which the male:female ratio was 2:1. The rate of patients who died of unknown cause accounted for 13%, the group with suspected diagnosis (40.6%) and the group with confirmed diagnosis (46.4%). The determination of the cause of death is related to the age of the patient, the person who brought the patient to the hospital, the place where the patient was found, and the patient's medical history. Conclusion: Determining the cause of death remains difficult in the Emergency Department. Exploiting the content where the patient was found to be dead and the patient's family history contributes to determining the cause of death.

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References

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