TRENDS IN OUTPATIENT MORBIDITY AT THE TRADITIONAL MEDICINE DEPARTMENT OF A MILITARY HOSPITAL (2021-2023): RETROSPECTIVE ANALYSIS IN THE POST COVID-19 CONTEXT

Nguyen Thi Thanh Binh1, Tang Khanh Huy1, Nguyen Quang Hien1, Duong Thi Thuong2, Nguyen Thanh Nhan3, Le Thi Cam Tu4, Le Bao Luu1
1 Faculty of Traditional Medicine, University of Medicine and Pharmacy at Ho Chi Minh city
2 Internal and Gynecology Department, Nghe An Traditional Medicine Hospital
3 Xuan Binh Clinic
4 Hong Bang International University

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Abstract

Objective: To describe year-to-year changes (2021-2023) in demographics and outpatient visit volume at the Traditional Medicine Department, 7A Military Hospital, and to identify shifts in disease composition by ICD-10 chapters, with a focus on musculoskeletal disorders.


Method: Retrospective, cross-sectional study of all 19.587 outpatient records from 1/2021 to 12/2023. Variables collected included age, sex, annual visit counts, ICD-10 diagnoses, and distributions by chapters/common codes. Descriptive analyses were performed; categorical variables were compared using the χ² test with p < 0.05.


Results: Visit volume fell sharply in 2021 (4653), surged in 2022 (7636), and remained high in 2023 (7298). The proportion of patients aged 16-59 years increased significantly (p < 0.001). The disease profile shifted markedly toward Chapter XIII (diseases of the musculoskeletal system and connective tissue): from 68.04% (2021) to 77.45% (2022) and 89.65% (2023), while several other chapters declined. At the ICD-10 code level, M53.0 rose from 9.6% to 39.6%, N20.0 more than tripled; M53.1 decreased, whereas M54.4 maintained a high share.


Conclusion: Post-COVID-19 saw outpatient morbidity reshaped, marked by rising musculoskeletal cases and more working-age patients, underscoring the need to prioritize resources and optimize musculoskeletal pain management in specialized traditional medicine services. 

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References

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