MÔ TẢ CƠ CẤU BỆNH, KẾT QUẢ ĐIỀU TRỊ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN CỦA NGƯỜI BỆNH KHOA CHẤN THƯƠNG CHI TRÊN VÀ VI PHẪU THUẬT BỆNH VIỆN TRUNG ƯƠNG QUÂN ĐỘI 108 TRONG 05 NĂM TỪ 2017 ĐẾN 2021

Abstract

Objective: Describe the current status of disease structure, treatment results and some related factors
of patients in the Department of Upper Limbs Surgery and Microsurgery Institute of Trauma and
Orthopedics, 108 Military Central Hospital in 05 years from 2017 to 2021 and recommend innovative
solutions to help guide and develop a development plan for the Department of Upper Limbs Surgery
and Microsurgery, 108 Military Central Hospital. Research methodology Research: Using a crosssectional descriptive study method on 9,730 patients admitted to the Department of Upper Limbs
Surgery and Microsurgery at the Institute of Trauma and Orthopedics, 108 Military Central Hospital
for 5 years from 2017 to 2021. Results: The rate of patients entering treatment was divided into 04 age
groups, in which the concentration was mainly in the age group from 16-59 years old, respectively, the
rates from 2017 to 2021 were > 70% respectively. The incidence of the disease in men over the years
is higher than in women. The percentage of inpatients using health insurance cards tends to increase
gradually over the years and peaks in 2021 with the rate of 85.08%. The proportion of patients in
the group with indications for surgical treatment tended to increase gradually, respectively: 76.87%;
86.27%%; 89.49%; 88.59%; 88.27%. The total rate of type I and special type surgery is over 60%. The
average treatment day tends to decrease over the years, the maximum average is 13 days and the lowest
average is 11 days. In which, the focus is mainly on the group with a hospital stay of 6 to 10 days with a
rate of 44.46%. The rate of recovery, relief and reduction when there is indication to be discharged in 05
years are over 96%, respectively: 97.42%; 96.17; 98%; 97.74%; 97.4% and the mortality rate tends to
decrease. Conclusion: The proportion of patients admitted to hospital for treatment is mainly in the 16-
59 age group. In all 05 years, the highest proportion is the group with indications for surgical treatment,
focusing mainly on type I surgery and especially, the rate is > 60%. The rate of recovery and relief
when indicated for hospital discharge accounted for over 96%, only the 5-year mortality rate ≤ 0.04%.