44. INPATIENT DISEASE PATTERNS AND THE TOP FIVE DIAGNOSES AT HA DONG GENERAL HOSPITAL IN 2023

Hoang Thi Ut Trang1,2, Pham Huy Tuan Kiet2, Nguyen Thanh Vinh1
1 Ha Dong General Hospital
2 Ha Noi Medical University

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Tóm tắt

Introduction: The global disease pattern is continuously shifting, imposing a significant burden on healthcare systems. Ha Dong General Hospital is a Grade I hospital situated in the southwestern area of Hanoi, primarily serving insured patients. Analyzing the disease patterns among inpatients is essential for hospital planning and development, particularly as the hospital operates under the Group 2 financial autonomy model.


Objective: To describe the disease pattern among inpatients at Ha Dong General Hospital in 2023.


Methods: A cross-sectional descriptive study was conducted using retrospective data from electronic medical records stored at Ha Dong General Hospital between January 1 and December 31, 2023. Records that met the inclusion and exclusion criteria were classified into 22 ICD-10 chapters and analyzed to identify the five most common diagnoses.


Results: In 2023, the hospital recorded 40,048 inpatient visits. The highest proportions of visits fell under Chapter XV: Pregnancy, Childbirth, and the Puerperium (17%) and Chapter I: Certain Infectious and Parasitic Diseases (16%). The five most common diagnoses were Dengue fever (10.64%), Pneumonia with unspecified organism (2.39%), Diabetes mellitus Type 2 (2.05%), Acute bronchitis (1.76%), and Other bacterial intestinal infections (1.55%).


Conclusion: The disease pattern among inpatients at Ha Dong General Hospital in 2023 demonstrates a double disease burden, characterized by increasing rates of non-communicable diseases (NCDs) alongside persistent infectious diseases. To address this trend, strategic adjustments in resource allocation and workforce development are essential. Additionally, enhancing chronic disease management models is critical to managing the growing population with NCDs effectively.

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Tài liệu tham khảo

[1] Tran Quang Tu, Tran Nhat An, Dang Thuy Hang. Inpatient disease model at a district health center in the period 2018 - 2020. Vietnam Medical Journal N01B - May -2023, 248-253 Available from: https://tapchiyhocvietnam.vn/index.php/vmj/article/view/5456/4944. Accessed 7 June 2025
[2] S Kinoshita, T Kishimoto. An ageing population in Japan: an immediate shake-up in healthcare is required. QJM: An International Journal of Medicine, Volume 117, Issue 12, December 2024, Pages 829–830, https://doi.org/10.1093/qjmed/hcae097. Available from: https://academic.oup.com/qjmed/article/117/12/829/7667288. Accessed 7 June 2025
[3] India Tribune. India accounts for 26% of the global TB burden, the highest, according to the WHO. Available from: https://www.indiatribune.com/india-accounts-for-26-pc-of-global-tb-burden-the-highest-who. Accessed 7 June 2025.
[4] Do Thi Thanh Toan, Cao Thi Nhung, Luu Ngoc Minh, Dinh Thai Son, Le Minh Giang, Doan Quoc Hung. Disease structure at the inpatient department of Dong Da General Hospital in 2017 - 2019. Journal of Medical Research - Hanoi Medical University. Volume 143 No. 7 (2021). Pages 186-193.
[5] Nguyen Thi Minh Hai, Hoang Hai Nam, Pham Huy Tuan Kiet, Nguyen Trong Tai, Nguyen Ha Anh. Disease structure at Son Tay General Hospital 2020 and 2021. Vietnam Medical Journal. Volume 527 Number 1 (2023). Pages 66-71.
[6] Makoto Inada , Masahiro Ishikane , Nguyen Gia Binh , Mai Lan Huong , Xuan Co Dao , Pham Thi Phuong Thuy , Do Van Thanh , Nozomi Takeshita , Nguyen Quoc Anh , Norio Ohmagari. The Epidemiology of Healthcare-Associated Bloodstream Infection in an Adult Intensive Care Unit: A Retrospective Cohort Study in a Single Tertiary Care Hospital in Hanoi, Vietnam. Cureus 14(11): e31879. DOI 10.7759/cureus 31879