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  1. Article ; Online: Respiratory complications after surgery in Vietnam

    Bui My Hanh / Khuong Quynh Long / Le Phuong Anh / Doan Quoc Hung / Duong Tuan Duc / Pham Thanh Viet / Tran Tien Hung / Nguyen Hong Ha / Tran Binh Giang / Duong Duc Hung / Hoang Gia Du / Dao Xuan Thanh / Le Quang Cuong

    The Lancet Regional Health. Western Pacific, Vol 10, Iss , Pp 100125- (2021)

    National estimates of the economic burden

    2021  

    Abstract: Background: Estimating the cost of postoperative respiratory complications is crucial in developing appropriate strategies to mitigate the global and national economic burden. However, systematic analysis of the economic burden in low- and middle-income ... ...

    Abstract Background: Estimating the cost of postoperative respiratory complications is crucial in developing appropriate strategies to mitigate the global and national economic burden. However, systematic analysis of the economic burden in low- and middle-income countries is lacking. Methods: We used the nationwide database of the Vietnam Social Insurance agency and extracted data from January 2017 to September 2018. The data contain 1 241 893 surgical patients undergoing one of seven types of surgery. Propensity score matching method was used to match cases with and without complications. We used generalized gamma regressions to estimate the direct medical costs; logistic regressions to evaluate the impact of postoperative respiratory complications on re-hospitalization and outpatient visits. Findings: Postoperative respiratory complications increased the odds of re-hospitalization and outpatient visits by 3·49 times (95% CI: 3·35–3·64) and 1·39 times (95% CI: 1·34–1·45) among surgical patients, respectively. The mean incremental cost associated with postoperative respiratory complications occurring within 30 days of the index admission was 1053·3 USD (95% CI: 940·7–1165·8) per procedure, which was equivalent to 41% of the GDP per capita of Vietnam in 2018. We estimated the national annual incremental cost due to respiratory complications occurring within 30 days after surgery was 13·87 million USD. Pneumonia contributed the greatest part of the annual cost burden of postoperative respiratory complications. Interpretation: The economic burden of postoperative respiratory complications is substantial at both individual and national levels. Postoperative respiratory complications also increase the odds of re-hospitalization and outpatient visits and increase the length of hospital stay among surgical patients. Funding: The authors did not receive any funds for conducting this study
    Keywords Postoperative respiratory complications ; Economic burden ; Re-hospitalization ; Outpatient visits ; Vietnam ; Public aspects of medicine ; RA1-1270
    Subject code 333
    Language English
    Publishing date 2021-05-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Myocardial Infarction Complications After Surgery in Vietnam: Estimates of Incremental Cost, Readmission Risk, and Length of Hospital Stay.

    Bui, My Hanh / Khuong, Quynh Long / Dao, Phuoc Thang / Le, Cao Phuong Duy / Nguyen, The Anh / Tran, Binh Giang / Duong, Duc Hung / Duong, Tuan Duc / Tran, Tien Hung / Pham, Hoang Ha / Dao, Xuan Thanh / Le, Quang Cuong

    Frontiers in public health

    2021  Volume 9, Page(s) 799529

    Abstract: Myocardial infarction is a considerable burden on public health. However, there is a lack of information about its economic impact on both the individual and national levels. This study aims to estimate the incremental cost, readmission risk, and length ... ...

    Abstract Myocardial infarction is a considerable burden on public health. However, there is a lack of information about its economic impact on both the individual and national levels. This study aims to estimate the incremental cost, readmission risk, and length of hospital stay due to myocardial infarction as a post-operative complication. We used data from a standardized national system managed by the Vietnam Social Insurance database. The original sample size was 1,241,893 surgical patients who had undergone one of seven types of surgery. A propensity score matching method was applied to create a matched sample for cost analysis. A generalized linear model was used to estimate direct treatment costs, the length of stay, and the effect of the complication on the readmission of surgical patients. Myocardial infarction occurs most frequently after vascular surgery. Patients with a myocardial infarction complication were more likely to experience readmission within 30 and 90 days, with an OR of 3.45 (95%CI: 2.92-4.08) and 4.39 (95%CI: 3.78-5.10), respectively. The increments of total costs at 30 and 90 days due to post-operative myocardial infarction were 4,490.9 USD (95%CI: 3882.3-5099.5) and 4,724.6 USD (95%CI: 4111.5-5337.8) per case, while the increases in length of stay were 4.9 (95%CI: 3.6-6.2) and 5.7 (95%CI: 4.2-7.2) per case, respectively. Perioperative myocardial infarction contributes significantly to medical costs for the individual and the national economy. Patients with perioperative myocardial infarction are more likely to be readmitted and face a longer treatment duration.
    MeSH term(s) Humans ; Length of Stay ; Myocardial Infarction/epidemiology ; Myocardial Infarction/etiology ; Patient Readmission ; Risk Factors ; Vietnam/epidemiology
    Language English
    Publishing date 2021-12-10
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2021.799529
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Cost of postoperative sepsis in Vietnam.

    Bui, My Hanh / Khuong, Quynh Long / Le, Phuong Anh / Nguyen, The Anh / Doan, Quoc Hung / Duong, Tuan Duc / Pham, Hoang Ha / Pham, Thanh Viet / Tran, Tien Hung / Nguyen, Hong Ha / Tran, Binh Giang / Duong, Duc Hung / Dao, Xuan Co / Du Hoang, Gia / Dao, Xuan Thanh / Nguyen, Truong Son / Le, Quang Cuong

    Scientific reports

    2022  Volume 12, Issue 1, Page(s) 4876

    Abstract: Despite improvements in medical care, the burden of sepsis remains high. In this study, we evaluated the incremental cost associated with postoperative sepsis and the impact of postoperative sepsis on clinical outcomes among surgical patients in Vietnam. ...

    Abstract Despite improvements in medical care, the burden of sepsis remains high. In this study, we evaluated the incremental cost associated with postoperative sepsis and the impact of postoperative sepsis on clinical outcomes among surgical patients in Vietnam. We used the national database that contained 1,241,893 surgical patients undergoing seven types of surgery. We controlled the balance between the groups of patients using propensity score matching method. Generalized gamma regression and logistic regression were utilized to estimate incremental cost, readmission, and reexamination associated with postoperative sepsis. The average incremental cost associated with postoperative sepsis was 724.1 USD (95% CI 553.7-891.7) for the 30 days after surgery, which is equivalent to 28.2% of the per capita GDP in Vietnam in 2018. The highest incremental cost was found in patients undergoing cardiothoracic surgery, at 2,897 USD (95% CI 530.7-5263.2). Postoperative sepsis increased patient odds of readmission (OR = 6.40; 95% CI 6.06-6.76), reexamination (OR = 1.67; 95% CI 1.58-1.76), and also associated with 4.9 days longer of hospital length of stay among surgical patients. Creating appropriate prevention strategies for postoperative sepsis is extremely important, not only to improve the quality of health care but also to save health financial resources each year.
    MeSH term(s) Databases, Factual ; Humans ; Length of Stay ; Patient Readmission ; Postoperative Complications/epidemiology ; Retrospective Studies ; Risk Factors ; Sepsis/epidemiology ; Vietnam/epidemiology
    Language English
    Publishing date 2022-03-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-022-08881-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Determination of Risk Factors for Venous Thromboembolism by an Adapted Caprini Scoring System in Surgical Patients

    Bui My Hanh / Le Quang Cuong / Nguyen Truong Son / Duong Tuan Duc / Tran Tien Hung / Duong Duc Hung / Tran Binh Giang / Nguyen Hoang Hiep / Hoang Thi Hong Xuyen / Nguyen Thi Nga / Dinh-Toi Chu

    Journal of Personalized Medicine, Vol 9, Iss 3, p

    2019  Volume 36

    Abstract: Venous thromboembolism (VTE) is a frequent preventable complication among surgical patients. Precise risk assessment is a necessary step for providing appropriate thromboprophylaxis and reducing mortality as well as morbidity caused by VTE. We carried ... ...

    Abstract Venous thromboembolism (VTE) is a frequent preventable complication among surgical patients. Precise risk assessment is a necessary step for providing appropriate thromboprophylaxis and reducing mortality as well as morbidity caused by VTE. We carried out this work to define the rate of VTE postoperatively, following a Caprini score, and to determine VTE risk factors through a modified Caprini risk scoring system. This multicenter, observational, cohort study involved 2,790,027 patients who underwent surgery in four Vietnamese hospitals from 01/2017 to 12/2018. All patients who were evaluated before surgery by using a Caprini risk assessment model (RAM) and monitored within 90 days after surgery. The endpoint of the study was ultrasound-confirmed VTE. Our data showed that the 90-day postoperative VTE was found in 3068 patients. Most of VTE (46.97%) cases were found in the highest risk group (Caprini score > 5). A total of 37.19% were observed in the high risk group, while the rest (15.84%) were from low to moderate risk groups. The likelihood of occurring VTE was heightened 2.83 times for patients with a Caprini score of 3−4, 4.83 times for a Caprini score of 5−6, 8.84 times for a score of 7−8, and 11.42 times for a score of >8, comparing to ones with a score of 0 to 2 (all p values < 0.05). Thus, the frequency of postoperative VTE rises substantially, according to the advanced Caprini score. Further categorizing patients among the highest risk group need delivering more appropriate thromboprophylaxis.
    Keywords venous thromboembolism ; Caprini score ; risk assessment model ; risk stratification ; thromboembolism prophylaxis ; Medicine ; R
    Subject code 610 ; 616
    Language English
    Publishing date 2019-07-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Economic burden of venous thromboembolism in surgical patients: A propensity score analysis from the national claims database in Vietnam.

    Bui, My Hanh / Le, Quang Cuong / Duong, Duc Hung / Nguyen, Truong Son / Tran, Binh Giang / Duong, Tuan Duc / Tran, Tien Hung / Nguyen, Huu Chinh / Kieu, Thi Tuyet Mai / Nguyen, Hong Ha / Hoang, Long / Nguyen, Thanh Binh / Pham, Thanh Viet / Hoang, Thi Hong Xuyen

    PloS one

    2020  Volume 15, Issue 4, Page(s) e0231411

    Abstract: Background: Venous thromboembolism (VTE) associated with surgery can cause serious comorbidities or death and imposes a substantial economic burden to society. The study examined VTE cases after surgery to determined how this condition imposed an ... ...

    Abstract Background: Venous thromboembolism (VTE) associated with surgery can cause serious comorbidities or death and imposes a substantial economic burden to society. The study examined VTE cases after surgery to determined how this condition imposed an economic burden on patients based on the national health insurance reimbursement database. Methods: This retrospective analysis adopted the public payer's perspective. The direct medical cost was estimated using data from the national claims database of Vietnam from Jan 1, 2017 to Sep 31, 2018. Adult patients who underwent surgeries were recruited for the study. Patients with a diagnostic code of up to 90 days after surgery were considered VTE cases with the outcome measure being the surgery-related costs within 90 days.
    Results: The 90-day cost of VTE patients was found to be US$2,939. The rate of readmission increased by 5.4 times, the rate of outpatient visits increased by 1.8 times and total costs over 90 days in patients with VTE undergoing surgery increased by 2.2 times. Estimation using propensity score matching method showed that an increase of US$1,019 in the 90-day cost of VTE patients.
    Conclusion: The VTE-related costs can be used to assess the potential economic benefit and cost-savings from prevention efforts.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Case-Control Studies ; Cost of Illness ; Databases, Factual ; Female ; Humans ; Insurance Claim Review ; Male ; Middle Aged ; Propensity Score ; Retrospective Studies ; Surgical Procedures, Operative/adverse effects ; Venous Thromboembolism/economics ; Venous Thromboembolism/etiology ; Venous Thromboembolism/pathology ; Vietnam ; Young Adult
    Language English
    Publishing date 2020-04-09
    Publishing country United States
    Document type Journal Article
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0231411
    Database MEDical Literature Analysis and Retrieval System OnLINE

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