Phoummalaysith Bounfeng, Louangpradith Viengsakhone, Manivon Tavanh, Keohavong Bounxou, Yamamoto Eiko, Hamajima Nobuyuki
Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550 Japan.
Mittaphab Hospital, Phonsavang. V, Chanthabuly. D, Vientiane Capital, Lao PDR.
Nagoya J Med Sci. 2017 Feb;79(2):199-209. doi: 10.18999/nagjms.79.2.199.
In Lao People's Democratic Republic (Lao PDR), the cause of death is not registered in death reports. As a result, the government cannot produce official reports that show mortality according to cause of death. This study aimed to report the underlying cause of death in a tertiary general hospital (Mittaphab Hospital) in Vientiane capital. Mittaphab hospital is a governmental teaching hospital with 300 beds for inpatient services specialized in orthopedics, neurology, and hemodialysis. Since a children hospital exists beside Mittaphab Hospital, severe pediatric cases are referred to the child hospital. HIV-positive cases and sputum positive tuberculosis are also transferred to the other specialized hospitals. All of the subjects in this study were patients who died in 2013-2015 at Mittaphab Hospital. Paper-based medical charts were examined by a medical doctor and staff from the medical records division. This chart review revealed that 1,509 patients (1,006 males and 503 females) died in this hospital during the study period. Of those, the number of patients aged <20 years and >80 years was small (6.2% and 7.7%, respectively). The most common underlying causes were injury (29.7%), cerebrovascular diseases (26.8%), renal disease (13.3%), infectious diseases (12.4%), and malignant neoplasm including brain tumor (4.8%). Among those aged 20-59 years, these percentages were 37.9%, 23.7%, 12.3%, 10.2%, and 5.0%, respectively. Although the patients visiting the hospital did not represent the whole population, the distribution of cause of death in the hospital was the only available information reported in Lao PDR.
在老挝人民民主共和国（老挝），死亡报告中未登记死因。因此，政府无法出具按死因显示死亡率的官方报告。本研究旨在报告万象首都一家三级综合医院（米塔帕布医院）的潜在死因。米塔帕布医院是一家政府教学医院，有300张住院床位，专门从事骨科、神经科和血液透析服务。由于米塔帕布医院旁边有一家儿童医院，严重儿科病例会转诊至该儿童医院。艾滋病毒阳性病例和痰涂片阳性结核病患者也会转至其他专科医院。本研究的所有受试者均为2013年至2015年在米塔帕布医院死亡的患者。一名医生和病历科工作人员检查了纸质病历。此次病历审查显示，在研究期间，该医院有1509名患者（1006名男性和503名女性）死亡。其中，年龄<20岁和>80岁的患者数量较少（分别为6.2%和7.7%）。最常见的潜在死因是损伤（29.7%）、脑血管疾病（26.8%）、肾脏疾病（13.3%）、传染病（12.4%）以及包括脑肿瘤在内的恶性肿瘤（4.8%）。在20至59岁的人群中，这些比例分别为37.9%、23.7%、12.3%、10.2%和5.0%。尽管到该医院就诊的患者不能代表整个人口，但该医院的死因分布是老挝报告的唯一可用信息。
