使用简短版死因推断调查问卷评估老挝人民民主共和国赛耶武里省成人死亡的根本原因。

Assessment of the underlying causes of adult deaths using a short version of verbal autopsy in Xaiyabouli Province, Lao People's Democratic Republic.

机构信息

Department of Healthcare Administration, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Xaiyabouli Provincial Health Office, Lao People's Democratic Republic, Xaiyabouli, Laos.

出版信息

BMC Public Health. 2023 Mar 24;23(1):560. doi: 10.1186/s12889-023-15469-2.

DOI:10.1186/s12889-023-15469-2

PMID:36964532

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10037893/

Abstract

BACKGROUND

In developing countries, it is difficult to collect the data of the underlying cause of death (UCOD), especially when a death does not occur in a health facility. This study aimed to develop a short version of verbal autopsy (VA) and identify the UCOD of adults in Lao People's Democratic Republic (Lao PDR).

METHODS

A short version of VA for deaths outside health facilities was developed. This study included all deaths of people aged 15 years old or older in Xaiyabouli Province in 2020. Socio-demographic factors, place of death, and UCOD of the deceased were collected from health facilities or from family members using a questionnaire including the short VA form. UCOD was compared between home deaths and hospital deaths, between the age group of 15-59 years old and the age group ≥ 60 years old, and between males and females.

RESULTS

Of all the 1,235 deaths included in this study, 1,012 deaths (81.9%) occured at home and 223 deaths (18.1%) at hospitals. The most common UCOD was senility (13.3%), followed by heart/renal failure (10.5%), pneumonia (9.6%) and traffic accident (7.1%). Compared to hospital deaths, home deaths had more people who were females, 75 years old or older, and Lao-Tai. Home deaths had more deaths than hospital deaths due to accident/injury (16.0% vs. 8.1%), tumor (4.7% vs. 1.8%), and senility (16.2% vs. 0%); fewer deaths due to heart/renal disease (15.1% vs. 32.3%), respiratory disease (12.2% vs. 18.8%), liver/gastro-intestine disease (5.3% vs. 9.0%), and infection (3.1% vs. 14.3%). The age group of 15-59 years had more deaths in the categories of accident/injury (28.1% vs. 4.4%), liver/gastro-intestine disease (8.1% vs. 4.4%), infection (7.2% vs. 3.5%), and tumor (6.0% vs. 2.8%). Males had more deaths due to tumor (5.2% vs. 3.0%) and fewer natural deaths (11.2% vs. 15.9%) than females.

CONCLUSIONS

The major UCOD category was heart/renal disease in the adult generation in Xaiyabouli Province. Cost-effective interventions based on the multisectoral noncommunicable disease prevention plan should be appropriately implemented. Mortality surveillance using the short VA tool should be conducted for all home deaths in Lao PDR.

摘要

背景

在发展中国家，收集根本死因（UCOD）的数据很困难，特别是当死亡不在医疗机构发生时。本研究旨在开发一种简短的死因推断（VA）方法，并确定老挝人民民主共和国（老挝）成年人的 UCOD。

方法

开发了一种针对非医疗机构死亡的简短 VA 方法。本研究包括 2020 年在赛义武里省所有年龄在 15 岁及以上的人的死亡。使用包括简短 VA 表格的问卷，从医疗机构或家庭成员那里收集死者的社会人口统计学因素、死亡地点和 UCOD。比较了家庭死亡和医院死亡、15-59 岁年龄组和≥60 岁年龄组以及男性和女性之间的 UCOD。

结果

在本研究中包括的所有 1235 例死亡中，1012 例（81.9%）发生在家中，223 例（18.1%）发生在医院。最常见的 UCOD 是衰老（13.3%），其次是心力衰竭/肾衰竭（10.5%）、肺炎（9.6%）和交通事故（7.1%）。与医院死亡相比，家庭死亡中女性、75 岁及以上和老挝-泰族的比例更高。家庭死亡的意外/损伤（16.0% vs. 8.1%）、肿瘤（4.7% vs. 1.8%）和衰老（16.2% vs. 0%）导致的死亡更多；心脏病/肾病（15.1% vs. 32.3%）、呼吸疾病（12.2% vs. 18.8%）、肝脏/胃肠道疾病（5.3% vs. 9.0%）和感染（3.1% vs. 14.3%）导致的死亡更少。15-59 岁年龄组的意外/损伤（28.1% vs. 4.4%）、肝脏/胃肠道疾病（8.1% vs. 4.4%）、感染（7.2% vs. 3.5%）和肿瘤（6.0% vs. 2.8%）的死亡比例更高。男性因肿瘤（5.2% vs. 3.0%）和自然死亡（11.2% vs. 15.9%）导致的死亡比例低于女性。