Cơ cấu bệnh tật và một số yếu tố liên quan của người cao tuổi điều trị nội trú tại Bệnh viện Đa khoa huyện Mỹ Đức, Hà Nội năm 2024

The global population is rapidly aging, a trend significantly observed in Vietnam, which faces a growing burden of disease, particularly non-communicable diseases (NCDs). These conditions are a leading cause of mortality and disability, posing substantial challenges to public health systems. Understanding the prevailing disease structure and disease patterns among the elderly is therefore critical for effective healthcare planning and resource allocation, especially at the local hospital level. This study aims to describe the disease structure among hospitalized elderly patients at My Duc District General Hospital, Hanoi, in 2024, and to identify relevant associated factors contributing to their inpatient treatment needs.

Researchers in public health and geriatrics, healthcare policymakers, hospital administrators, and medical professionals involved in elderly patient care, particularly at district-level hospitals.

This descriptive retrospective study aimed to delineate the disease structure and associated factors among 7019 elderly patients (aged ≥ 60 years) admitted for inpatient treatment at My Duc District General Hospital, Hanoi, throughout 2024. Utilizing medical record data, the research revealed that non-communicable diseases (NCDs) constituted the predominant disease pattern, accounting for a substantial 77.6% of all inpatient cases. Communicable diseases followed at 18.8%, with injuries, poisoning, and external causes representing the lowest proportion at 3.6%. A detailed analysis of ICD-10 chapters indicated that diseases of the respiratory system were most prevalent (20%), closely followed by musculoskeletal and connective tissue disorders (17%). Other significant conditions included those of the nervous and digestive systems, each at 10%. The study further identified key factors linked to these patterns: an increased risk of NCDs was associated with age ≥ 80 years and urban residence, while communicable diseases were more likely among rural residents admitted between June and November. Additionally, age ≥ 80 years and health insurance coverage were identified as risk factors for injuries and poisoning. These findings underscore the critical need for targeted healthcare strategies, particularly in managing chronic non-communicable conditions among the aging population. The insights gained are instrumental for My Duc General Hospital in optimizing resource allocation and developing tailored interventions to address the specific health needs of its elderly patients.