What are the contents of the cause of death diagnosis sheet in Vietnam? What role does cause-of-death data play in national population and health policy formulation?
Do cause-of-death data play an important role in the formulation of national population and health policy?
Pursuant to subsection 1, Section A of the Guidelines issued together with Decision 1921/QD-BYT in 2022 of the Ministry of Health, the important roles of cause-of-death data are outlined as follows:
“A. THE CONCEPT OF DEATH AND CAUSE OF DEATH
1. Importance of cause-of-death data:
Cause of death (NNTV) data is an integral part of vital registration data, which plays an important role in determining health priorities, formulating national population and health policy. assess the effectiveness of health intervention programs at the national level, and improve the quality of diagnosis and treatment in health care facilities.”
Accordingly, cause-of-death data plays an important role in determining health priorities, formulating national health and population policies, and evaluating the effectiveness of health interventions and programs. improve the quality of diagnosis and treatment.
What are the contents of the cause of death diagnosis sheet in Vietnam? What role does cause-of-death data play in national population and health policy formulation?
What are the most common causes of death in these patients?
Pursuant to subsection 3, Section A of the Guidelines issued together with the Decision 1921/QD-BYT in 2022 of the Ministry of Health, the concept of death and the concepts related to the cause of death are given as follows:
- The concept of death: Death or death (death) is the irreversible cessation of all vital activities of a body including cardiac arrest, respiratory arrest and loss of consciousness. Differentiate between clinical death as the termination but potentially reversible, complete death as the breakdown of tissues and cells of the whole body.
Cause of death: is a medical condition, injury, or circumstance, accident, or poisoning that causes injury that directly or indirectly leads to death.
Underlying cause of death:
+ Is a medical condition, injury or event that initiates a chain of events leading to the patient's death; or circumstances, accidents or violence that cause illness, injury or death.
The primary cause of death (also known as the root cause) is defined as a disease, injury or event without which the patient would not have died.
- Intermediate cause of death: The pathological condition closest to death before causing circulatory arrest, respiratory arrest, brain death, for example: septic shock; Traumatic shock; Brain hemorrhage.
- Intermediate cause of death: It is a medical condition, a complication that occurs between the main cause of death and the direct cause of death.
- The sequence of pathology and events leading to death: is the sequence of events arranged by time and clinical course of causes of death from occurrence to death but according to the principle of direct cause of death (closer to death). with the most deaths) in the first place, the main causes of death at the bottom, the intermediate causes of death in the middle. In case there is only 1 cause of death, that is the main cause of death; In cases where there are multiple causes of death, the cause that initiates the sequence of events, the pathological cause of death is the main cause.
Contributing causes of death are circumstances, pathologies, health conditions, circumstances that increase the risk, or cause complications, but do not participate. directly into the chain of fatal events: alcoholism, chronic diseases such as diabetes, hypertension, chronic kidney failure, etc.
Mode of death is the manifestation of death: cardiac arrest, respiratory arrest, brain death, etc.
Physicians should pay attention when diagnosing the cause of death to avoid recording death patterns such as "cardiac arrest", "breathing arrest", "brain death", which may differ from the way in which the records are recorded. death herb.
Manner of death:
A legal factor, the circumstances that create the cause of injury or disease leading to death. There are 5 ways to determine death: due to disease (natural course of disease, including age); due to accidents (life accidents, work accidents); suicide (intentional self-harm, intentional self-poisoning); due to murder (criminal), murder (not illegal) due to the performance of official duties; or unidentified (in case only the body is detected but the method of death cannot be determined).
+ The exact method of death is also related to the benefits of some types of insurance.
- Mechanism of death: A pathological and physiological mechanism leading to a direct cause of death, for example, cerebral infarction (due to) malignancy (due to) radioactive contamination ( do) intentionally poisoning . In this case, the mechanism of death is cerebral infarction, the mode of death is murder.
What parts will the cause of death diagnosis sheet in Vietnam include?
Pursuant to subsection 4, Section A of the Guidelines promulgated together with the Decision 1921/QD-BYT in 2022 of the Ministry of Health, guiding the contents of the cause-of-death diagnosis sheet in Vietnam as follows:
“A. THE CONCEPT OF DEATH AND THE CAUSE OF DEATH
…
4. Card of diagnosis of cause of death
Promulgated together with Circular 24/2020/TT-BYT dated December 28, 2020 on regulations on diagnosis of causes of death, issuance of death notices and death statistics at medical examination and treatment establishments. It is a form according to the guidelines of the World Health Organization (WHO).
The content of the cause of death diagnosis form consists of 3 parts:
Administrative information: the most important is age, gender, address for statistics of deaths, receiving and polling health care facilities, place of death: at medical facility, death on the way to hospital health facility, prognosis of death at home or at home.
Part A: Medical information regarding cause of death.
+ Section 1, part A: record the series of fatal events.
+ Section 2, part A: risk factors, diseases contributing to death.
Part B: Some information related to death such as form of death, additional information in some cases of death from external causes, maternal death, neonatal death.
In addition, for some specific causes of death, depending on statistical purposes, some additional information needs to be recorded, for example, for deaths due to COVID-19 it is necessary to collect more information about vaccination status. -please, the antiretroviral drugs used.”
Thus, the form of diagnosis of the cause of death will include 3 parts: administrative information; medical information regarding the cause of death; some information related to death such as form of death, additional information in some cases of death from external causes, maternal death, neonatal death.
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