Evidence map›Paper›PMID 34327342›Full record

ArticleThe Lancet regional health. Western Pacific2021

Respiratory complications after surgery in Vietnam: National estimates of the economic burden.

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 and 3 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Lancet regional health. Western Pacific, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 57% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Bui My HanhHanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.
Khuong Quynh LongHanoi University of Public Health, 1A Duc Thang, North Tu Liem, Hanoi, 100000, Vietnam.
Le Phuong AnhBrandeis University, 415 South Street, Waltham, MA, 02453, USA.
Doan Quoc HungHanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.
Duong Tuan DucVietnam Social Insurance, 7 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam.
Pham Thanh VietCho Ray Hospital, 201B Nguyen Chi Thanh, District 5, Ho Chi Minh City, 70000, Vietnam.
Tran Tien HungVietnam Social Insurance, 7 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam.
Nguyen Hong HaHanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.
Tran Binh GiangViet Duc Hospital, 33 Trang Thi, Hoan Kiem, Hanoi, 100000, Vietnam.
Duong Duc HungBach Mai Hospital, 33 Giai Phong, Dong Da, Hanoi, 100000, Vietnam.
Hoang Gia DuBach Mai Hospital, 33 Giai Phong, Dong Da, Hanoi, 100000, Vietnam.
Dao Xuan ThanhHanoi Medical University Hospital, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.
Le Quang CuongHanoi Medical University, 1 Ton That Tung, Dong Da, Hanoi, 100000, Vietnam.
Hanoi Medical University · VNBạch Mai Hospital · VNBrandeis University · USCho Ray Hospital · VNHanoi Medical University Hospital · VNHanoi University · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstimating 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.

methodsWe 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.

findingsPostoperative 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.

interpretationThe 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.

fundingThe authors did not receive any funds for conducting this study.

Indexed as

Economic burdenOutpatient visitsPostoperative respiratory complicationsRe-hospitalizationVietnam

Identifiers

PMID34327342
PMCPMC8315662
OpenAlexW3137237639

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.