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Sainbayar, Altanchimeg

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Товч нэр
Sainbayar, Altanchimeg
Бүтэн нэр
Sainbayar Altanchimeg
Латин нэр
Sainbayar Altanchimeg
Албан тушаал
Судлаач
Харьяалал
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    Pattern and Predictors of Death in Hospitalized Adult Patients in Mongolia: A Nationwide Study
    (Mongolian National University of Medical Sciences, 2022-12-29)
    Altanchimeg Sainbayar
    ;
    Davaa Gombojav
    ;
    Ganbold Lundeg
    ;
    Naranpurev Mendsaikhan
    Objective: Hospital death patterns and predictors can illustrate the general image of certain parameters of the healthcare system. Studies related to the pattern of in-hospital deaths in Mongolia are lacking. Thus, we aimed to determine the patterns and predictors of death among hospitalized adult patients in Mongolia in 2020. Methods: Data from 86 hospitals providing inpatient care in Mongolia were used. 1795 hospital deaths from 296,083 hospital admissions were analyzed between the 1st of January and the 30th of June 2020. Results: The mean age of the participants was 56.3 ± 15.3 years, 59.4 % were male, and the median hospital stay was 2.2 days. In this study, weekend admission, urban setting, older age, and male gender were significant predictors of in-hospital death. Logistic regression analysis revealed that male gender and weekend admission were significant predictors of in-hospital death. In addition, people who died at different levels of hospitals were significantly different by residency. Conclusions: Mongolian rural people who have acute illness are rarely died in hospital settings. Weekend admission, male gender, and urban setting were independent significant predictors while between-subject-effect of male gender and urban setting was highest on in-hospital death.
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    Out-of-hospital deaths in Mongolia: a nationwide cohort study on the proportion, causes, and potential impact of emergency and critical care services
    (2023-10)
    Sainbayar, Altanchimeg
    ;
    Gombojav, Davaa
    ;
    Lundeg, Ganbold
    ;
    Byambaa, Boldbaatar
    ;
    Meier, Jens
    BACKGROUND: Little is known about the proportion and causes of out-of-hospital deaths in Mongolia. In this study, we aimed to determine the proportion and causes of out-of-hospital deaths in Mongolia during a six-month observation period before the COVID-19 pandemic. METHODS: In a retrospective study, the Mongolian National Death Registry was screened for all deaths occurring from 01 to 06/2020. The proportion and causes of out-of-hospital deaths, causes of out-of-hospital deaths likely treatable by emergency/critical care interventions, as well as sex, regional and seasonal differences in the proportion and causes of out-of-hospital deaths were determined. The primary endpoint was the proportion and causes of out-of-hospital death in children and adults. Descriptive statistical methods, the Fisher's Exact, multirow Chi2-or Mann-Whitney-U-rank sum tests were used for data analysis. FINDINGS: Five-thousand-five-hundred-fifty-three of 7762 deaths (71.5%) occurred outside of a hospital. The proportion of out-of-hospital deaths was lower in children than adults (39.3% vs. 74.8%, p < 0.001). Trauma, chronic neurological diseases, lower respiratory tract infections, congenital birth defects, and neonatal disorders were the causes of out-of-hospital deaths resulting in most years of life lost in children. In adults, chronic heart diseases, trauma, liver cancer, poisonings, and self-harm caused the highest burden of premature mortality. The proportion of out-of-hospital deaths did not differ between females and males (70.5% vs. 72.2%, p = 0.09). The proportion (all, p < 0.001; adults, p < 0.001; children, p < 0.001) and causes (adults, p < 0.001; children, p < 0.001) of out-of-hospital deaths differed between Mongolian regions and Ulaanbaatar. The proportion of out-of-hospital deaths was higher during winter than spring/summer months (72.3% vs. 69.9%, p = 0.03). An expert panel estimated that 49.3% of out-of-hospital deaths were likely treatable by emergency/critical care interventions. INTERPRETATION: With regional and seasonal variations, about 75% of Mongolian adults and 40% of Mongolian children died outside of a hospital. Heart diseases, trauma, cancer, and poisonings resulted in most years of life lost. About half of the causes of out-of-hospital deaths could be treated by emergency/critical care interventions. FUNDING: Institutional funding.
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