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Hung Manh Pham,1,2 Anh Phuong Nguyen,1,2 Huong Thi Thu Nguyen,3,4 Tam Ngoc Nguyen,3,4 Thanh Xuan Nguyen,3,4 Thu Thi Hoai Nguyen,3,4 Huong Thi Thanh Nguyen,5,6 Anh Trung Nguyen,3,4 Quang Ngoc Nguyen,1,2 Giang Song Tran,1 Huyen Thi Thanh Vu3,4 1Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, 100000, Vietnam; 2Department of Cardiology, Hanoi Medical University, Hanoi, 100000, Vietnam; 3Department of Geriatrics, Hanoi Medical University, Hanoi, 100000, Vietnam; 4Scientific Research Department, National Geriatric Hospital, Hanoi, 100000, Vietnam; 5Physiology Department, Hanoi Medical University, Hanoi, 100000, Vietnam; 6Dinh Tien Hoang Institute of Medicine, Hanoi, 100000, VietnamCorrespondence: Anh Phuong Nguyen, Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, 100000, Vietnam, Tel +84 989314464, Email npa6@bachmai.edu.vn

Hung Manh Pham,1,2 Anh Phuong Nguyen,1,2 Huong Thi Thu Nguyen,3,4 Tam Ngoc Nguyen,3,4 Thanh Xuan Nguyen,3,4 Thu Thi Hoai Nguyen,3,4 Huong Thi Thanh Nguyen,5,6 Anh Trung Nguyen,3,4 Quang Ngoc Nguyen,1,2 Giang Song Tran,1 Huyen Thi Thanh Vu3,4 1Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, 100000, Vietnam; 2Department of Cardiology, Hanoi Medical University, Hanoi, 100000, Vietnam; 3Department of Geriatrics, Hanoi Medical University, Hanoi, 100000, Vietnam; 4Scientific Research Department, National Geriatric Hospital, Hanoi, 100000, Vietnam; 5Physiology Department, Hanoi Medical University, Hanoi, 100000, Vietnam; 6Dinh Tien Hoang Institute of Medicine, Hanoi, 100000, VietnamCorrespondence: Anh Phuong Nguyen, Vietnam National Heart Institute, Bach Mai Hospital, Hanoi, 100000, Vietnam, Tel +84 989314464, Email npa6@bachmai.edu.vnPurpose: The aim of this study was to explore the impact of frailty on in-hospital adverse outcomes and net adverse clinical events (NACE) in older patients with acute coronary syndrome.Patients and Methods: This observational study included elderly patients (≥ 60 years old), diagnosed with acute coronary syndrome (ACS) at admission from February 2021 to August 2021. The primary outcome was net adverse clinical events (NACE) defined as a composite of all-cause mortality, stroke, and major bleeding. Secondary outcome was in-hospital adverse outcomes including arrhythmia, acquired pneumonia, stroke, major bleeding, and all-cause mortality. Frailty was assessed using the Frail scale (FS). Data about socio-demographics, comorbidities, body mass index, ACS type, coronary angiography, left ventricular ejection fraction, and length of hospital stay were also collected. Univariate and multivariate logistic regressions were employed to identify the potential association between frailty and outcomes.Results: Of the 116 ACS patients, 38 patients were frail (32.76%). Frail subjects were more often female (50%) and older (p < 0.01) and ha

Anh Trung Nguyen,1,2 Anh Kim Dang,3 Huong Thi Thu Nguyen,1,2,4 Thanh Xuan Nguyen,1,2 Tam Ngoc Nguyen,1,2 Thu Thi Hoai Nguyen,1,2 Thang Pham,1,2 Anh Lan Nguyen,1,2 Thuy Thi Ngoc Nguyen,1 Hien Nguyen Thi,5,6 Trang Ha Nguyen,5,6 Son Hoang Nguyen,7 Bach Xuan Tran,3,8 Carl Latkin,8 Roger CM Ho,9,10 Cyrus SH Ho,11 Huyen Thi Thanh Vu1,2 1Department of Geriatrics, Hanoi Medical University, Hanoi, 100000, Vietnam; 2Scientific Research Department, National Geriatric Hospital, Hanoi, 100000, Vietnam; 3Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, 100000, Vietnam; 4Dinh Tien Hoang Institute of Medicine, Hanoi, 100000, Vietnam; 5Institute for Global Health Innovations, Duy Tan University, Da Nang, 550000, Vietnam; 6Faculty of Nursing, Duy Tan University, Da Nang, 550000, Vietnam; 7Center of Excellence in Health Services and System Research, Nguyen Tat Thanh University, Ho Chi Minh, 700000, Vietnam; 8Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, 21205, USA; 9Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 119228, Singapore; 10Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, 119228, Singapore; 11Department of Psychological Medicine, National University Hospital, Singapore, 119228, SingaporeCorrespondence: Anh Trung NguyenGeriatrics Department, Hanoi Medical University, No 1 Ton That Tung, Dong Da, Hanoi, 100000, VietnamTel +84 903480774Email trunganhvlk@gmail.comBackground: Nurses play a pivotal role in pain management. Knowing more about nurses’ knowledge and attitudes regarding pain is important as we develop multidisciplinary pain services. Therefore, this study aimed to assess knowledge and attitudes regarding pain management among nurses in a geriatric hospital and its associated factors.Subjects and Methods: A survey was conducted of nurses worked at the National Geriatric

Xuan Thi Dang,1,2 Thanh Xuan Nguyen,3– 5 Thu Thi Hoai Nguyen,3,4 Hung Tran Ha1,2 1Vietnam Poison Control Center, Bach Mai Hospital, Hanoi, 100000, Vietnam; 2Department of Emergency and Critical Care Medicine, Hanoi Medical University, Hanoi, 100000, Vietnam; 3Geriatrics Department, Hanoi Medical University, Hanoi, 100000, Vietnam; 4Scientific Research Department, National Geriatric Hospital, Hanoi, 100000, Vietnam; 5Dinh Tien Hoang Institute of Medicine, Hanoi, 100000, VietnamCorrespondence: Xuan Thi DangVietnam Poison Control Center, Bach Mai Hospital, Hanoi, 100000, VietnamTel +84 912260366Email xuandangthi@bachmai.edu.vnBackground: Snakebite envenoming is a potentially life-threatening condition and causes many serious consequences.Subjects and Methods: Therefore, this study aimed to throw some light on coagulopathy after Viperidae envenomations at Vietnam Poison Control Center and the relationship between coagulopathy and time of admission. A prospective, descriptive study was conducted from October 2016 to April 2018. The survey questionnaire included socio-economic characteristics, characteristics of snakebite, signs and clinical symptoms and blood test. Disseminated intravascular coagulation (DIC) condition was diagnosed using the International Society on Thrombosis and Haemostasis (ISTH) criteria. Rotational thromboelastometry was evaluated using ROTEM® delta system.Results: A total of 41 cases of viper snakebite with the mean age of snakebite victims were 41.27 ± 14.72 years old. Mean hospital stay of the patients was 5.63± 3.29 days. The association between coagulation disorder and clotting time (CT) EXTEM prolonged, CT INTEM prolonged, CT FIBTEM prolonged remained significant (multivariable odds ratio MOR=5.81, 95% CI: 1.20– 28.06; MOR= 9.32, 95% CI: 1.001– 84.48; MOR=5.55, 95% CI: 1.12– 27.50, respectively).Conclusion: This study indicates a hypocoagulation status in ROTEM, elevated in

Huyen Thi Thanh Vu,1,2 Hue Thi Mai,3 Huong Thi Thu Nguyen,1,2 Thu Thi Hoai Nguyen,1,2 Thanh Xuan Nguyen,1,2,4 Tam Ngoc Nguyen,1,2 Thang Pham,1,2 Lan Thi Mai Nguyen,1 Giang Thu Vu,5 Hai Quang Pham,6,7 Hai Thanh Phan,6,7 Bach Xuan Tran,3,8 Carl A Latkin,8 Cyrus SH Ho,9 Roger CM Ho,6,10,11 Anh Trung Nguyen1,2 1Department of Geriatrics, Hanoi Medical University, Hanoi, Vietnam; 2Scientific Research Department, National Geriatric Hospital, Hanoi, Vietnam; 3Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam; 4Dinh Tien Hoang Institute of Medicine, Hanoi, Vietnam; 5Center of Excellence in Evidence-Based Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam; 6Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam; 7Faculty of Medicine, Duy Tan University, Da Nang, Vietnam; 8Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; 9Department of Psychological Medicine, National University Hospital, Singapore, Singapore; 10Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; 11Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, SingaporeCorrespondence: Huong Thi Thu NguyenScientific Research Department, National Geriatric Hospital, 1A Phuong Mai - Dong Da, Hanoi 100000, VietnamTel +84 973056334Email thuhuonglk@hmu.edu.vnPurpose: The high prevalence of chronic pain and difficulties in pain management in older people are challenging for healthcare providers globally. Patient satisfaction regarding pain management is one of the measures to assess efficacy of pain control as well as healthcare services. Thus, our study aimed to evaluate the older patients’ satisfaction with pain management and its associated factors in Vietnam.Patients and Methods: A cross-sectional study was conducted at National Geriatric Hospital, Hanoi, Vietnam from May to

Anh Trung Nguyen,1,2 Hai Quang Pham,3,4 Thanh Xuan Nguyen,1,2,5 Thu Thi Hoai Nguyen,1,2 Huong Thi Thu Nguyen,1,2 Tam Ngoc Nguyen,1,2 Dung Thi Kim Dinh,1 Hai Thanh Phan,3,4 Son Hoang Nguyen,6 Bach Xuan Tran,7,8 Carl A Latkin,8 Roger CM Ho,9,10 Cyrus SH Ho,9 Thang Pham,1,2 Huyen Thi Thanh Vu1,2 1Hanoi Medical University, Hanoi, Vietnam; 2National Geriatric Hospital, Hanoi, Vietnam; 3Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam; 4Faculty of Medicine, Duy Tan University, Da Nang 550000, Vietnam; 5Dinh Tien Hoang Institute of Medicine, Hanoi, Vietnam; 6Center of Excellence in Health Services and System Research, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam; 7Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi 100000, Vietnam; 8Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA; 9Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; 10Institute for Health Innovation and Technology (iHealthtech), National University of Singapore, Singapore, SingaporeCorrespondence: Huyen Thi Thanh VuDepartment of Geriatrics, Hanoi Medical University, 01 Ton That Tung, Hanoi, VietnamTel +84 913531579Email vuthanhhuyen11@hmu.edu.vnBackground: Diabetes-related complications have become increasingly prevalent and complicated to manage, especially among frail older adults with co-morbidities, poor physical function, and impaired cognition. Thus, knowledge, attitude, and practice (KAP) of elderly diabetic patients play an essential role in controlling the disease and its complications.Patients and Methods: A cross-sectional study was conducted on 176 diabetic patients at the outpatient clinics, National Geriatric Hospital, Hanoi, Vietnam from August to November 2015. Patients’ knowledge, attitude, and practice regarding diabetes mellitus were assessed using a structured questionnaire. Exploratory factor analysis and

Thu Thi Hoai Nguyen,1–3 Huyen Thi Thanh Vu,1,3 Tam Ngoc Nguyen,1,3 Huyen Thi Dao,3 Thanh Xuan Nguyen,1,3 Huong Thu Thi Nguyen,1,3 Anh Kim Dang,4 Anh Trung Nguyen,1,3 Thang Pham,1,3 Giang Thu Vu,5 Bach Xuan Tran,6,7 Carl A Latkin,7 Cyrus SH Ho,8 Roger C Ho9,101National Geriatric Hospital, Hanoi, Vietnam; 2Dinh Tien Hoang Institute of Medicine, Hanoi, Vietnam; 3Hanoi Medical University, Hanoi, Vietnam; 4Institute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam; 5Center of Excellence in Evidence-based Medicine, Nguyen Tat Thanh University, Ho Chi Minh city, Vietnam; 6Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam; 7Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; 8Department of Psychological Medicine, National University Hospital, Singapore, Singapore; 9Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam; 10Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, SingaporePurpose: Nutritional status is an important element for the wellness among older diabetic outpatients. This study aimed to assess the nutritional status of the older diabetic outpatient by using the Mini-Nutrition Assessment Short Form (MNA-SF) tool, and describe the relationship among related factors in older diabetic outpatients in the National Geriatric Hospital, Hanoi, Vietnam.Patients and methods: A cross-sectional study was conducted from June to September 2015 in the National Geriatric Hospital. A total of 158 diabetic patients aged ≥60 years at the Outpatient Department were included in this study. Patients were interviewed face-to-face to evaluate their nutritional status by using the MNA-SF. Socio-demographic, diabetic treatment information, frailty, exhaustion, cognitive function, hand grip strength and 4 m walk test were collected. Multivariate regression was used to determine facto