PATTERNS OF MORTALITY AMONG ADMITTED PATIENTS IN A TERTIARY CARE CENTRE IN NORTH INDIA.

Main Article Content

Dr. Henna Naqash Dr.Mohammad Hayat Bhat Professor Parvaiz Ahmad Shah

Abstract

Background

The mortality patterns among admitted patients in a hospital setting can reflect the overall burden of disease in a particular community although it does not provide an actual reflection of the situation.

Objective

To determine the etiology of mortality in admitted patients in a tertiary care hospital.

Material and methods

The study was carried prospectively in admitted patients over a period of 20 months. All patients who were admitted in the hospital during this time period who died due to one or the other cause were included in the study. The information obtained included age, sex, residence , diagnosis, reason for admission, duration of hospital stay and the possible cause of death.

Results

A total of 206 patients died over 20 months study period. Out of these, 112 (54.36% ) were males and 94 (45.63%) were females. Maximum deaths occurred in the age group 40-69 years (45.64%) followed by age group  > 70 years (40.77%).91 patients (44.17%) died of infections. Most common infections in the studied patients were pneumonias (48.34%)  followed by urinary tract infections (13.18%). Renal failure was seen in 68 (33%) patients. 33 (16.01%) died of myocardial infarction and 25 (12.13%) patients died of strokes. Maximum number of patients who died were in hospital for < 5 days that comprised of 123 (59.70%) patients.

Conclusion

The leading cause of death in this tertiary care hospital is infections followed by renal failure and ischemic heart disease.

Article Details

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References

1.Corrigan JM, Donaldson MS, Kohn LT, Institution of medicine: shaping the future for health. To err is human: building a safer health system. Washington, DC: National academy press; 1999. IOM document repository, last accessed on 15/11/ 2010.
2.Ben-Tovim D, Woodman R, Harrison JE, Pointer S, Hakendorf P, Hen-ley G. Measuring and reporting mortality in hospital patients. Can-berra: Australian: Institute of Health and Welfare; 2009. Cat. No. HSE 69.
3.Caballero PP, García JJC, Ojesto AG, Arrieta NR-G, Fernández CS, Galán CDA. Early mortality in a tertiary care hospital: analysis of quality of care. Emergencias. 2011;23:430–436.
4.Ayrton J, Attwood D, Kuron LD. A Retrospective Analysis of Mortality Distribution in Juba Teaching Hospital, Southern Sudan. SSMJ. 2008;2(1) last accessed on 15/11/ 2012.
5.Freemantle N. Weekend hospitalization and additional risk of death: An analysis of inpatient data. J R Soc Med. 2012. pp. 1–11.
6.Walsh B, Roberts HC, Nicholl PG. Features and outcomes of unplanned hospital admissions of older people due to ill-defined (R-coded) conditions: Retrospective analysis of hospital admissions data in England. BMC Geriatrics. 2011;11(62):1–7.
7.Sani MU, Mohammed AZ, Bapp A, Borodo MM. A three year review of mortality patterns in the medical wards of Aminu Kano Teaching hospital, Kano, Nigeria. Niger Postgrad Med J 2007;14:347-51.
8.Adeolu AA1, Arowolo OA, Alatise OI, Osasan SA, Bisiriyu LA, Omoniyi EO, et al. Pattern of death in a Nigeria teaching hospital; 3 decade analysis. Afr Health Sci 2010;10:266-72.
9. Iliyasu Z, Abubaka IS, Gajida AU.Magnitude and leading causesof in-hospital mortality at Aminu Kano Teaching Hospital Kano, northern Nigeria. A 4-year prospective analysis. Niger JMed 2010;19:400-6.
10.Salimuddin A, Areeba E, Syed EA. Mortality pattern in a trust hospital: A hospital based study in Karachi. J Pak Med Assoc 2013;63:1031-5.
11.Adekunle O, Olatund 1O, Abdullateef RM. Causes and pattern of death in a tertiary health institution in South Western Nigeria. NigerPostgrad Med J 2008;15:247-50.

12. Einterz EM, Bates M. Causes and circumstances of death in a district hospital in northern Cameroon, 1993-2009. Rural Remote Health 2011;1:1623.

13.Coca SG, Singanamala S, Parikh CR. Chronic kidney disease after acute kidney injury : a systematic review and meta analysis. Kidney Int. 2012; 81:442-8.
14.Bradshaw D, Pillay-Van WV, Laubscher R, Nojilana B, Groenewald P, Nannan N, Metcalf C. Cause of death statistics for South Africa: Challenges and possibilities for improvement. 2010. (Burden of Disease Research Unit).
15.Caballero PP, García JJC, Ojesto AG, Arrieta NR-G, Fernández CS, Galán CDA. Early mortality in a tertiary care hospital: analysis of quality of care. Emergencias. 2011;23:430–436.
16.Misganaw A, HaileMariam D, Araya T, Ayele K. Patterns of mortality in public and private hospitals of Addis Ababa, Ethiopia. BMC Public Health. 2012;12:1007. doi: 10.1186/1471-2458-12-1007.
17.Fadare JO, Afolabi AO. The pattern of medical mortalities in a specialist hospital in North-central Nigeria. Annals of Ibadan Postgraduate Medicine. 2010;8(2):101–105.
18.Adeolu AA, Arowolo OA, Alatise OI, Osasan SA, Bisiriyu LA, Omoniyi EO, Odesanmi WO. Pattern of death in a Nigerian teaching hospital; 3-decade analysis. African Health Sciences.2010;10(3):266–272.
19. Statistics and Information Department. Summary of vital statistics. Tokyo 2001.
20.Seval A, Chalapati R, Nazan Y, Berrak BB, Ozlem A et al. Estimating mortality and causesof death in Turkey: Methods, results and policy implications. Eur J Public Health 2007;17:593-599.
21.Chijioke A, Kolo PM. Mortality Pattern at the Adult Medical Wards of a Teaching Hospital in Sub-Saharan Africa. International Journal of Tropical Medicine. 2009;4(1):27-31.

22. Murray CJL, Lopez AD: The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020. Cambridge, MA: Published by the Harvard School of Public Health on behalf of the World Health Organization and the World Bank. Distributed by Harvard University Press; 1996.
23. Sans S, Kesteloot H, Kromhout D. The burden of cardiovascular disease mortality in Europe. Task Force of the European Society of Cardiovascular Mortality and Morbidity Statistics in Europ. Eur Heart J 1997; 18: 1231-48.

24. Kesteloot H, Sans S, Kromhout D. Evolution of all causes and cardiovascular mortality in the age group 75-84 years in Europe during the period 1970-1996; A comparison with worldwide changes. Eur Heart J 2002; 23: 384-98.