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Volume 7 Issue 9 (September, 2019)

Original Articles

Profile of mortality and related co morbidities at a tertiary care hospital in Northern India
Varsha Singh, Sanjay Kumar

Background: Morbidity and mortality statistics are an important resource for research and policy making in any country as it reflects on the public health status. Majority of the mortality in the medical wards occur within the first few days following admission. Factors such as age, sex, diagnosis, co-morbidities, social-economic factors and duration of hospital stay have been shown to affect mortality. There is a paucity of such studies in Bihar. Objective: To know the causes of mortality in the hospital and associated co morbidities of the cases. Study Design: A retrospective review of hospital based mortality records. Methodology: It was done by secondary data analysis from review of case files and medical records. The study included cases from March 2015 to August 2017. The files of patients who had died at the hospital following admission during above period were reviewed .The purpose of this study was to determine the overall mortality and disease specific mortality at the hospital. Results: A total of 978 files of hospital based mortality were reviewed. The mean age of the cases was 52.9 years. (Range <1 -98 years). Total 621 (63.4%) were males and 357 (36.5%) were females. All the cases were residents of Bihar. Chronic Kidney disease was present in 10.3% of cases. Hepatitis B was positive in 3.9% of cases. HIV was positive in 0.26% of cases. Nearly 30% cases had hypertension and 11.9% cases had diabetes. Prevalence of diabetes was higher among cases of chronic kidney disease than all other cases combined (p<.001). Total 45 cases had both diabetes and hypertension. Minimum duration of stay was less than 1 day (range 1-35). Maximum no of death occurred within 1 day of admission. Mortality was highest for cases admitted under general medicine followed by neuromedicine, nephrology, cardiology and Oncology. Key words- Mortality, Morbidity, comorbidities, disease specific mortality, Hospital based mortality, HIV.

 
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