scholarly journals An observational study on pattern of mortalities as per ICD-10 classification system in a tertiary care hospital in India

2021 ◽  
Vol 12 (10) ◽  
pp. 69-74
Author(s):  
Chinmay Nandi ◽  
Kaushik Mitra ◽  
Dipankar Bhaumik ◽  
Shamik Parna Paul
Keyword(s):  
Observational Study ◽  
Cause Of Death ◽  
Tertiary Care ◽  
Communicable Diseases ◽  
Policy Formulation ◽  
Care Hospital ◽  
Mortality Pattern ◽  
Non Communicable Diseases ◽  
Study Results ◽  
Icd 10

Background: Records of vital events like death constitute an important component of the Health Information System. Patterns of mortality decline that occur with the demographic transition is a change in the distribution of deaths by cause away from a pattern dominated by communicable diseases toward one in which non-communicable diseases account for the overwhelming majority of deaths. Aims and Objective: To identify the mortality pattern in Burdwan Medical College as per ICD-10 classification in the year 2017.The study also evaluated socio-demographic distribution and causes of deaths during that period. Materials and Methods: It was an Institution based retrospective observational study. Complete enumeration of all hospital records of medically certified deaths of in-patients from different departments except the Paediatrics who died in 2017 was done. The underlying cause of death was classified according to I.C.D 10th revision, version 16. Information collected included also the demographic characteristics like age, gender, date of admission, place of residence and date of death for the study. Results: In this study, most of the deaths were seen in males (59.99%), with a sex ratio of female to male deaths to be 667 per thousand. The major proportion of deaths was in the age group of 55 to 64 years (23.53%). The percentage distribution of ten major cause groups of death for the period from January to December during 2017 reveals that the group “Diseases of the Circulatory System” had occupied the position of the top-most killer and it had maintained the trend throughout the year with the highest rate in the month of March (43.9%). The cause of death was more in Non-Communicable diseases (Chapter IX, Chapter XIX) compared to that of Communicable diseases. Conclusion: Procedures for death certification and coding of underlying causes of death need to be streamlined to improve reliability of registration data needed for epidemiological research or public health policy formulation.

scholarly journals Relationship between trajectories of post-stroke disability and self-rated health (NeuroAdapt): protocol for a prospective observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e049944
Author(s):  
Sarah K Schäfer ◽  
Robert Fleischmann ◽  
Bettina von Sarnowski ◽  
Dominic Bläsing ◽  
Agnes Flöel ◽  
...  
Keyword(s):  
Observational Study ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
Functional Health ◽  
Care Hospital ◽  
Duration Of Symptoms ◽  
Post Stroke ◽  
Self Rated Health ◽  
Modifying Factors ◽  
Study Results

IntroductionStroke is the leading neurological cause of adult long-term disability in Europe. Even though functional consequences directly related to neurological impairment are well studied, post-stroke trajectories of functional health according to the International Classification of Functioning, Disability and Health are poorly understood. Particularly, no study investigated the relationship between post-stroke trajectories of activities of daily living (ADL) and self-rated health (SRH). However, such knowledge is of major importance to identify patients at risk of unfavourable courses. This prospective observational study aims to investigate trajectories of ADL and SRH, and their modifying factors in the course of the first year after stroke.Methods and analysisThe study will consecutively enrol 300 patients admitted to a tertiary care hospital with acute ischaemic stroke or transient ischaemic attack (TIA; Age, Blood Pressure, Clinical Features, Duration of symptoms, Diabetes score ≥3). Patient inclusion is planned from May 2021 to September 2022. All participants will complete an interview assessing ADL, SRH, mental health, views on ageing and resilience-related concepts. Participants will be interviewed face-to-face 1–5 days post-stroke/TIA in the hospital; and will be followed up after 6 weeks, 3 months, 6 months and 12 months via telephone. The 12-month follow-up will also include a neurological assessment. Primary endpoints are ADL operationalised by modified Rankin Scale scores and SRH. Secondary outcomes are further measures of ADL, functional health, physical activity, falls and fatigue. Views on ageing, social support, resilience-related concepts, affect, frailty, illness perceptions and loneliness will be examined as modifying factors. Analyses will investigate the bidirectional relationship between SRH and ADL using bivariate latent change score models.Ethics and disseminationThe study has been approved by the institutional review board of the University Medicine Greifswald (Ref. BB 237/20). The results will be disseminated through scientific publications, conferences and media. Moreover, study results and potential implications will be discussed with patient representatives.Trial registration numberNCT04704635.

scholarly journals SURVEILLANCE OF MORTALITY: FROM A TERTIARY CARE TEACHING HOSPITAL OF EASTERN INDIA IN PERSONS WITH AND WITHOUT DIABETES MELLITUS

2017 ◽  
Vol 10 (6) ◽  
pp. 87
Author(s):  
Shobhitendu Kabi ◽  
Shrikant Kumar Dhar ◽  
Baikuntha Nath Panda ◽  
Chandan Das ◽  
Kamal Kant Jena ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Cause Of Death ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Eastern India ◽  
Mortality Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
The World

Objective: There is abundant knowledge about the gravity of global load of diabetes mellitus (DM). There are conflicting reports on the cause of death from different parts of the world. In India, there are not enough studies to establish the cause of death in DM. To find out the mortality pattern in DM and non-DM (NDM) in a tertiary care teaching hospital in Eastern India.Methods: Retrospective analysis of in-hospital mortality in a tertiary care hospital in Eastern India, from January 2012 to December 2015.Results: There were a total of 1590 deaths of which 442 were having DM and 1148 did not have DM (NDM). Mean age of death for nondiabetics was 66.4 years (M:F = 67.5:65.3) and that for diabetics were 62.7 years (M:F = 63.5:60.04) which was not statistically significant (p=0.9) though diabetics died younger by 4 years. On analyzing the specific cause of death, coronary artery disease (CAD) was 14.71% in DM and 1.57% in NDM (p=0.0001). Chronic kidney disease (CKD) was 18.55% in DM and 1.92% in NDM (p=0.0001). Congestive heart failure was 7.27% in DM and 1.83% in NDM (p=0.0001). CVA was 13.57% in DM and 1.66% in NDM (p=0.0001). Infection was the most common cause of death (39.37%) in DM, but in NDM also this was quite high 34.41% (p=0.21). The death due to CVA in DM was more in hemorrhage as compared to ischemic (p=0.00001).Conclusion: We found causes of death in DM were an infection, CKD, CAD, CVA, and CHF in descending order in this part of the world. The diabetes patients had lesser hospital stay than nondiabetes patients (p=0.009).

scholarly journals Burden of Non-Communicable Diseases at a Tertiary Care Hospital of Central Uttar-Pradesh: A Retrospective Study

2018 ◽  
Vol 08 (04) ◽  
pp. 102-108 ◽  
Author(s):  
Sham Kumar Gupta ◽  
Mahima   ◽  
Badri Narayan Mishra ◽  
Sandip Kumar ◽  
Kiran Krishnappa ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Communicable Diseases ◽  
Care Hospital ◽  
Non Communicable Diseases

scholarly journals Morbidity profile of communicable diseases in a tertiary care hospital of Chandrapur, Maharashtra

2018 ◽  
Vol 5 (3) ◽  
pp. 1177
Author(s):  
Shital S. Dhoble ◽  
Devishri P. Atram ◽  
Sanjay S. Kubde ◽  
Anil Naitam
Keyword(s):  
Developing Countries ◽  
Tertiary Care Hospital ◽  
Monsoon Season ◽  
Tertiary Care ◽  
Communicable Diseases ◽  
Care Hospital ◽  
Double Burden ◽  
Geriatric Population ◽  
Icd 10 ◽  
Surveillance Programs

Background: Worldwide, developed and developing countries are facing the double burden of communicable and non-communicable diseases. However, developing countries like India is more exposed and vulnerable due to multitude of factors. Objectives were to study the morbidity patterns of communicable diseases of indoor patients at tertiary care hospital and find out the seasonal distribution of the communicable diseases.Methods: A retrospective study was done over a period of 1 year from April 2016 to March 2017. 4766 admitted patients of communicable diseases were included using universal sampling method. Diagnosis was categorized as per International classification of Disease (ICD) 10 classification. Data was analyzed using spss 16.Results: Out of the total 4766 admitted patients, 62% were females and 38% were males. 56.40% patients admitted in the most productive age group (15-45 years) followed by 14.35% and 8.06% geriatric population and under 5 children respectively. Peak in admission was seen in monsoon season (July to Sept.). 34.54% patients were admitted for bacterial cause followed by 30.03% acute gastroenteritis (AGE). AGE, viral fever, malaria were more commonly seen in female while typhoid, measles, tuberculosis were more commonly seen in male.Conclusions: Many diseases have a seasonal variation and the burden of these diseases could be reduced if we take measures to detect the changes in their trend through the implementation of surveillance programs. 

scholarly journals “PREVALENCE OF ISOLATED HYPERTENSION AMONG ELDERLY PATIENTS ATTENDING PERIPHERAL HEALTH CENTRE OF TERTIARY CARE HOSPITAL OF INDIA.”

2019 ◽  
Vol 3 (12) ◽  
Author(s):  
Munish Kumar Sharma ◽  
Neeraj Gour ◽  
Sanjay Choudhary ◽  
N K Goel ◽  
Deepak Sharma ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Rural Health ◽  
Tertiary Care Hospital ◽  
Health Centre ◽  
Tertiary Care ◽  
Communicable Diseases ◽  
Care Hospital ◽  
Cross Sectional ◽  
Training Centre ◽  
Non Communicable Diseases

Background: In this modern era, chronic non communicable diseases (NCDs) are a major global health challenge with numerous grave complications on the human body. Old age population tends to carry risk of almost all kind of diseases including non communicable diseases. Hypertension is one of biggest well known risk factor for many of non-communicable diseases usually found in the outdoor patients. Method:  This cross sectional study was undertaken to provide the data on the Prevalence & Pattern of hypertension amongst patients who were aged 60 years & above and who attended the Out Patients Department of the Rural Health & Training Centre of tertiary care hospital of Chandigarh city of India. Results: Majority of patients belonging to age group 60-69 years were found to be diastolic hypertensive (24.46%). Majority of male patients were found to be diastolic hypertensive (28.43%) (P< 0.05). More of less same trend was found among female patients. Conclusion: Hypertension was found to be highly prevalent among the outdoor elderly patients of Rural Health & Training Centre of Chandigarh, India. This study warrants the need of an early detection of hypertension, which can be accomplished by a periodic screening of the people. Keywords: Hypertension; Elderly; India.

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