Causes of Mortality Among Patients Admitted in a Tertiary Hospital

2020 ◽  
Vol 8 (4) ◽  
pp. 12
Author(s):  
Hassan Soleimanpour ◽  
Neda Gilani ◽  
Shima Shekari ◽  
Javad Morsali ◽  
Kavous Shahsavarinia

Introduction: The analysis of causes of death in the hospital and identification and dealing with the causes of death, in one of the best strategies to increase longevity. This study, with the aim of better understanding of the causes of death and by taking into account all hospital wards, describes the causes of hospital mortality occurred in Sina educational and clinical hospital of Tabriz, in order to investigate demographic ,clinical and cause of death variables for each disease separately. Method: This study is done by the sectional descriptive method in 2018 in Sina educational and clinical hospital of Tabriz. This hospital is the most important center for admissions of poisoning and burns in the North West of Iran. For this purpose, after obtaining a license, records of all patients who are admitted to hospital since 21 March 2018 until 19 March 2019, were extracted from the archives center in an elective and emergency form. Demographic and clinical variables were extracted from records and recorded in the questionnaire. The sample in counting the mortality occurred during one year was 626 cases according to documentations, that 88 cases were eliminated from study due to containing incomplete information. The data were analyzed by descriptive tests and SPSS18. Findings: The mortality rate in this study was 1%. 56.5% of those who died were male. Most deaths occurred among patients of over 75 years old. Among the under-15 age group the highest mortality rate were for burns. The most common causes of mortality, were, respectively, burns (19.33%), cancer (16.86%), and infectious disease (16.57%) .Most deaths occurred in the special wards. In 61%, chronic and underlying diseases are reported. Conclusion: Since this hospital is the largest and most important teaching hospitals for burns, in the province, the most common causes of death in this study are result of burns. The high percentage of deaths from burns in children and young people shows the importance of informing the dangers of burn for preventing the occurrence of burns and control its effects.

2019 ◽  
Vol 72 (5) ◽  
pp. 1087-1091
Author(s):  
Valentyn M. Dvornyk ◽  
Inna V. Bielikova ◽  
Ludmyla M. Shylkina ◽  
Valentyna L. Filatova ◽  
Natalia M. Martynenko

Introduction: Saving and improvement of population’ health is one of the main priorities of the policy in any country. Studying of the level and causes of mortality is a powerful tool for assessing the effectiveness of health care systems. WHO recommends using of the European classification of preventable causes of death that based on three levels of prevention. The aim of this study is to compare the level and structure of mortality of the population of Ukraine and the Poltava region, to substantiate scientific approaches to the study and identification of those causes of death that can be prevented in order to formulate prevention programs at different level. Materials and methods: In research are used the information from the State Statistics Service of Ukraine and from the Center for Medical Statistics of the MoH of Ukraine. Review: Despite the positive dynamics of mortality in recent years, both in the Poltava region and in Ukraine, the indicators remain extremely negative. About 73.3% of all fatalities in Ukraine are three main types of causes cardiovascular diseases, external causes of death and neoplasms. In the Poltava region, 70.56% of all causes of death are due to cardiovascular disease; neoplasms occupy 13.88%; external causes - 4.87%; diseases of the digestive system - 3,06%; respiratory diseases - 1.31% of the causes of death. Conclusions: The mortality rate both in the Poltava region and in Ukraine has tendency for declines, but remains rather high. General trends in the structure of causes of death: in the first place are diseases of the cardiovascular system, the second - neoplasms, the third -external causes. Structuring of the causes of death that based on the principle of prevention in Ukraine do not conduct.


2008 ◽  
Vol 61 (9-10) ◽  
pp. 503-506
Author(s):  
Nevenka Roncevic ◽  
Aleksandra Stojadinovic

Introduction. Adolescents are the healthiest age group of the population but many studies show that period of adolescence is marked by significant morbidity and mortality. Health indicators of adolescent population have been getting worse during past decades. The aim of this study was to determine mortality rate of adolescents in the Republic of Serbia to determine most common causes of death in adolescence and to explore regional differences in adolescent mortality. Materials and methods: Documentation tables of vital statistics in the Republic of Serbia in 2004, and Documentation Tables of Census 2002 were used. The causes of mortality were classified according to ICD 10. Results and discussion. Specific morality rate in the Republic of Serbia is 32.08 on 100.000 adolescents. The leading causes of death in adolescence are injuries, malignancies and non specified causes, and there are significant regional differences, as well as gender and age differences. The mortality rate of male adolescents is about 2.4 times higher than the mortality rates in female adolescents. The mortality rate of older adolescents is significantly higher than mortality rate of younger adolescents. The mortality of adolescents is higher in Vojvodina than in Central Serbia. Precise data of external causes of death do not exist in vital statistics in our country. Conclusion. The mortality of adolescents is high, especially for older male adolescents (15 to 19 years of age) and majority of deaths among adolescents could be prevented. It is necessary to improve data of vital statistics to get better insight into causes of adolescent death.


Author(s):  
Kareem Abiodun John ◽  
Fasoranti Ifedayo Olabisi ◽  
Alonge Abel Olumuyiwa ◽  
Kareem Adesola Olawumi ◽  
Bewaji Temitayo Olubunmi ◽  
...  

Background: The neonatal mortality rate remains high in developing countries despite the significant reduction in under-five mortality globally. Therefore, periodic evaluations on the causes of mortality are an aspect of health status, which could be performed to improve the neonatal mortality rate. Objectives: The present study aimed to determine the pattern and causes of neonatal mortality in the Federal Medical Center in Owo, Ondo State, Southwest Nigeria. Methods: This retrospective study was conducted using the hospital records of the neonates admitted over a five-year period from 1st of January 2015 to 31st of December 2019. Results: In total, 2,065 neonates were admitted, including 208 cases of neonatal deaths. Mortality occurred in 127 males (61.1%) and 81 females (38.9%), with the male-to-female ratio of 1.6:1. Among the recorded deaths, 114 cases (54.8%) occurred within the first 24 hours of admission, while 94 neonates (45.2%) died after 24 hours of admission. In addition, the mortality rate was higher among outborn neonates (n = 120; 57.7%) compared to inborn neonates (n = 88; 42.3%). The major causes of neonatal deaths included birth asphyxia (46.6%), prematurity (23.1%), and sepsis (17.8%). The overall mortality rate over the five-year period was 10.1%, which is equivalent to 19 deaths per 1,000 live births. Conclusions: According to the results, preventable diseases such as birth asphyxia, prematurity, and sepsis remain the major causes of neonatal mortality, of which neonatal deaths occur mostly within 24 hours of admission.


1958 ◽  
Vol 9 (1) ◽  
pp. 19 ◽  
Author(s):  
AG Nicholls

A brief account is given of the several rivers, and of the results derived from the study of the fishery in each. Anglers' returns of catches have been analysed with respect to the daily catch per angler for nine seasons, and the lengths of fish for five seasons, and the results are similar for each river. Detailed consideration of a summary of the data received from all sources in this region shows a definite downward trend in the daily catch which is statistically significant and more pronounced in the estuarine than in the inland fishery. There has been no change in the mean lengths of fish taken, and the size distribution of the catch has remained constant over five seasons. An 80 per cent. annual mortality rate has been found for fish from 1 to 6 years of age, after which it falls slightly. The total annual catch has risen with the increase in licensed anglers. Analysis of the diary of one angler over 27 years shows a decline in the catching rate, but the mean weight of fish has remained fairly constant. No direct consistent correlation was found between the estuarine trout fishery and the commercial whitebait fishery. It is concluded that the decline in catching rate is probably related to a change in the representation of anglers making returns during the nine seasons. A study of the contribution made by the release of hatchery fish shows a maximum possible return to anglers of 2 per cent., subject to a correction for the proportion of takable fish caught by anglers for which no data are available. Evidence is produced to show that the release of hatchery fish is unproductive and wasteful in a stream already stocked to capacity.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
L. I. Audu ◽  
A. T. Otuneye ◽  
A. B. Mairami ◽  
M. Mukhtar-Yola ◽  
L. J. Mshelia

Abstract Background The current neonatal mortality rate in Nigeria (37/1000) is among the highest in the world and the major causes have consistently been reported as sepsis, perinatal asphyxia and prematurity. However, case-specific fatality which defines the risk of dying from these and other neonatal morbidities is rarely emphasized. Determination of case-specific fatality rates (CSFR) may inform a change in our current approach to neonatal care interventions which may eventually bring about the much-needed reduction in our neonatal mortality rate. Our aim was to determine the case-specific fatality rates for the common causes of mortality among hospitalized neonates at the National Hospital Abuja (NHA). Methods Relevant demographic and clinical data on all neonates admitted into the NICU at the NHA over a period of 13 months (January 2017 to February 2018) were extracted from the Neonatal Registry database and analyzed using appropriate statistical methods with the SPSS version 20 software. The case-specific fatality rates were computed for the predominant morbidities in addition to determination of the neonatal mortality rates and associated risk factors. Results and conclusion A total of 730 neonates were admitted, out of which 391 (53.6%) were females, 396 (54.5%) were inborn and 396 (54.2%) were term. The three most prevalent morbidities were prematurity 272(37.2%), neonatal Jaundice 208(28.4%) and perinatal asphyxia 91(12.5%) while the most common causes of mortality were prematurity 47/113(41.6%), congenital malformations 27/113(23.9%) and perinatal asphyxia 26/113(23%). Congenital malformations had the highest case-specific fatality 27/83(32.5%) followed by Perinatal Asphyxia 26/91(28.6%) and prematurity 47/272(20.7%). The mortality pattern differed between inborn and out born babies. Implications of these case-specific fatality rates for targeted interventions are discussed.


2021 ◽  
Author(s):  
Mahdiyeh Heydari ◽  
Khadijeh Yarifard ◽  
Maryam Tajvar

Abstract Background: Youth is undeniably the most important force and resource of any country, thus, identifying the leading causes of death among them to develop preventable interventions is essential. This study aimed to determine the trend of mortality rate and the leading cause of death, based on the ICD-10, among young people in Iran.Methods: The present study is a retrospective cohort and examines the trend of Iranian youth mortality, aged 15-24 years, between 1990 and 2017. The data source was the Global Burden of Disease (GBD) website. Linear Regression analysis was used to measure the slope of changes in mortality rates and causes of mortality during the period, where "time" was the independent variable and "mortality rate" and "causes of mortality" were dependent variables.Results: the death rate of young people declined by 54% during the period, equal to an average of 1.37 units per year. The most common cause of death has been injuries (70%), and then NCDs (25%) and finally communicable diseases (5%). However, death due to injuries (except SUD) and communicable diseases (except HIV) declined significantly by 0.94 and 0.09 units per year, respectively (P<0.001), while, death due to the NCDs had an increasing trend by 0.12 units per year over 28 years (P=0.006).Conclusion: Examining past trends in death rates and causes strengthens insights into the state and future trends in health and death-related indicators, which are crucial for policy-making, especially in developing countries with limited resources.


2000 ◽  
Vol 176 (1) ◽  
pp. 76-82 ◽  
Author(s):  
Eyd Hansen Høyer ◽  
Preben Bo Mortensen ◽  
Anne V. Olesen

BackgroundThe high mortality from suicide in patients admitted to hospital with an affective disorder is well documented, although specific causes of mortality and changes in mortality are less well studied.AimsTo describe the pattern of mortality in patients with affective disorder and to study changes in suicide riskduring the study period.MethodAll patients (n=54 103) admitted for the first time to a psychiatric hospital in Denmarkduring the period 1973–1993 because of affective disorder were included in this study. The mortality rate was compared with that of the general population.ResultsMortality from natural and unnatural causes was elevated in all subgroups of affective disorder. The risk of suicide among patients ill for one year or less after first admission increased during the period 1973–1993.ConclusionsMore attention should be paid to the risk of suicide and to physical illness in patients with affective disorders.


Curationis ◽  
2006 ◽  
Vol 29 (1) ◽  
Author(s):  
NE Mokgethi ◽  
VJ Ehlers ◽  
MM Van der Merwe

The Choice on Termination of Pregnancy Act (no 92 of 1996) was implemented during 1997. This study attempted to investigate professional nurses’ attitudes towards rendering termination of pregnancy (TOP) services at a tertiary hospital in the North West Province of South Africa. A quantitative descriptive research design was used to study professional nurses’ attitudes towards providing TOP services. The research results, obtained from questionnaires completed by professional nurses, indicated that most professional nurses’ attitudes included that women should be at least 16 years of age to access these services; women should not be able to access repeated TOPs; nurses would prefer to administer pills rather than to use vacuum aspirations; nurses should work in TOP services by choice only. TOP centers should have better equipment, more resources and more staff members. Nurses working in TOP services would appreciate receiving more support from their families, friends, managers and communities. Some professional nurses experienced guilt, depression, anxiety and religious conflicts as a result of providing TOP services. Despite the legalisation of TOPs, these services remained stigmatised. Professional nurses did not want to work in these services and also did not want to be associated with them.


2019 ◽  
Vol 10 (1) ◽  
pp. 43-48
Author(s):  
Dmitry O. Ivanov ◽  
Vadim K. Iurev ◽  
Kseniia G. Shevtsova ◽  
Karina E. Moiseeva ◽  
Shalva D. Kharbedia ◽  
...  

An important role in the normal development of the fetus and the successful outcome of pregnancy is played by the state of health of pregnant women. One of the significant factors of perinatal risk is anemia of pregnant women. In order to assess the level and dynamics of the incidence of anemia in pregnant women, official statistical reports and publications of the Federal State Statistics Service for 2005-2017 and Central Research Institute for Organization and Informatization of Health of the Ministry of Health of the Russian Federation for 2012-2018 were analyzed. Using a trend analysis using a trend method, a prognosis was made for the incidence of anemia in pregnant women up to 2021 in the Russian Federation as a whole and separately in the North-West Federal District. In order to assess the impact of the predictor “anemia of pregnant women” on the infant mortality rate, data from primary medical documentation was copied to 250 children who died before the age of 1 year in the North-West Federal District. It has been established that the incidence of anemia in pregnant women in the North-West Federal District significantly exceeds the average level in the Russian Federation. Provided that factors affecting the course of pregnancy remain unchanged, the incidence of anemia in pregnant women by 2021 on average in the Russian Federation will decrease to 32.2% of the number of women who have completed pregnancy, and in the North-West Federal District will increase to 37.5%. During pregnancy, the incidence of anemia in women whose child died before the age of 1 year in the North-West Federal District amounted to 44.16 ± 0.39% of the number of women who completed the pregnancy, which significantly exceeded the average figure in the district, which in 2017 was equal to 35.90 ± 0.35% (p < 0.05). A direct correlation has been established between the predictor “anemia in pregnant women” and the infant mortality rate.


1998 ◽  
Vol 20 (2) ◽  
pp. 177
Author(s):  
J.H. Connolly ◽  
D.L. Obendorf ◽  
R.J. Whittington ◽  
D.B. Muir

Over a twelve month period, 25 platypuses (Ornithorhynchus anatinus) were presented for necropsy. The most common causes of mortality were dog predation (40%), road trauma (28%), starvation and/or exposure (16%) and Mucor-mycosis (8%). Mucor amphibiorum is the only disease agent known to cause significant morbidity and mortality in free-living O. anatinus in Tasmania. This fungus causes a severe, granulomatous, commonly ulcerative, skin condition in this species. A study was conducted to define the nature and extent of the granulomatous dermatitis caused by M. amphibiorum. The mycotic granulomatous dermatitis of O. anatinus appears to be confined to streams in the north and midlands. The prevalence of the disease at two infected sites was 36% (n=36) and 66% (n=3). Lesions included abscesses, ulcers, granulation tissue and nodules. Of the 17 diseased animals captured, II were adult male, 5 were adult female and 1 was a juvenile female. Thirteen isolates of M. amphibiorum were cultured from skin lesions, all were of the positive mating type. Mucor amphibiorum was not isolated from 40 faecal or 8 skin samples from O. anatinus. No M. amphibiorum was isolated from 14 environmental samples. Mucor circinelloides and M. saturninus were isolated from soil, and M. circinelloides and M. hiemalis were isolated from faecal samples from O. anatinus.


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